Dear Dr Lim This is actually a painful topic for some women. Thank you for your video. It actually is more than just skin deep. When a woman has a brown upper lip, it actually cuts at her heart. Your job isn't just surface, it helps with self-esteem and self-worth. Thank you for this video on pigmentation. Please, keep us up to date on advances in pigmentation treatment. In South Africa, there isn't a picosure laser, so treatment is limited. Your videos on pigmentation mean more to women than you realize.
Thank you... yes, I do really understand this. I realise the trauma of this condition, as I have patients flying in from around the country seeking help. Pico is not really needed, its a advanced procedure, but nano can be effective. Dr Davin Lim. Brisbane. Australia.
Hello dr davin lim.....im always watch your video couse im suffering now with melasma.....can i a favor please help me what i use to treat my melasma please send me pictures of a product that you show in this video
Melasma can be difficult to diagnose and tricky to treat. Pigmentation such as freckles, sun damage etc.. can be treated by non- specialist, but melasma should be medically managed as this condition can flare up if treated incorrectly. Above all, sun protection is the foundation of management.. Dr Davin S. Lim. Brisbane. Australia.
Dear Dr Davin Lim, I'm a dermatoligist as well, and so impressed of your succsessful treatment protocol of melasma. Would you advise me parameters of Q switched laser (Spectra Lutronic).
Hi Dr Davin Lim, I am one of your subscriber and an aesthetician suffering melasma. Living in sunny Spain, lot of people suffer this. Your channel is informative and despite being in the industry for few years, your hints and tips are very useful. I have sent you a message with your clinic link to come and have a consultation at the end of this month. Look forward to meeting you in person...
here in the states, at least in Chicago, it's impossible to find a doctor who knows how to use this for melasma. it's only available for tattoo removal. I've called half a dozen places looking for pico sure treatment and all I've heard is "it's only used for tattoos" ... and the before and afters are not always that great, unless you have very pale skin.
Thank you! I had NO idea IPL was not recommended!! I had one session several years ago, and my melasma must be the surface type because it did lighten it up enough so that I wasn't quite as bothered by it, but now I'm motivated to look into the other machines and peels in the video. I also used Tri-Luma years ago and it was so-so. Last year I started using Missha Time Revolution Night Repair and after a month I was surprised to see that it also helped.
I love your channel. I have been under the care of a dermatologist since I was 21 for acne and I'm now 41 and I'm always learning about skin care and procedures. Thank you for all the info
Hello Dr davin lim. I have this since when i was 7 yr and become bigger now on my cheeks. Would like to ask. If the Doll carbon laser is effective? Thank you.
hello Dr....which one is best treatment removing face holes and no side effect....plz ....which treatment is best what about derma pen treatment.....plz tell Dr...
Good Morning Dr. Lim, I'm writing this email to see if the you can do something with this mess. I had laser resurfacing *28 jan 2015) two years ago which left me with Hypo and Hyper pigmentation. , can you please recommend someone, because I'am getting tired of putting on make up to conceal it . Thanks. Doug
Dr. Levin I’m just a bit concerned about the use of the hydroquinone as I have heard that in darker skin tones and Asian skins the spots can come back even darker. Is that correct or is there a specific way to use it so this can be avoided?
Thank you! I have a question. I have a brown spot on my knee which I am not sure it is Melasma(but it's the same as the spots that you explained) or not. Also, There are some small brown spot that recently appeared on my right hand and some on my face. Also, I don't have any child and I always use sunscreen. Is there any treatment about brown spot? Could you introduce to me? Thanks
Hi Dr! I really enjoy your video:) Is Melasma and Ochronosis is the same thing? What is the treatment for Ochronosis that caused by prolonged used of HQ?
Hi Dr lim I am fan of your videos.thanks for providing useful info. I have open pores and acne scares problem and currently taking derma roller treatment. Wi dermaroller solve open pores problem . Also my doctor advice me to use Hyalugel .. is it good for skin.
Dear doctor Davin I had a chemical peel for skin,unevenness about 6 months ago and was priscriped tretniod about 3 months ago my skin started to feel tight dry and,it won't,go away I stop using evething. also I started getting broken capillaries on my cheeks. I feel like it ruined my skin iam 22 years old and Hispanic and don't know what laser or treatment could help me with the facial tightness dryness and broken capillaries I wish I could go see u but I live in the us
Hi Dr. Lim, hope you can answer some of my questions about melasma treatment. I'm currently doing picosure+piQo4 laser and just finished my 3rd round (4 weeks apart) but I still see the melasma! Im debating if I should continue to waste my money for the 4rd treatment I have scheduled. For the kind of money i have spent $800 per session) doesnt justify for the result i have. It got lighter, but by no means gone. How many sessions are usually recommended to do? Thanks!
I've seen a dermatologist about hyperpigmenation caused by sun damage. They have recommended the elos SRA laser or topical tranexamic acid. Should people who have darker skin (type 4/ type 5 ) avoid these types of lasers?
Thank you doctor Lim, this one video has concisely sumed up all my current online research for me to consider my laser options. Im currently using both the sunscreens you mentioned both great under makeup. Im a Perth girl so sunscreen a must!
Dr. Lim, after 4 months of HQ vit A adn anti inflammatory, what is the treatment of choice for daily care for long term? Especially forvthe night. Thank you. Loving your show a lot
You had a wonderful video with a drawing of the skin to teach the science if treating melasma and it was very informative but it seems like the video was taking down. Do you still have it
Hi Dr, I simply love your videos. I have a few questions. 1. Would microneedling help with melasma especially if used together with HQ, Tretinoin and vitamin C? 2. What is the best treatment for dermal melasma as I understand that it is the type which is very difficult to treat? 3.I have heard that use of lasers are not advisable in those ethnic pigmented skin, eg. Latins and Indians as they might cause PIH? Is this true? 4.Can one crush tranexamic acid tablets to use on the face (mixed with water like a paste and applied to skin though understandably oral TXA works best? 5. what would you do for resistant and rebound melasma? Keep up the good work Dr. Your channel is my holy grail for getting the best advice for skincare.
1. Yes, but gentle 2. Pico, plus T.Acid, time 3. False 4. Great idea, cream now on trial. 5. explore all other options, revisit spf, consider glutathione all the best, Dr Davin Lim. Brisbane. Australia.
hi Dr. Lim. Unfortunately I don't live Australia because I would love to see you. But are there any doctors you would recommend in the Chicago area for acne and acne scarring?
www.lasersandlifts.com.au Goto the out of town patients section. Navigate thorough it- all the specialist I know who do what I do... cheers Dr Davin Lim. Brisbane. Australia.
Hello Dr Davin lim... Am 26 yrs old female unmarried I developed melishma due to hormonal imbalance my doctor prescribed me melapik ever cream my skin becomes really red and itchy when I stop using again the melishma shows darker.... So decided to go for laser treatment should I go for it r it's not going to help...
Hellow Dr davin lim, i want to ask you a question. while doing 100% TCA cross should we dilute it or not? and what are the precaution should we take before and after TCA cross?
WOAH!!!!!!! Can't comment on this one, TCA CROSS should be done by specialists, that is why I educate on doing dilute and SAFE TCA PEELS, too much or accidental spillage can lead to disfiguring third degree skin graft burns. Please don't try this at home. Stay safe, Dr Davin Lim. Dermatologist. Brisbane.
what do you switch to during hydroquinone breaks and how long do you need to take a break from it? I have been on it for years with very infrequent breaks.
Dr. Lim your explanation of the different type of laser is very helpful. I myself have been battling with skin pigmentation for the past 8 years. I had few dark spots on my face after giving birth to my daughter. So I went to see a Dermatologist. They prescribe Triluma. I must have an adverse affect bc now my spots are much bigger and darker. So now I finally decided to go with Laser. But your vdo says to stay away from IPL for malasma. So is Pico the best thing to use?
Thank you so much for making this. I live in Florida and the sun is unavoidable. I wear sunscreen daily, use retin-a, vitamin c, and have used hydroquinone in the past. Nothing seems to work for me. I can't afford to get laser, unfortunately. Is triluma a prescription product?
kimberlee533 I'm not Doctor Lim, but make sure you know the amount of UVB protection your sunscreen has. UVB protection protects the skin for tanning. Good sunscreens from Asia rate the UVB protection with "+" and sunscreens from Europe use a number system. If you are using products that are photosensitive like retin A and hydroquinone, but your sunscreen's UVB protection is low there is a chance it could have been undoing your efforts. Remember retin A and hydroquinone make the skin easier to tan, so you need a really good UVB protection with your sunscreen and consistency.
Thanks for the information. I am currently using the Elta MD broad spectrum spa 40. It claims of me for normal, combination, and post-procedure skin. I believe it is made in America so there are no + or numbers. It just says UVA/UVB protection. The other one I use is Cerave AM which claims to be developed by dermatologists.
Hi Dr. Lim I’m from Sydney, it’s hard for me to travel from Sydney to Brisbane but can you suggest me any dermatologist in Sydney or if you have any clinic here by chance? Thanks
Hi Dr. Lim, I have a dark brown spot on one side of my forehead (where I don't have bangs hanging over) and have been treated with a q-switched laser once. I don't feel like it got any better....maybe even worse. I looked pretty bruised afterwards and after one week the scabs came off an revealed pink skin that went right back to brown. I am living in Germany where it is winter currently. I have been protecting the area with SPF 50 by Eucerin. I have only used cosmetic treatments such as Caudalie yet with no result and am currently starting the Eucerin pigment line. Do you have any ideas what route I could take? The rest of my face is pigment free.....the area first started showing after half a day in the bright sun without sunscreen (no sun-burn involved). Thank you so much!
Maine dermatologist ko bhi dikhaya, leader testament bhi liya par koi fayda nahi huwa.8 year se dr.ke pass chakarr laga rahi hu,kabhi ye cream to kabi wo,last me pilling& leader testament karne ko bola kuch dino pahle wo bhi liya par koi fayda nahi huwa.kya karuuu???😢
Here in Afghanistan, dermatologists have a very limited resource so the only way they treat melasma here is with combination creams of Tretinoin + Hydroquinone and a mild steroid. Once a certain time limit is reached, the patient tapers down the steroid use and continues with Tretinoin + Hydroquinone. What are your thoughts on this, Dr?
Hey dr .. amazing job the results speak for themselves .. I have a hyperpigmenation on my leg caused by burn with hot water about 20 yrs ago how can I get rid of it? .. thanks
Love your videos! I am skincare junky and for several years have started focusing on anti-aging. I am Asian and of course struggle with hyper pigmentation. What would you recommend for under eye circle and bag? And how long should I use hydroquinone for? In what order should I apply it in my skincare? A good skincare regiment would be great and what products REALLY work. Thank you for the great videos! 😊
Yeah, need to be careful as to what products work, and what is marketing... see a good general dermatologist for products, and a procedural - laser dermatologist for correction. All the best, Dr Davin Lim
Thanks Dr Lim - I was considering IPL, but now it's definitely off the list. Sunscreen daily SPF 30 (layered sunscreen, then tinted sunscreen, then SPF foundation powder) has certainly reduced pigmentation for me. Also, I stopped applying perfume to my neck!
I am new to your channel. I live in Upland, CA and have monthly Tribeam laser treatments for several years for my Melasma. I apply 4% hydroquinone on a weekly basis and sunscreen every single day. I use to apply the HQ cream every day. So far the melasma is under control but its a daily battle especially during the summer months. Do you suggest HQ cream twice a week or TriLuma for maintenance purposes ?
dr.lim hello, i like your video, i have light brown melasma on my cheeks and eyes area, plz tell me some products for,which sun's cream can i use ,any cream to get rid melasma (with name and cost )
Compounded by your dermatologist DEPENDING ON YOUR SKIN TYPE... that is the best, not about the product, but about the chemisty and combinations that will give you the best possible results. Davin Lim. Brisbane. Australia.
Yes, it its, thanks you the support of you guys.... I could take the short cut and pop pimples all day.. but I'm after educational content... so cheers for watching. Dr Davin Lim
can the protocol be repeated to completely eradicate pigment from melasma? if so, what's the time frame for repeating? Suppose 10 weeks for each round of treatment, how long in between? Thanks!
I especially appreciate the sunscreen info! I have melasma and am curious, how often would I have to do these treatments the keep the melasma under control after initial treatment plan? I hope that makes sense....
Just curious - why is Triluma only a short-term treatment? Could it be used once a month or even once every few months on an ongoing basis? What is the ingredient in it that makes us unable to use it regularly?
Ahhh, yes - the HQ. That makes perfect sense. This was a really great video - by the way. I'm so glad there are new lasers out that you are more comfortable using these days on Melasma. Also - I'm out to get some La Roche-Posay for underneath foundation testing. :) Thanks so much for taking the time to answer my question - means a lot.
Dr i use uveil SPF 60. is this a good sunscreen? i have melasma an forehead temples and cheeks. my melasma is not in worst condition .tell me it can get worse if i dont treat. i use sunscreen regularly. i went to doctors twice they gave me creams like nano white and safriderm and tablets pico sth (sth that was extracted from plants). my melasma was faded a little but not gone completely. Should i visit dr again?
Hello dr Lim, thankyou for being so cooperative:) i got my tca cross a month ago, the areas have filled up but they are dark brown now, all the spots i had tca crossed, would IPL work for them?
Hello dr davin lim.....thanks for the information....im from Philippines working here in Kuwait now.....im very interested of the you show in this video couse im suffering now with melasma!.....can you please help.....send some pictures of the product.....that i can use to treat my melasma.....product that i can apply.....thank you so much....please reply
Cosmelan.. Research about it.. I did it and 14 days I was clean.. No regrets and I am African send me your IG to send you photos but you are welcome to check results on IG
Hello Dr, thank you SO much for this video. !! I cannot find anyone in the state I live in that offers the picosure laser. What are your thoughts on the accolade laser? Will this help clear my melasma? I have fair to medium skin tone. Dark blonde, green eyes. Sometimes burn in the sun. This is the best laser option I can find near me. I believe it is q-switch? Please let me know. And thank you again SO much for this info!
QLS in normal 1064 can do the trick... its not the laser that counts, its the specialist behind it... lasers are merely instruments, correct settings together with the combination of creams and SPF is the key to getting great results. I can get results with a cheap 30 k laser or a 250 k picosure, but the settings are the most important factor. (different for each laser). Dr Davin Lim. Brisbane Dermatologist. Australia.
Dr. Lim what would you suggest for dark upper eyelids? I am not sure if it is melasma but they are dark and make me look tired and older. Thanks for any suggestions and all of your helpful videos!!!
Now I'm a bit confused because I have what looks almost exactly this except that it's only part of my forehead and a bit on the side of my lip. However, it only appears if I've been in the sun (holidays) as my part of 🇨🇦 is rain, rain all year! Is melasma present all the time in the patient...winter and summer?
Depends on the UV exposure.. this condition can be difficult to diagnosis as atypical variants occur. Sounds like melasma... but a close look will give a better idea. Dr Davin Lim
Thank you so much for this video. I've had melasma for 13 years and tried IPl, which made it initially dissapear, then it came back. I'll look around for dermatologists who have QSL or Pico laser to try. Can the laser be done without hydroquinone? That ingredient irritated my skin.
Thank you Dr Lim, l always enjoy your informative videos. I have moderate melasma. I live in Sydney but am in Taiwan (where my family is from) at the moment. I was recommended using a Nd-Yag laser on my skin here. Is this similar to any of the lasers you mentioned in this video? Is it the same as a Q-switched Yag? Do you recommend me trying this laser over several sessions?
Quick question, if I may? You mentioned about where melasma usually presents, but is it restricted to these areas? I ask, as I have incredibly similar looking pigmentation from behind one ear and down the back of my neck. People assume it's a birth mark, but I was not born with it, it developed in my school years. Just never really known what it is! Could it possibly be melasma?
Sorry, I don't, I have quite a few patients flying from Newcastle to see me.... problem is a lot of Specialist dermatologist still treat ezcema, rashes, moles , skin cancer etc... and do no solely focus on laser dermatology. If its closer, Laser Dermatology (Dr Phil Bekhor) uses the same tech and methods I do, as we co authored the melasma paper on the dermatology college web portal . Davin Lim. Brisbane. Australia.
I wish I lived in Australia so that I could come to your clinic, you inspire confidence. I have melasma only on my forehead and i have now had 4 picosure treatments in a clinic in Toronto. The melasma did not get darker and not lighter but bigger. I used 4% hydroquinone before treatments and in between. After four treatments with worrying outcome I am thinking of quitting. Not sure if there is a way to asses if its them or me? I would be thankful for any advice.
Hi there, I am also from Toronto and would love to know where you had your treatments done. I suffer from Melasma on my forehead which is getting worse. I was always scared to do laser but now there are different Picosure lasers available. I heard that it takes time for the dark patches to get lighter because it has to do with your skin's natural shedding cycle (30 days and longer as you get older). Did your melasma ever get better?
@@larasunshine7 hi my melasma only got better with professional deep peels at a dermatologist office. I tried all kinds of lasers to no avail, just when I thought my melasma got better it went dark again. The peel i tried you leave on for about 8 to 10hrs and then you peel for a week. But sadly it gets worse every summer anyways. If you end up finding something that works long term pls let me know ;)
Hi Dr.Lim, I do laser esthetics here in Toronto Canada and watch all your videos! I use the Lutronic Spectra (q-switch) on clients for melasma as well. I was wondering what spot size and what energy are you using? Also do you prefer 5hz or 10hz? Is it possible to combine glycolic peels with laser? Thank you so much. Keep up the great videos!
Each laser has its own fluence that is NOT standardised. ... go by the clinical effect. Hz depends on how fast you can move. Don't forget the studies on VEGF-1 receptors and T. acid modulation. All the best, Dr Davin Lim. BRISBANE SKIN specialist.
Hi Dr, i have had small patches of melasma at corners of my eyes but after getting 1 prp and 2 sessions of low frequency fractional laser with 1 month gap between each session.,now its all over my cheeks... What should i do bcz my dermatologist is saying it will go after 2,3 more sessions but i think it will spread more... And dermatologist also said to control melasma i need to get laser session after every 2 months..what is ur opinion on this is it not damaging for skin if doing so often... TIA
Hard to comment, I use methods proven in scientific papers to achieve results... I really can not comment on your melamsa and your dermatologist protocols, sorry. Dr Davin Lim. BRISBANE SKIN SPECIALIST>
Hi doc lim, For my melasma I have started to take sessions with Thalgo I beauty treatment .they said it’s is not laser machine but some I beauty treatment and wit it my melasma will reduce to a great extent almost 95 percent and I have to use all Thalgo products etc.please suggest should I go ahead and take further other 7 sessions,or will it too aggravate my condition.
I absolutely love you videos! Ok so I just went for a consult today on my fine lines, moderate rosacea, and moderate melasma. I'm wanting to do the CO2 fractional laser for fine lines but since I have moderate redness from rosacea, they wanted to do 4 sessions of IPL first to get rid of the redness...BUT you said the IPL makes melasma worse. What protocol would you follow to improve my 3 skin problems??? AND do you have any suggestions for doctors in the USA??? preferably Arizona?? I wish I lived near you!!! Thanks!!!
+Dr. Lim I enjoyed video. I am sunscreen shopping and kept seeing in the comments on Amazon advice to buy a sunscreen with Mexoryl. L'real Ombrelle was the only one I found. I did see a La Roche moisturizer that contained it. I'm interested in your thoughts.
Dr Lim, what's the difference between PIH and melasma in terms of treatment? Isn't PIH easier to treat? My derm equates PIH to melasma and says neither should be treated with laser because of hyperactive melanocytes, but I don't understand how there are hyperactive melanocytes in a 2 year old PIH from a temporary inflammation. If PIH was constant hyperactive melanocytes epidermal PIH wouldn't fade. It makes no sense.
Doctor Gavin, may I know the best treatment cream for butt hyperpigmentation? Been having this skin condition since I was 18 years since I am using tight underwear. I hope you can help me.
u said to get highest retin-a & dilute down to get best bang for ur buck. my question is what to use to dilute? I know how to dilute mathematically, just not what product to mix it with, aloe, oil maybe?
So hydroquinone for 4-6months,,,,then what? How to keep it at bay FOR LIFE?? Thank you . I've used Obagi 4%m works GREAT..only can not, will not use LONG TERM due to side effects....What's a girl to do? Thank you!
hello Dr, I m from India in my early 40s. I hv Melasma on my cheeks, forhead, n nose for the last 6 yrs. I was thinking to take laser therapy like IPL but now stopped thinking for it. I took orally Antioxidants tablets, n used SPF 30 sunscreen till now. And used a cream of Hydroquinon for 1 n half months. To my wonder this cream has removed all my Melasma for once. but after I stopped using this cream....my Melasma came back again n its worse than before.... My Dr said no to laser therapy till I reach my age of 50 coz of side effects. Rytnow I m 41 n a mother of 16 yrs old child. Plz plz plz help me n suggest me best possible way of treating this Melasma. Its a humble request....
Hello doctor. I am black African suffering from melasma on both sides of my cheeks, cause by skin lightning cream and sun exposure, what laser treatment would be suitable for me? Please kindly reply. thank you
Dear Dr Lim
This is actually a painful topic for some women. Thank you for your video. It actually is more than just skin deep. When a woman has a brown upper lip, it actually cuts at her heart. Your job isn't just surface, it helps with self-esteem and self-worth. Thank you for this video on pigmentation. Please, keep us up to date on advances in pigmentation treatment. In South Africa, there isn't a picosure laser, so treatment is limited. Your videos on pigmentation mean more to women than you realize.
Thank you... yes, I do really understand this. I realise the trauma of this condition, as I have patients flying in from around the country seeking help. Pico is not really needed, its a advanced procedure, but nano can be effective. Dr Davin Lim. Brisbane. Australia.
Thank you. :)
Hello dr davin lim.....im always watch your video couse im suffering now with melasma.....can i a favor please help me what i use to treat my melasma please send me pictures of a product that you show in this video
@@drdavinlim Is this technology called Q swich????
Melasma can be difficult to diagnose and tricky to treat. Pigmentation such as freckles, sun damage etc.. can be treated by non- specialist, but melasma should be medically managed as this condition can flare up if treated incorrectly. Above all, sun protection is the foundation of management.. Dr Davin S. Lim. Brisbane. Australia.
Is melasma common in diabetics?
Lasers and Lifts by Dr Davin Lim pellse call 0508694492
Dear Dr Davin Lim, I'm a dermatoligist as well, and so impressed of your succsessful treatment protocol of melasma. Would you advise me parameters of Q switched laser (Spectra Lutronic).
Lasers and Lifts by Dr Davin Lim pls call me
Ok ty😄
Hi Dr Davin Lim,
I am one of your subscriber and an aesthetician suffering melasma. Living in sunny Spain, lot of people suffer this. Your channel is informative and despite being in the industry for few years, your hints and tips are very useful. I have sent you a message with your clinic link to come and have a consultation at the end of this month. Look forward to meeting you in person...
here in the states, at least in Chicago, it's impossible to find a doctor who knows how to use this for melasma. it's only available for tattoo removal. I've called half a dozen places looking for pico sure treatment and all I've heard is "it's only used for tattoos" ...
and the before and afters are not always that great, unless you have very pale skin.
Thank you! I had NO idea IPL was not recommended!! I had one session several years ago, and my melasma must be the surface type because it did lighten it up enough so that I wasn't quite as bothered by it, but now I'm motivated to look into the other machines and peels in the video. I also used Tri-Luma years ago and it was so-so. Last year I started using Missha Time Revolution Night Repair and after a month I was surprised to see that it also helped.
Thank you Dr. Davin Lim.. I have melasma and used hydroquinone for long time and when I stop it .it came back worse what is your advice..
I love your channel. I have been under the care of a dermatologist since I was 21 for acne and I'm now 41 and I'm always learning about skin care and procedures. Thank you for all the info
Welcome ....DL
Elaine T
all are not rich enough to go to dermatologist every week
my bf did resurfx and we can see that theres an improvement but after awhile it came back, would u recommend the pico laser? thanks
Do you prefer Pico Sure over Pico Genesis for melasma treatment? If so, why? This information would be extremely helpful.
Hello Dr davin lim. I have this since when i was 7 yr and become bigger now on my cheeks. Would like to ask. If the Doll carbon laser is effective? Thank you.
Hi Dr what vitamin C do You think is good for melasma , thanks ,,love your videos btw
hello Dr....which one is best treatment removing face holes and no side effect....plz ....which treatment is best
what about derma pen treatment.....plz tell Dr...
Good Morning Dr. Lim, I'm writing this email to see if the you can do something with this mess. I had laser resurfacing *28 jan 2015) two years ago which left me with Hypo and Hyper pigmentation. , can you please recommend someone, because I'am getting tired of putting on make up to conceal it . Thanks. Doug
doc any good doctor in dubai? for treating melasma? thanks
Great information!!! Thanks. I too have Melasma on my face. Is the Pico sure and picocare 450 same and give the same result??
No, the most important factor is NOT the laser, its the specialist. All the best, Dr Davin Lim
Dr. Levin
I’m just a bit concerned about the use of the hydroquinone as I have heard that in darker skin tones and Asian skins the spots can come back even darker. Is that correct or is there a specific way to use it so this can be avoided?
It is true. Stay away from this.
Thank you! I have a question. I have a brown spot on my knee which I am not sure it is Melasma(but it's the same as the spots that you explained) or not. Also, There are some small brown spot that recently appeared on my right hand and some on my face. Also, I don't have any child and I always use sunscreen. Is there any treatment about brown spot? Could you introduce to me? Thanks
Hi Dr! I really enjoy your video:)
Is Melasma and Ochronosis is the same thing? What is the treatment for Ochronosis that caused by prolonged used of HQ?
Hi Dr lim I am fan of your videos.thanks for providing useful info. I have open pores and acne scares problem and currently taking derma roller treatment. Wi dermaroller solve open pores problem . Also my doctor advice me to use Hyalugel .. is it good for skin.
Nope. Video guides you. Cheers, Dr Davin Lim
Dear doctor Davin I had a chemical peel for skin,unevenness about 6 months ago and was priscriped tretniod about 3 months ago my skin started to feel tight dry and,it won't,go away I stop using evething. also I started getting broken capillaries on my cheeks. I feel like it ruined my skin iam 22 years old and Hispanic and don't know what laser or treatment could help me with the facial tightness dryness and broken capillaries I wish I could go see u but I live in the us
Hi Dr. Lim, hope you can answer some of my questions about melasma treatment. I'm currently doing picosure+piQo4 laser and just finished my 3rd round (4 weeks apart) but I still see the melasma! Im debating if I should continue to waste my money for the 4rd treatment I have scheduled. For the kind of money i have spent $800 per session) doesnt justify for the result i have. It got lighter, but by no means gone. How many sessions are usually recommended to do? Thanks!
I've seen a dermatologist about hyperpigmenation caused by sun damage. They have recommended the elos SRA laser or topical tranexamic acid. Should people who have darker skin (type 4/ type 5 ) avoid these types of lasers?
Incredibly informative and thorough. Superb. Thank you.
Thanks for watching. Davin Lim.Brisbane. Australia.
Hi I have a bad case of melasma! What’s the cost per treatment using the pico ladder?
Thank you doctor Lim, this one video has concisely sumed up all my current online research for me to consider my laser options. Im currently using both the sunscreens you mentioned both great under makeup. Im a Perth girl so sunscreen a must!
Welcome. DL
Dr. Lim, after 4 months of HQ vit A adn anti inflammatory, what is the treatment of choice for daily care for long term? Especially forvthe night. Thank you. Loving your show a lot
Depends on many factors.. DL
You had a wonderful video with a drawing of the skin to teach the science if treating melasma and it was very informative but it seems like the video was taking down. Do you still have it
Hi Dr, I simply love your videos. I have a few questions.
1. Would microneedling help with melasma especially if used together with HQ, Tretinoin and vitamin C?
2. What is the best treatment for dermal melasma as I understand that it is the type which is very difficult to treat?
3.I have heard that use of lasers are not advisable in those ethnic pigmented skin, eg. Latins and Indians as they might cause PIH? Is this true?
4.Can one crush tranexamic acid tablets to use on the face (mixed with water like a paste and applied to skin though understandably oral TXA works best?
5. what would you do for resistant and rebound melasma?
Keep up the good work Dr. Your channel is my holy grail for getting the best advice for skincare.
1. Yes, but gentle
2. Pico, plus T.Acid, time
3. False
4. Great idea, cream now on trial.
5. explore all other options, revisit spf, consider glutathione
all the best, Dr Davin Lim. Brisbane. Australia.
Sorry may i know what is pico? Where can we get it? Tq
Dr. M from India... Do you have any contacts in India who can help me with melasma
hi Dr. Lim. Unfortunately I don't live Australia because I would love to see you. But are there any doctors you would recommend in the Chicago area for acne and acne scarring?
www.lasersandlifts.com.au
Goto the out of town patients section.
Navigate thorough it- all the specialist I know who do what I do...
cheers
Dr Davin Lim. Brisbane. Australia.
Hello Dr Davin lim... Am 26 yrs old female unmarried I developed melishma due to hormonal imbalance my doctor prescribed me melapik ever cream my skin becomes really red and itchy when I stop using again the melishma shows darker.... So decided to go for laser treatment should I go for it r it's not going to help...
Hi Dr. Lim, what would you call the hyper-pigmentation around the corners of the lips of the person at 2:26? and how might you treat that?
HQ and laser, Davin Lim. BRISBANE SKIN speicalsist.
Hellow Dr davin lim, i want to ask you a question. while doing 100% TCA cross should we dilute it or not? and what are the precaution should we take before and after TCA cross?
WOAH!!!!!!! Can't comment on this one, TCA CROSS should be done by specialists, that is why I educate on doing dilute and SAFE TCA PEELS, too much or accidental spillage can lead to disfiguring third degree skin graft burns. Please don't try this at home. Stay safe, Dr Davin Lim. Dermatologist. Brisbane.
what do you switch to during hydroquinone breaks and how long do you need to take a break from it? I have been on it for years with very infrequent breaks.
2-6 months. Davin Lim
I'm so glad you mentioned Transexamic acid. I've been prescribed it for my periorbital melisma as well as topicals.
...great... you have a dermatologist that keeps up to date. Cheers, Davin Lim
Dr. Lim your explanation of the different type of laser is very helpful. I myself have been battling with skin pigmentation for the past 8 years. I had few dark spots on my face after giving birth to my daughter. So I went to see a Dermatologist. They prescribe Triluma. I must have an adverse affect bc now my spots are much bigger and darker. So now I finally decided to go with Laser. But your vdo says to stay away from IPL for malasma. So is Pico the best thing to use?
You are the best Dr. Lim!!
:)
Thank you so much for making this. I live in Florida and the sun is unavoidable. I wear sunscreen daily, use retin-a, vitamin c, and have used hydroquinone in the past. Nothing seems to work for me. I can't afford to get laser, unfortunately. Is triluma a prescription product?
kimberlee533 I'm not Doctor Lim, but make sure you know the amount of UVB protection your sunscreen has. UVB protection protects the skin for tanning. Good sunscreens from Asia rate the UVB protection with "+" and sunscreens from Europe use a number system. If you are using products that are photosensitive like retin A and hydroquinone, but your sunscreen's UVB protection is low there is a chance it could have been undoing your efforts. Remember retin A and hydroquinone make the skin easier to tan, so you need a really good UVB protection with your sunscreen and consistency.
Thanks for the information. I am currently using the Elta MD broad spectrum spa 40. It claims of me for normal, combination, and post-procedure skin. I believe it is made in America so there are no + or numbers. It just says UVA/UVB protection. The other one I use is Cerave AM which claims to be developed by dermatologists.
kimberlee533 no problem. Search for sunscreens where the PA factor is indicated and try to aim for the highest protection. Good luck
thnx for ur reply....can u please tell me which laser is best for skin whitening..
Depends, QSL nano vs pico.
Hi Dr. Lim I’m from Sydney, it’s hard for me to travel from Sydney to Brisbane but can you suggest me any dermatologist in Sydney or if you have any clinic here by chance? Thanks
Is it possible to combine the tca peel with q switch laser . Every how many weeks after peel I can apply laser?
Hey doctor Lim, how much to remove my melasma
Doc aside from being intelligent and smart, you’re also handsome. Thanks for a very informative video.
Sir plz tell me and good cream or something which clear my freckles and pigmentation near my eyes
Hi Dr. Lim, I have a dark brown spot on one side of my forehead (where I don't have bangs hanging over) and have been treated with a q-switched laser once. I don't feel like it got any better....maybe even worse. I looked pretty bruised afterwards and after one week the scabs came off an revealed pink skin that went right back to brown. I am living in Germany where it is winter currently. I have been protecting the area with SPF 50 by Eucerin. I have only used cosmetic treatments such as Caudalie yet with no result and am currently starting the Eucerin pigment line. Do you have any ideas what route I could take? The rest of my face is pigment free.....the area first started showing after half a day in the bright sun without sunscreen (no sun-burn involved). Thank you so much!
Maine dermatologist ko bhi dikhaya, leader testament bhi liya par koi fayda nahi huwa.8 year se dr.ke pass chakarr laga rahi hu,kabhi ye cream to kabi wo,last me pilling& leader testament karne ko bola kuch dino pahle wo bhi liya par koi fayda nahi huwa.kya karuuu???😢
Here in Afghanistan, dermatologists have a very limited resource so the only way they treat melasma here is with combination creams of Tretinoin + Hydroquinone and a mild steroid. Once a certain time limit is reached, the patient tapers down the steroid use and continues with Tretinoin + Hydroquinone. What are your thoughts on this, Dr?
nvm, commented too early.
....one should try to get off the HQ and steroid but use vitamin A - Tretinoin indefinitely. DL
Lasers and Lifts by Dr Davin Lim.in what way i can use vitamin A
Thanks A lot Dr . Davin Lim , its really a very informative video, plz do continue to enlighten us !!
Cheers, Davin Lim.
Brisbane, oz
Hey dr .. amazing job the results speak for themselves .. I have a hyperpigmenation on my leg caused by burn with hot water about 20 yrs ago how can I get rid of it? .. thanks
That would be difficult. Tech yet to catch up. Davin Lim, Brisbane Dermatologist.
Love your videos! I am skincare junky and for several years have started focusing on anti-aging. I am Asian and of course struggle with hyper pigmentation. What would you recommend for under eye circle and bag? And how long should I use hydroquinone for? In what order should I apply it in my skincare? A good skincare regiment would be great and what products REALLY work. Thank you for the great videos! 😊
Yeah, need to be careful as to what products work, and what is marketing... see a good general dermatologist for products, and a procedural - laser dermatologist for correction. All the best, Dr Davin Lim
Hi Dr Lim, can Hydroquinone be used with Retin A.
Yes, slowly .. add it in. Premixed in Kligmans or Triluma.
Thanks Dr Lim - I was considering IPL, but now it's definitely off the list. Sunscreen daily SPF 30 (layered sunscreen, then tinted sunscreen, then SPF foundation powder) has certainly reduced pigmentation for me. Also, I stopped applying perfume to my neck!
What ever you do.. don't do IPL, far safer and cheaper methods to treat melasma. Dr Davin Lim. Brisbane. Australia
I'm curious if after your patients receive your recommended treatment if the Melaama returns?
C and B, low fluency laser , ascorbic acid .. etc...
I am new to your channel. I live in Upland, CA and have monthly Tribeam laser treatments for several years for my Melasma. I apply 4% hydroquinone on a weekly basis and sunscreen every single day. I use to apply the HQ cream every day. So far the melasma is under control but its a daily battle especially during the summer months. Do you suggest HQ cream twice a week or TriLuma for maintenance purposes ?
Depends on your previous records, be guided by your dermatologist as they know your type of melasma. Dr Davin Lim.
Does Azelaic acid also help with acne prone skin?
Wait on another video you said you wouldn't use pico for melasma
dr.lim hello, i like your video, i have light brown melasma on my cheeks and eyes area, plz tell me some products for,which sun's cream can i use ,any cream to get rid melasma (with name and cost )
Compounded by your dermatologist DEPENDING ON YOUR SKIN TYPE... that is the best, not about the product, but about the chemisty and combinations that will give you the best possible results. Davin Lim. Brisbane. Australia.
Thank you for the great vid!! I have a couple spots and wondered the best way to treat it! Your channel is growing!! Yay!!
Yes, it its, thanks you the support of you guys.... I could take the short cut and pop pimples all day.. but I'm after educational content... so cheers for watching. Dr Davin Lim
So, according with the before and afters pics, the melasma treatment works better with white skins, right dr?
No, its the contrast of skin colour.....
can the protocol be repeated to completely eradicate pigment from melasma? if so, what's the time frame for repeating? Suppose 10 weeks for each round of treatment, how long in between? Thanks!
Depends, 2- 8 weeks, let your dermatologist guide you for your type of melasma. Dr Davin Lim Brisbane Dermatologist. Australia.
+Lasers and Lifts by Dr Davin Lim Hi Dr.. is that laser safe for all skin colour?.. I'm a African lady.. thanks
Is this active or passive q switch laser?
I especially appreciate the sunscreen info! I have melasma and am curious, how often would I have to do these treatments the keep the melasma under control after initial treatment plan? I hope that makes sense....
Sunscreen for life.... control...individaulised.. some only need a peel or one laser treatment every few months. Davin Lim. Brisbane. Australia.
Thanks for an informative video and your timely response.
Just curious - why is Triluma only a short-term treatment? Could it be used once a month or even once every few months on an ongoing basis? What is the ingredient in it that makes us unable to use it regularly?
HQ, only should be used short term... always be guided by your dermatologist. Davin Lim
Ahhh, yes - the HQ. That makes perfect sense. This was a really great video - by the way. I'm so glad there are new lasers out that you are more comfortable using these days on Melasma. Also - I'm out to get some La Roche-Posay for underneath foundation testing. :) Thanks so much for taking the time to answer my question - means a lot.
Dr i use uveil SPF 60. is this a good sunscreen? i have melasma an forehead temples and cheeks. my melasma is not in worst condition .tell me it can get worse if i dont treat. i use sunscreen regularly. i went to doctors twice they gave me creams like nano white and safriderm and tablets pico sth (sth that was extracted from plants). my melasma was faded a little but not gone completely. Should i visit dr again?
Yes, continue with SPFF- the absolute foundation of melasma treatments.
is there any good clinic in Adelaide you for Melasma treatment?
Hello dr Lim, thankyou for being so cooperative:) i got my tca cross a month ago, the areas have filled up but they are dark brown now, all the spots i had tca crossed, would IPL work for them?
No
What would be the treatment?
Does long term use of HQ makes you photosensitive? What is its relation to rebound melasma/exacerbate melasma?
Hello dr davin lim.....thanks for the information....im from Philippines working here in Kuwait now.....im very interested of the you show in this video couse im suffering now with melasma!.....can you please help.....send some pictures of the product.....that i can use to treat my melasma.....product that i can apply.....thank you so much....please reply
Thanks a million Dr Davin, I am struggling with melasma for a while now. Any recommandations for my dermatologist I should know, please from Canada?
Cosmelan.. Research about it.. I did it and 14 days I was clean.. No regrets and I am African send me your IG to send you photos but you are welcome to check results on IG
Hi, do u sell this Pico laser machine?
I do have this skin problem condition called melasma..omg hope this will disappear Doc......
Hello Dr, thank you SO much for this video. !! I cannot find anyone in the state I live in that offers the picosure laser. What are your thoughts on the accolade laser? Will this help clear my melasma? I have fair to medium skin tone. Dark blonde, green eyes. Sometimes burn in the sun. This is the best laser option I can find near me. I believe it is q-switch? Please let me know. And thank you again SO much for this info!
QLS in normal 1064 can do the trick... its not the laser that counts, its the specialist behind it... lasers are merely instruments, correct settings together with the combination of creams and SPF is the key to getting great results. I can get results with a cheap 30 k laser or a 250 k picosure, but the settings are the most important factor. (different for each laser). Dr Davin Lim. Brisbane Dermatologist. Australia.
Can melasma treated by home remedies such as paste of turmeric, honey, gram flour , lemon juice, etc
Possibly, but I am not an expert on natural remedies, just lasers and medical management.
Dr. Lim what would you suggest for dark upper eyelids? I am not sure if it is melasma but they are dark and make me look tired and older. Thanks for any suggestions and all of your helpful videos!!!
CanDoesIt niacinamide and kojic Acid helped me.
Now I'm a bit confused because I have what looks almost exactly this except that it's only part of my forehead and a bit on the side of my lip. However, it only appears if I've been in the sun (holidays) as my part of 🇨🇦 is rain, rain all year! Is melasma present all the time in the patient...winter and summer?
Depends on the UV exposure.. this condition can be difficult to diagnosis as atypical variants occur. Sounds like melasma... but a close look will give a better idea. Dr Davin Lim
Thank you so much for this video. I've had melasma for 13 years and tried IPl, which made it initially dissapear, then it came back. I'll look around for dermatologists who have QSL or Pico laser to try. Can the laser be done without hydroquinone? That ingredient irritated my skin.
Yes, but you should use a tyrosinase inhibitor... your dermatologist will guide you. Or do vvvv low strength TCA peels, and add Lytera..
Thank you Dr Lim, l always enjoy your informative videos. I have moderate melasma. I live in Sydney but am in Taiwan (where my family is from) at the moment. I was recommended using a Nd-Yag laser on my skin here. Is this similar to any of the lasers you mentioned in this video? Is it the same as a Q-switched Yag? Do you recommend me trying this laser over several sessions?
Yes, depending on the setting and your end goals. Dr Davin Lim
Lasers and Lifts by Dr Davin Lim Thank you!
Thank you Dr. Lim for your informartive videos! 👍👍👍
Indeed you are welcome. DAVIN LIM , BRISBANE SKIN specialist.
Hi... I have some questions. Can you assist me please? Looking for your reply. Thanks in advance
They said the cosmelan peel treatment for melasma. I got confuse now. Pls help me before doing it.
Quick question, if I may? You mentioned about where melasma usually presents, but is it restricted to these areas? I ask, as I have incredibly similar looking pigmentation from behind one ear and down the back of my neck. People assume it's a birth mark, but I was not born with it, it developed in my school years. Just never really known what it is! Could it possibly be melasma?
My husband has this as a result of sun damage.
That would make sense for me. I saw a lot of sun as a child (Australian summers, back in the days where sunscreen wasn't much more than a novelty)
Do you know of any dermatologist that you would recommend from Newcastle or around that deals with Asian skin? Thanks.
Sorry, I don't, I have quite a few patients flying from Newcastle to see me.... problem is a lot of Specialist dermatologist still treat ezcema, rashes, moles , skin cancer etc... and do no solely focus on laser dermatology. If its closer, Laser Dermatology (Dr Phil Bekhor) uses the same tech and methods I do, as we co authored the melasma paper on the dermatology college web portal . Davin Lim. Brisbane. Australia.
Lasers and Lifts by Dr Davin Lim thank you. I'll check him out. 👍🏽
De. Lim, could I have a qsl treatment while I’m taking pills of doxycycline or metronidazole?
yes
Dr Davin Lim thank you so much
What are these pills for could you pl tell me.
Hello Dr Lim Can nursing mum use superfade ?
Hello Doc .. I have darkness on forehead and around mouth .. Can you please suggest ..
Hello Best Dr How many time required session after lesar treatment please reply me sir
5 sessions 2 wks apart
I wish I lived in Australia so that I could come to your clinic, you inspire confidence. I have melasma only on my forehead and i have now had 4 picosure treatments in a clinic in Toronto. The melasma did not get darker and not lighter but bigger. I used 4% hydroquinone before treatments and in between. After four treatments with worrying outcome I am thinking of quitting. Not sure if there is a way to asses if its them or me? I would be thankful for any advice.
Hi there, I am also from Toronto and would love to know where you had your treatments done. I suffer from Melasma on my forehead which is getting worse. I was always scared to do laser but now there are different Picosure lasers available. I heard that it takes time for the dark patches to get lighter because it has to do with your skin's natural shedding cycle (30 days and longer as you get older). Did your melasma ever get better?
@@larasunshine7 hi my melasma only got better with professional deep peels at a dermatologist office. I tried all kinds of lasers to no avail, just when I thought my melasma got better it went dark again. The peel i tried you leave on for about 8 to 10hrs and then you peel for a week. But sadly it gets worse every summer anyways. If you end up finding something that works long term pls let me know ;)
Hi Dr.Lim, I do laser esthetics here in Toronto Canada and watch all your videos! I use the Lutronic Spectra (q-switch) on clients for melasma as well. I was wondering what spot size and what energy are you using? Also do you prefer 5hz or 10hz? Is it possible to combine glycolic peels with laser? Thank you so much. Keep up the great videos!
Each laser has its own fluence that is NOT standardised. ... go by the clinical effect. Hz depends on how fast you can move. Don't forget the studies on VEGF-1 receptors and T. acid modulation. All the best, Dr Davin Lim. BRISBANE SKIN specialist.
Dr Davin Lim Thank you for responding!
Hi Dr, i have had small patches of melasma at corners of my eyes but after getting 1 prp and 2 sessions of low frequency fractional laser with 1 month gap between each session.,now its all over my cheeks... What should i do bcz my dermatologist is saying it will go after 2,3 more sessions but i think it will spread more... And dermatologist also said to control melasma i need to get laser session after every 2 months..what is ur opinion on this is it not damaging for skin if doing so often... TIA
Hard to comment, I use methods proven in scientific papers to achieve results... I really can not comment on your melamsa and your dermatologist protocols, sorry. Dr Davin Lim. BRISBANE SKIN SPECIALIST>
Do benzoyl peroxide washes prematurely age the skin?
No
Hi doc lim, For my melasma I have started to take sessions with Thalgo I beauty treatment .they said it’s is not laser machine but some I beauty treatment and wit it my melasma will reduce to a great extent almost 95 percent and I have to use all Thalgo products etc.please suggest should I go ahead and take further other 7 sessions,or will it too aggravate my condition.
No idea.. its user dependent . Davin Lim
I absolutely love you videos! Ok so I just went for a consult today on my fine lines, moderate rosacea, and moderate melasma. I'm wanting to do the CO2 fractional laser for fine lines but since I have moderate redness from rosacea, they wanted to do 4 sessions of IPL first to get rid of the redness...BUT you said the IPL makes melasma worse. What protocol would you follow to improve my 3 skin problems??? AND do you have any suggestions for doctors in the USA??? preferably Arizona?? I wish I lived near you!!! Thanks!!!
+Dr. Lim I enjoyed video. I am sunscreen shopping and kept seeing in the comments on Amazon advice to buy a sunscreen with Mexoryl. L'real Ombrelle was the only one I found. I did see a La Roche moisturizer that contained it. I'm interested in your thoughts.
Dr Lim, what's the difference between PIH and melasma in terms of treatment? Isn't PIH easier to treat? My derm equates PIH to melasma and says neither should be treated with laser because of hyperactive melanocytes, but I don't understand how there are hyperactive melanocytes in a 2 year old PIH from a temporary inflammation. If PIH was constant hyperactive melanocytes epidermal PIH wouldn't fade. It makes no sense.
More on the melanocyte cytokine activity on PUBMED. PIH much harder to treat. DL
Malasma cream .name sir
Doctor Gavin, may I know the best treatment cream for butt hyperpigmentation? Been having this skin condition since I was 18 years since I am using tight underwear. I hope you can help me.
Sorry, will do a video on PIH, all the best, Davin Lim
I am looking forward to that Doctor. Greatly appreciated. Thank you.
u said to get highest retin-a & dilute down to get best bang for ur buck. my question is what to use to dilute? I know how to dilute mathematically, just not what product to mix it with, aloe, oil maybe?
No, speak to your dermatologist of pharmacist, they can guide you...def. no aloe... DL
please suggest me which creme i used for melesma and its is available in Bangladesh?
No idea what is in stock where you live???
So hydroquinone for 4-6months,,,,then what? How to keep it at bay FOR LIFE?? Thank you . I've used Obagi 4%m works GREAT..only can not, will not use LONG TERM due to side effects....What's a girl to do? Thank you!
Let your dermatologist guide you, I drop my HQ, replace with vitamin A, C add lytera, lots of combinations that do not involve continual use of HQ.
hello Dr, I m from India in my early 40s. I hv Melasma on my cheeks, forhead, n nose for the last 6 yrs. I was thinking to take laser therapy like IPL but now stopped thinking for it. I took orally Antioxidants tablets, n used SPF 30 sunscreen till now. And used a cream of Hydroquinon for 1 n half months. To my wonder this cream has removed all my Melasma for once. but after I stopped using this cream....my Melasma came back again n its worse than before....
My Dr said no to laser therapy till I reach my age of 50 coz of side effects. Rytnow I m 41 n a mother of 16 yrs old child. Plz plz plz help me n suggest me best possible way of treating this Melasma. Its a humble request....
Hello doctor.
I am black African suffering from melasma on both sides of my cheeks, cause by skin lightning cream and sun exposure, what laser treatment would be suitable for me?
Please kindly reply.
thank you
QSL
Dr Davin Lim thank you doctor.