How to Treat Melasma
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- Опубликовано: 8 сен 2024
- A question that often comes up is how to treat melasma. Melasma and hyperpigmentation can often be difficult to treat and maintain. Watch this video to better understand the different types of treatments available and why melanoma can be difficult to control.
I earned my Medical Degree from UC Irvine and completed my residency in Dermatology at UCLA. Upon completing my residency, I joined the full-time faculty at UCLA as a Clinical Instructor and Professor in Dermatology and Dermatologic Surgery. I then went on to complete advanced fellowship training in Dermatologic Surgery at UC Davis and Cosmetic Dermatology at the Laser and Skin Surgery Center of Northern California with world-renowned expert, Dr. Suzanne Kilmer. After fellowship, I was appointed the Director of Dermatologic Surgery at the Laser & Skin Surgery Center of Northern California where I remained active in clinical trials and have been on the forefront of the latest advances in aesthetics and dermatology. As an Orange County native, I love the SoCal community and currently enjoy being a Dermatologist in Newport Beach, CA.
My areas of expertise include cosmetic dermatology with a focus on injectable neuromodulators (Botox, Dysport, Xeomin), as well as dermal fillers (Juvederm, Voluma, Volbella, Vollure, Sculptra, Restylane, Belotero, and Radiesse). In addition, I travel nationally and internationally where I teach other physicians injection techniques and about the latest advances in dermatology. I am highly-trained in the use of lasers and energy-based devices to treat all aspects of photoaging, including fine lines, wrinkles, skin laxity, brown spots and facial vessels. I offer a comprehensive approach to body contouring with the use of minimally-invasive procedures. In addition, I specialize in Dermatologic Surgery including Mohs micrographic surgery, blepharoplasty, skin cancer excisions, sclerotherapy, surgical earlobe repair and cosmetic tattoo excisions.
Follow me on Instagram or Twitter @StefaniKappelMD
Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Content provided on this RUclips channel is for informational purposes only. Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options. Information on this RUclips channel should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose, treat, cure or prevent disease.
Dr. Kappel, I CAN'T begin to thank you enough for sharing your knowledge and love for skincare. It's incredibly difficult to navigate all the information that exists in this day and time when it comes to skincare and skincare products. It's so easy to get misdirected when it comes to skincare and what to do or not to do, especially when you have hyperpigmentation issues. You are truly a lifesaver and I'm so excited to receive your products. Congrats on your skincare launch!
Thank you so much!!! I agree and I feel terrible that patients get so misdirected by skincare marketing out there. I'm here to help on any way that I can and can answer your questions and cover any topic you want to learn about. I've dedicated my life to learning about the skin and have been doing this for almost 20 years. I'm here to share knowledge and love to do so =)
Thank you so much for another great educational video !
So glad you liked it!!! My pleasure!!
Thank you once again for explaining to us the treatment options.
You’re so welcome!! Not all treatments are for everyone. You just have to see which one (ones) your skin responded best to. ❤️
Thank you Dr. Kappel. I always come back to your channel for treatment of melasma. Great information and advice.
Thank you! I always learn something every time I listen. Heliocare..interesting!
Thank you so much for this educational video!
You're welcome!!!
Would you please clarify the heliocare sunscreen and also the "heliocare" enzyme that is an internal supplement thats an antioxidant? I have listened to that portion of this video so many times and am missing something.
Thank you so much for this info! I see Heliocare has a regular, ultra new advanced formulation. My initial thought is to go for the advanced version but I also know more isn’t always better. Your recommendation would be appreciated :-) ty
The Advanced has niacinamide in it and the Ultra has pomegranate extracts and may be a little more pricey. The regular Heliocare is a little less expensive and has the main ingredient that you need which is the polopodium leukotomas ;)
@@DrStefaniKappel thank you for the video. I am Asian and have hyperpigmention skin and also small bumpy bumps usually around my jawline and forehead. What kind of treatments or skincare would you recommend?
I have tried so many products and don't see any result so it is getting very frustrating. Thank you.
Hi Dr Kappel
Thank you so much for educating us on all things dermatology . I have seen great results using all the products you recommend. Can't wait to try your new line. I live in St. Louis Mo can you recommend a laser specialist in my area. Thanks so much for all you do!!
My pleasure!!! I’m sorry I don’t know anyone in that area but my best advice is to just check credentials online ;)
This has helped me so much! Thank you 😊
Thank you for addressing skin of colour issues. 💗
Its my pleasure!! Part of my training was teaching us how to treat all skin types. I feel fortunate to have had this type of education and am comfortable treating all skin tones :)
I love your videos! How often should I take the Heliocare supplement. Once ir twice per day?
Could you please address keratosis pilaris on the face? I have red bumps on the cheeks. How do I get rid of it? Moisturize, or lazer or v-beam?
Good topic!! I haven't talked about KP and yes I'll film it for this weeks topic!! I love when you guys give me the topics you want me to discuss! xo
Love your channel so much!
What about alpha arbutin, any porcentage better than other?
Ty can you speak on the new cool peel for all skin types please ❤
Thank you 😊
You’re welcome!!
This was very helpful. Thank you! Can you please tell me what blush colour you use? It is so pretty. Also, it would be amazing if you can address lip lines and what can be done for them. ❤
I had just gotten a facial 2 hours before posting that video 🙈 I was still a little pink from dermaplanning and a hydrafacial. I don't typically wear blush but when I do I love the colorscience color balm in berry www.colorescience.com/products/sunforgettable-total-protection-color-balm-spf-50
@@DrStefaniKappel Thank you so much for your reply! I really appreciate it. 🌺
@@sherrysweet2 My pleasure!!!
Ty !💕
Thank you so much for this knowledge. Also, congrats on the success of your skin launch! If a person could only get one product currently, is 60 years old, which would your recommend? Thanks.
Hi and thank you!! Over 60 and only one product, I’d go with the Hydrator (packed with skin tightening anti-aging peptides) or the eye serum (helps with under eye wrinkles and puffiness) 😉
Dr Kappel, first of all thank you so much, your videos are impressive - I recently discovered you on YT, you were highly recommended by a friend of mine who is an MD .I can see why she thinks so highly of you! I have a question with regard Clear and Brilliant . I have done it only once. While I wait for my 2nd and 3rd treatment, is it worth to " pretreat" the skin as you suggest for other lasers ? I am 55 and I have some sun spots but also some post inflammatory hyperpigmentation ( from filler needle injections believe it or not...),which I would love to remove, but also skin laxity, fine wrinkles. I have been using Adapalene and Defenage as my main skin care routine. Your suggestions to maximize results are greatly appreciated!
Hi and thanks so much for following!! Yes I always tell my patients that what you do at home is just as important as treatment you have done in the office. Its important to use good products at home between laser treatments. If it is pigmentation you are trying to correct, I recommend the ZO Skin Health pigment control kit. This contains a 4% HQ and is not available without a prescription. If you are looking for a non-HQ I would recommend the SkinBetter Science EvenTone or my Vit C serum (MDAiRE). These will all stabilize the melanocytes pre and post treatment. Alastin also has a regenerating nectar that is great to prep your skin before and after laser. Hope this helps!!!
@@DrStefaniKappel Thank you so much for your suggestions.I do have a questions with regard how do product work (perhaps this would be good topic for a video and if you have already addressed it then let me know) .If the epidermis is such a great barrier, how do products, cream, serum, etc actually penetrate this barrier? Is there only a small percentage that is absorbed? What should we, average consumers, be looking for not to fall for hypes? As I mentioned above, I use Defenage. I used in the past Obagi for a few years, loved the result with the HQ system but my skin was quite dry, not to talk about the sulfur stink of the product . So I switched to Defenage for a few years, with either Adapalene or I used one tube of 0.025% RA. However, all I can find about Defenage is that they have done their own studies and biopsies. I like the way the products feel on my skin, but can I say my skin has changed in such a way that I can actually see? I am not that confident. Sorry if this may be a repetitive theme. Perhaps there is a rate limiting factor at one point in age where no matter what you do you cannot stimulate collagen, elastin production?
I wanted to snag these products but they were sold out. Any idea when the restock will be?😀
We sold out so fact BUT rest assured my team is working on it and we will have a restock shortly! Be sure to sign up for the back in stock notification as we will have the next batch of inventory in very soon!! You can sign up on the website product page =)
Hello Dr Kappel
I live in Vero Beach, Florida. Would you mind recommending a dermatologist that has the credentials that you specified in my area? I would greatly appealing it. Thank you..
www.mayoralderm.com/ 😘
May I ask what you think of cosmelan peel for melasma?
What laser do you suggest for the neck and chest area especially the neck since i can see a line and i am very pale
Definitely Fraxel 🙌🏻
Which laser would you recommend for Post Inflammatory Erythema?
VBeam laser ❤️
@@DrStefaniKappel would you be able to recommend anyone near Atlanta GA?
@@nissat3691 Unfortunately I do not know anyone out there but I’d give the same advice that I gave the other person who asked me. Just check credentials;)
Is there a way we can find a laser surgeon that’s highly rated in our area?
Usually physicians list their credentials on their website. Where they went to medical school, where they completed their internship and residency, etc. Look for providers who completed a laser fellowship which will be listed as an “ACGME procedural fellowship”. You can also use the ASDS website to search for provides in your area. The American Society for Dermatologic Surgery is a great reference too. If you have trouble finding one, let me know your area and I may be able to recommend someone near you. ❤️
@@DrStefaniKappel Is Dr Macrene Alexiades in NY a laser expert?
@@samr5816 yes and her credentials are very impressive. You want a doctor who talks about his/her credentials. Not how many offices and businesses they have. Just my opinion. This physician is highly impressive to me as a colleague and I’d recommend her without even knowing her personally.
I owe it all to you. You started me on my journey to great skin. However, I am a African American and would like to find a laser specialist who s experience in treating this type of skin. I live in South Carolina. Any recommendations? I will travel a little for the best
@@katrinaconner6482 I’m so happy to hear. African American skin can be safely treated with lasers when done correctly. For instance, appropriate settings with a clear + brilliant laser can give amazing results. I cannot give medical advice over RUclips of course, however I can recommend someone near you. If Washington DC isn’t too far www.skindcderm.com/bio/terrence-keaney-md-faad/
What are your thoughts on using IPL and pretreating patients?
IPL isn’t truly as laser and doesn’t work as well as lasers in my opinion. Pretreating and post treating skin is a good way to manage and prevent hyperpigmentation in all skin types.
💖 P R O M O S M!