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Mastering the Treatment of Melasma
By: Raffy Karamanoukian, MD, and Hratch Karamanoukian, MD
Posted: February 28, 2012, from the March 2012 issue of Skin Inc. magazine.
Because melasma is a chronic condition with high rates of recurrence, clients who are predisposed to developing melasma may find current treatment modalities needlessly frustrating and difficult.
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It is not uncommon for clients to forget what they initially looked like on an interval examination. Photographs allow clients to see their initial presentation and appreciate the interval improvements in melasma severity. This is particularly important among noncompliant clients who are exposed to intermittent periods of UV, despite the skin care professional’s advice against doing so.
Uncompromising quality of care
Melasma treatment can be extremely gratifying for clients and skin care professionals. The goal is to provide uncompromising quality of care, and this can only be achieved by facilitating a client’s ability to treat their condition. Melasma can be improved, but this requires a concerted effort by skin care professionals to educate, teach and support their clients during the entire course of treatment.
1. VM Sheth and AG Pandya, Melasma, a comprehensive update, J Am Acad Dermatol 65 4 699–714 (Oct 2011)
2. R Hernandez-Barrera, et al, Solar elastosis and presence of mast cells as key features in the pathogenesis of melasma, Clinical and Experimental Dermatology, 33 3 305–308 (May 2008)
3. J Navarrete-Solis, et al, A double-blind, randomized trial of niacinamide 4% versus hydroquinone 4% in the treatment of melasma, Dermatol Res Pract, Epub (2011)