
by partial reduction of epidermal melanocytes and trans epidermal elimination of dermal
melanin. Both techniques need multiple treatments until the lesions fade. Intense pulse
light (IPL) or frequency-doubled Q-switched NdYAG laser (532 nm) which was effective for
superficial hyperpigmentation often resulted in transient improvement with rapid
recurrence or worsening of lesions. In Asia, many doctors are treating melasma with oral
tranexamic acid 1-2 Gram/day. This medicine has not been approved for this condition.
The most serious complication of this medicine is thromboembolism. Prolong use of this
medicine should be discouraged. Recently intradermal injection of 4% tranexamic acid had
been reported to be effective treatment of melasma. After multiple laser treatments and
hyperpigmentation decrease to close to normal skin color, topical maintenance with
effective medication should be administered. Cure may be unlikely for melasma, lifelong
sunlight protection and topical antioxidants with safe anti melanin synthesis has to be
applied as long as possible.
Moles
....never treat moles!
Description with pictures
Evaluation
Treatments
Prognosis
Содержание Skin classic
Страница 7: ...Telangiectasia Description with Pictures Evaluation Treatments Prognosis ...
Страница 21: ...Flat Hyperpigmentation Descriptionwith pictures Evaluation TreatmentsPrognosis ...
Страница 29: ...Skin Tags Description with pictures Evaluation Treatments Prognosis Skin Tag ...
Страница 35: ...Melasma Description with pictures Evaluation Treatments Prognosis ...