- At the dermatologist
In order for the skin to adapt to the treatment, the program takes place from day to day and crescendo. The reference is the Kligman Trio , a prescription drug cream based on depigmenting hydroquinone that inhibits the enzyme involved in the synthesis of melanin.
Combined with anti-inflammatory hydrocortisone and retinoic acid, which stimulates cell renewal, the skin clears with one application every night for three months (from € 40 to € 80, not reimbursed).
If needed, a superficial peel can also be done with 10% concentrated glycolic acid and / or kojic acid. To limit recurrences, one integrates in his daily care routine a photoprotection via a mineral sunscreen .
> Pr Jean-Luc Schmutz, head of the dermatology department at the University Hospital of Nancy
- At a laserist
The laser treatment is shorter but more powerful, so possibly more aggressive.
The hyperpigmentation of melasma is often accentuated by dilated micro-vessels. By destroying these vessels, the pulsed dye laser regulates the functioning of the pygmentation and unifies the complexion.
As for the Q-Switched laser, it breaks down into microparticles the melanin that forms the spots but does not correct the cause of this mask.
Finally, fractional lasers with soft parameters extract the pigments and at the same time firm the skin. These complementary techniques can be variegated at one month intervals.
Allow three to five sessions, from 180 to 350 € one.
> Dr. Anne Le Pillouer-Prost
- In the dermo-cosmetologist
In attack care, when melasma is not yet embedded in the skin, azelaic acid antioxidant, combined with glycolic acid 3% keratoreductive, is used.
The excess pigments are squeezed out and the spots fade in three to six months of treatment morning and evening.
> Valérie Mengeaud, Medical Director of Ducray Laboratories
