Treatment Of Melasma and Hyperpigmentation with PRP Dermal Injections And Microneedling:
Melasma and hyper-pigmentation are common skin conditions in all skin types. The incidence and severity of melasma and deep skin pigmentation is higher in people with darker skin. Mild hyper-pigmentation and melasma can frequently be successfully treated with prescription skin lightening agents alone or in combination with medical microdermabrasion and or chemical peels. Care needs to be exercised with microdermabrasion and chemical peels because darker skin can respond to aggressive skin abrasion and chemical peeling with “post-inflammatory pigmentation” or PIP; which is what makes treating hyper-pigmentation and melasma a challenge and I do like a challenge once in a while!.
The unfortunate reality is that melasma and hyper-pigmentation tends to recur upon sun exposure and repeated application of skin lightening agents with very diligent sun protection is needed for effective reversal of pigmentation with any method. In the years of my practice I have come across quite a few patients who respond minimally to traditional prescription skin lightening cremes with or without in office microdermabrion and chemical peels. Until recently, there was no option for these individuals.
In January 2015, I introduced cosmetic PRP to my Dallas and Southlake skincare patients and since then I have had the pleasure of treating countless individuals, men and women of all skin types and colors for various skin needs, sun damage, thinning skin, loss of elasticity, deep wrinkles, scars, stretch marks with excellent results. A few months ago, a very nice young woman sent me an email inquiry, asking about treatment of melasma with PRP. I had not done so at this time, but I did a fair bit of research and found many articles on the subject. I discussed the reality with the patient that she was going to be my first patient undergoing PRP for melasma and that I was not sure how the results were going to be, but there is plenty of medical evidence in support of good results from this treatment. Click below to review some of the articles on effectiveness of PRP for treatment of melasma and hyper-pigmentation
The young lady wanted to try the treatment. We did three treatments on full face, 6 weeks apart which involved PRP injections into the dermis wherever she had deep pigmentation followed by microneedling with the Micropen all over her face. I prescribed a compounded skin lightening agent for her, that a local pharmacy compounds specifically for my patients for hyperpigmentation and melasma treatments. I wanted to get the most optimum results with the least number of treatments. I am glad to say that she had excellent results, her pigmentation was markedly reduced, her skin texture, fine lines and a few acne scars were improved, she also had some improvement in her under eye circles which I injected at the time of her treatments (why not?) I will post her photos with her permission another time.
In the meantime, since this initial patient we have had quite a few patients with melasma, deep pigmentation, under eye pigmentation and we have been able to improve the pigmentation significantly with the PRP dermal injections and microneedling. We have found that everyone needs more than one treatment for results. We start with three treatments and we like our patients to use the compounded skin lightening agent in between if they do not have any allergy to the medications. We have a few patients who have history of allergy to hydroquinone and they have done very well with the PRP dermal injection/micropen for pigmentation/melasma without the use of hydroquinone. Most of our patients who request the PRP treatments for deep hyper-pigmentation and melasma have tried the traditional treatments for hyper-pigmentation and melasma with minimal improvement.
To request a consultation for treatment of melasma and hyper-pigmentation with PRP, please call 888-210-9693 to see if this is the right treatment for you.
There is a $100 consultation fee which is applied entirely to your treatment.