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Case-Study 2

Cathy attended City Laser Clinic for an initial pigmentation removal consultation. Cathy had very noticeable Melasma (hormonal pigmentation) on her face having had the lesions on her upper cheeks and forehead for many years, Cathy advised me that they had become darker during her recent pregnancy and had not faded.

We had discussed her situation during the phone call when she made the pigmentation appointment, and since we always seek a medical clearance before treating skin lesions of this nature I had asked Cathy to consult her General Medical Practitioner and obtain a referral to a Specialist Dermatologist for a Medical Clearance.

Speaking to Cathy, we certainly appreciated the distress and embarrassment that her Melasma was causing her, and having reviewed Cathy’s skin type and the medical report we were able to develop a Melasma removal treatment program with her. We were cautious to ensure that Cathy understood that results are individual and that she accepted and truly understood that because of the nature of melasma the result cannot be guaranteed.

At City Laser Clinic, we are also careful to discuss other methods of treating skin pigmentations such as MELASMA so that our clients can assess the risks and benefits of Laser treatment and alternate methods of treatment.

Cathy understood the potential benefits and limitations of the Laser therapy and we were assured that she understood the situation, and we commenced a laser treatment program of 10 weekly treatments with MedLite Q-switched 1064nm Nd:Yag.

Cathy was initially disappointed by the laser treatments, but persevered and after four laser treatments started to notice significant reduction in the Melasma pigmentation, and at the conclusion of the ten weeks of weekly treatment Cathy was confident to continue with maintenance laser treatments every 8 weeks.

Cathy has achieved an overall reduction of about 70% in the density of the Melasma pigmentation a level that is easier to cover with makeup than the darker Melasma pigmentation that Cathy had prior to laser therapy at City Laser Clinic.  We recognise that Cathy may have hoped for more reduction, but we do see the benefit and appreciate that Cathy returns for her maintenance visits and that she does recognise that it is the best result that she could hope for, though naturally we all hope that in time something better can be done.

We do remind our clients, and especially those receiving treatment for Melasma pigmentation, to avoid exposing treated areas to the sun, fake tan, or solarium for at least four weeks before and 6 (SIX) WEEKS AFTER any treatment and to always where a SPF 30+ (or higher) sun block when spending time outside, even walking outside or working in the garden.  Sun exposure can really be a problem for maintaining Melasma pigmentation reductions.

City Laser Clinic  therapists have the experience, training and qualifications to provide safe and effective laser treatments of all types of skin pigmentation.  The City Laser Clinic therapists do sometimes need to refer clients to their General Medical Practitioner for assessment and when in doubt will not treat until a Medical Clearance is provided.

While there are several other treatments available for reducing the discolouration of Melasma, Therapeutic Laser treatment is increasingly being recommended as a safe and effective therapy for Melasma.

The inherent nature of Melasma does make treatment a challenge since Melasma is a mixed dermal (deep) and epidermal (superficial) form of skin pigmentation.  Because the pigmentation develops through these layers of the skin, effective treatment of Melasma has previously been difficult to achieve.

A substantial body of opinion has developed revealing that Q-switched lasers such as the MedLite laser as used by City Laser Clinic are especially effective because the machine can deliver different laser forms, appropriate for the various types of lesion is especially necessary for treating Melasma because it presents as dermal (deep) and epidermal (superficial) pigmentation.  The MedLite Q-switched laser allows the operator to select:

  • A wavelength of 532nm suitable for treatment of near surface (epidermal) skin pigmentations, as well as;
  • A wavelength of 1064nm that is more suitable for treatment of pigmentations in the dermal (deep) layer of the skin.

As with all Laser therapy treatments, the frequency and number of treatments will depend on your skin type, the area affected and the size of that area.  Contact us to arrange a consultation to discuss a treatment plan that suits your needs.

Contact City Laser Clinic on 02 9232 80 90 to arrange a consultation to discuss a treatment plan that suits your needs with one of our trained, qualified and experienced Laser therapists.

Mandy R.
Senior Therapist / Nurse

(02) 9232 8090