Microneedling and Melasm

Microneedling with topical therapies for melasma

In a study published in JAAD, researchers found that treating melasma patients with topical therapy and adjuvant microneedling resulted in substantially greater improvement in the Melasma Severity Index compared with topical therapy alone. There was a moderate effect at week eight and a large effect at 12 to 16 weeks. 

The meta-analysis included 12 studies with 459 melasma patients from seven different countries. Topical therapies used included topical tranexamic acid, vitamin C, platelet-rich plasma, non-hydroquinone-based depigmentation serums, and hydroquinone-based depigmenting agents. 

Dermatologists discuss new understandings of the pathogenesis of melasma and emerging treatments inDermWorld.

Related content:

• The many uses of microneedling – DermWorld(September 2018)

• Oral tranexamic acid to treat melasma: Are you bloody kidding me? – DermWorld Insights and Inquiries (August 2016)

• Melasma Patient Pamphlet

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Benjamin Hidalgo-Matlock
Skin Care Physicians of Costa Rica

Clinica Victoria en San Pedro: 4000-1054
Momentum Escazu: 2101-9574

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