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Chemical Peels & Lasers for Melasma: Balancing Efficacy & Safety

Dr. Vinayak Venkatesh

Dr. Vinayak, a dermatologist from Bangalore, describes melasma as a common, multifactorial pigmentary disorder, often affecting females, especially during pregnancy or with combined pill use. He discusses treatment approaches including topical therapy, chemical peels (superficial to deep), and lasers. While lasers precisely target pigment, he cautions about recurrence and post-inflammatory hyperpigmentation. Emphasizing combination therapy and sun protection, he highlights azelaic acid 20% as his preferred topical agent. Dr. Vinayak underlines the importance of patient counselling, realistic expectations, and notes that while 100% resolution isn’t possible, 70–80% improvement can be achieved over time

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