enlighten peel side effects

2022.07.31
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enlighten peel side effects

( Complications of chemical peeling. ( Major electrocardiographic changes during chemical face peeling. %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ( It can persist up to 2-5 days after the peel till re-epithelialization is completed. This is also an issue if the hydroquinone is accidentally applied to normal skin next to dark patches. Full face peels should be performed over a 60-90 min period of time. It is the most common complication of TCA peeling. ( Accessibility

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( It is characterized by the skin remaining erythematous beyond what is normal for an individual peel. If the wounding agent is not capable of peeling below the defect, lacks the surfactant to provide an even depth of wounding, or has a very high surface tension, then uneven results will be produced from the selection of this inadequate wounding agent to peel below defect depth. It is the best chemical peel for skin lightening now available at CAMI.

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Deep peels are no longer popular in Indian skin. Irritant contact dermatitis can be caused by glycolic acid. ( Prevention of complications in chemical peeling.

8600 Rockville Pike <>stream Most of the time the process is self-limiting and corrects spontaneously or with conservative care. ( Anti-histamines prior to peel may prevent this. ( It is more common in younger patients with loose periorbital skin and around eyes. This is often what is prescribed to patients that need assistance managing melasma.

It is normal to be concerned if you feel irritation or tingling at the beginning of a new skincare routine, but it does not necessarily mean something is going wrong. PMC legacy view Although scientists dont know exactly why, yet, elevated levels of estrogen can cause melasma. ( Dr. Kirsch has experience with therapeutic drug development programs from pre-clinical to Phase 3 studies. ( Temporary appearance of enlarged pores post-peel can occur due to removal of stratum corneum. $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz " ?

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Chemical peels in aesthetic dermatology: An update 2009. ( ( Toxic shock syndrome after chemical face peel. ( (-#ih ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ()i)h ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( (KHR0(QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE >H(QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE #QKHR0(QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QE QUuNLb^~W^.]d\g5t:+:3Eq0x[-KfTg[O)Q@Q@Q@Q@Q@Q@Q@ 8**r :(dT}YO##@Q@Q@V'uXi\H9(+CZ2DT12OjZ}h {~J 6TuU}>QKg~`zLQE( ( ( (kn}|m-me]h5JUkQ\~3lH$n?ArjW?e:pi\a>^eg(`QE QE 2N G.

( Results and complications are generally related to the depth of wounding, with deeper peels providing more marked results and higher incidence of complications.

<> ( The main active ingredient in the Reve Enlighten peel skin lightening system is Hydroquinone which is a skin bleaching agent. You will continue using the continuous depigmentation products twice a day to complete the 28 treatment plan. ( They are classified as superficial, medium, and deep peels. (

( In very rare cases, complications can be life-threatening.

( The continuous depigmentation system is applied twice a day for 4 weeks for maximum results. ( This category only includes cookies that ensures basic functionalities and security features of the website. This occurs because the melanocytes that are responsible for pigmentation reside below the level of chemical peel [Figure 3]. ( ( A history of chemical peeling.

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Transient lighter complexion is seen due to sloughing off of the epidermis and removal of excess melanin. Early exposure to sunlight without adequate broad spectrum sunscreens, Estrogen containing medication, e.g., oral contraceptives and hormone replacement therapy, Retinoic acid, 0.05% cream in combination with 4% hydroquinone once or twice daily for 3 weeks or longer if necessary, Hydrocortisone cream can be used for several weeks as needed if erythema due to retinoic acid poses a concern. ( (

Truppman ES, Ellenby JD. ( The complications of superficial and medium deep peels are summarized below [Table 1]. ( In this article, were going to discuss some of the most common active ingredients used in melasma treatments and their associated side effects. They are seen more in medium and deep depth peels. [, Recent facial surgery that required significant undermining, Recent ablative resurfacing procedures including dermabrasion or laser within 6 months of procedure. Medium depth peels on the areas like mandible, neck, and chest because these areas are more likely to scar. ( Be cautious when using phenol in the periorbital area to avoid burning in the eye. ( ( Clinically, it is safe to perform a peel on patients after their skin begins to produce normal oil. 2 0 obj The

All peels can cause activation of herpes viral infection, whereas medium and deep peels can cause scarring. ( ( It can occur any time after a peel and can be persistent, if treated inadequately. In: Alam M, Gladstone H, editors.

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Chemical peeling involves the application of a chemical agent of a defined strength that results in exfoliation of the skin followed by regrowth of new skin leading to skin rejuvenation. It is more common after superficial and deep peels, although may occur following re-epithelialization. Dmytryshyn JR, Gribble MJ, Kassen BO. ( Here, hydroquinone blocks an enzyme called tyrosinase which carries out a crucial step in the production of melanin (pigment). [, Elicit a good history from the patient prior to peel, Beware of those who have a tendency for PIH, Chemical peel, complications, superficial and medium depth. Journal of Cutaneous and Aesthetic Surgery. Diligent sunscreen use and UV protective measures such as avoiding the sun during peak hours (10 am 2 pm) can help you see fastest results.

( However, if the degree of irritation goes beyond a small amount of tingling, and instead involves severe redness, burning, or crusting, this may be an indication that the concentration of hydroquinone is too high. ( [1], Patchy erythema which may be indurated or persistent erythema can predict early scarring. ( The earliest use of caustic preparations for peeling procedures was described in the Egyptian medicine in the Ebers papyrus as early as 1550 BC. (

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The side effects of tranexamic acid depend on the way it is administered. Intraoperative oxygen to prevent arrhythmias. ( Chemical peel is the most popular and common non-invasive cosmetic procedure done since the 18th century. ( The most common side effect to be expected with tacrolimus is skin burning or stinging, which occurs in less than 10% of patients. This means, in some ways, having a small amount of irritation is to be expected and gives us some reassurance that enough medication is being absorbed into the skin. Singh-Behl D, Tung R. Chemical peels. ( Prolonged application of biosynthetic membranes or thick occlusive ointments and poor wound care. about navigating our updated article layout. (

This process increases cell turnover which helps bring pigmentation to the surface. The site is secure. Once you have completed this 28 day depigmentation system we ask you to return to the office for your follow up visit. ( The Reve Enlighten peel is a 28 day skin lightening system that dramatically reduces the appearance of sun damage, melasma, acne, PIH (post inflammatory hyperpigmentation), pore size, dull complexion, uneven skin tone and more. Alternatively, you may be amongst a small set of patients who have an allergic reaction to hydroquinone. Is Melasma Curable And What Are Your Best Treatment Options. chandler necessary result

Complications of chemical face peeling. Although rare, complications may occur including persistent erythema, milia, scarring, etc.[3]. ( Hence, continuous application can cause myxedema. Ulceration, superficial erosions, crusting, and discharge.

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( Irritation is the next side effect to discuss with hydroquinone, with studies showing that it is the most common adverse effect when using the medication. Sometimes, extraction or gentle electrodessication is effective. Low-dose isotretinoin in the dose of 10-20 mg three times a week is found to be safe and effective during the peel period.

(@=(QE ( For the most part, studies have shown that this type of treatment doesnt come with many side effects. ( Returning to gentle epidermabrasion after re-epithelialization or the use of tretinoin both before and after peeling may retard their appearance. ( Brody HJ. They can range from minor irritations, uneven pigmentation to permanent scarring.

All things considered, this side effect is a good problem for most people who have dark patches of skin. Alpha-hydroxy acids (AHAs) became available as superficial peeling agents in late 1980s and the 1990s. If detected early and treatment is given on time, they do not scar.[11]. ( Daily dressing along with a close watch on healing skin is a must. It is due to angiogenic factors stimulating vasodilation which indicates that the phase of fibroplasia is being stimulated for a prolonged period of time. Deeper peels, especially AHAs, can cause epidermolysis, vesiculation, and blistering especially in the sensitive areas such as nasolabial fold and perioral area. (

It may be due to hypersensitivity reaction in a larynx already chronically irritated by cigarette smoke and may resolve with warm mist therapy. ( Hence, it can be accompanied by skin thickening and scarring. ( ( ( It is due to melanocytes losing their function to produce melanin. Beeson WH. 1 0 obj The careful application of hydroquinone cream to only affected areas with skin darkening can also help prevent any surrounding skin from lightening. Appropriate antibiotics: Topical and oral, Wound cleaning with potassium permanganate soaks or acetic acid soaks three to four times a day, Topical mupirocin for gram-positive infections, Recent intake of oral antibiotics is often a pre-disposing factor, Superficial pustules can occur in candidal infections. Hypopigmenting agents (hydroquinone, kojic acid, and arbutin) should be strictly enforced in the post-peel period too. He is the founder of Kirsch Dermatology in Naples, Florida and is also the Chief of Dermatology at the Naples Community Hospital. They can be prevented by feathering edges using peeling agents of lower concentrations to merge with surrounding normal skin. Thin-skinned patients are more prone for scarring because the TCA is more likely to penetrate deep into the reticular dermis. New Study Finds Combination Melasma Treatment Is Safe & Effective, https://emedicine.medscape.com/article/1068640-overview, https://www.mayoclinic.org/drugs-supplements/azelaic-acid-topical-route/side-effects/drg-20062084, https://medlineplus.gov/druginfo/meds/a602020.html, Melasma Home Remedies: The Good, The Bad, And The Natural. will also be available for a limited time. Copyright 2021 Carolina Age Management Institute (CAMI). ( ( Tacrolimus is considered a steroid-sparing agent, meaning that it replaces the steroid creams that would normally need to be used to minimize skin inflammation. <>>>/MediaBox[ 0 0 610.92 793.08]/Contents 6 0 R /Rotate 0>> ( Phenol peels can cause cardiac, renal, and pulmonary toxicities. It may be due to contact dermatitis to a topical agent (retinoid), If papules, pustules, and erythema occur along with pruritus, it is suspected to be contact dermatitis and treatment should start as early as possible to prevent PIH, Care should be taken not to start any new topical agent during maintenance period after peel.

( endobj Accidental spillage of any chemical peel agents in the eyes can cause eye injuries in the form of corneal damage. So, what are the common side effects that can be expected when you use hydroquinone? A chemical peel is an outpatient procedure that uses a combination of substances to encourage exfoliation and promote the growth of new, healthy skin. In the past, these agents were discontinued at 5 days and in these patients, clinical infection became apparent in 7-10 days. A course of Valaciclovir, 1 g twice daily for 10 days may be given. Immediate (within minutes to hours after peeling):[, Infections (bacterial, herpetic, and candidal), Scarring, delayed healing, milia, and textural changes, Hyperpigmentation, hypopigmentation, and lines of demarcation, Loss of cutaneous barrier and tissue injury, Allergic reactions, toxicity, and ectropion, Immediate ice application reduces the pain and burning sensation, Topical steroids such as hydrocortisone or fluticasone reduce the inflammation, Usage of topical tretinoin just before and after peel, Isotretinoin administration (<0.5 mg/kg body weight) prior to peel, Exacerbation of pre-existing skin disease, Topical, systemic, or intralesional steroids if thickening is occurring. History of recent intake of 0.5 mg/kg isotretinoin (during the previous 12 months). ( Tacrolimus may not be a medication you have come across before, but it makes up part of some types of combination treatments alongside other pigment-fading ingredients. ( 3 0 obj Fortunately, melasma can go away on its own if you stop taking hormonal birth control. ( As we have discussed in previous blog posts, there are multiple treatment options for melasma that have proven to be effective. They are rare in TCA and phenol peels since these peels are bactericidal. Each cosmetic unit (forehead, cheeks, nose, perioral, and periorbital areas) should be peeled in 15 min increments. Chemical peels represent a flexible and useful tool for improving skin texture and the effects of ageing. In patients deliberately face peeled with phenol in 30-min time, tachycardia was usually noted first followed by premature ventricular contractions, bigeminy, paroxysmal atrial tachycardia, and ventricular tachycardia. (

He is the founder of Kirsch Dermatology in Naples, Florida and is also the Chief of Dermatology at the Brandon Kirsch, MD, FAAD, is a board-certified dermatologist specializing in clinical drug development and medical innovation. ( official website and that any information you provide is encrypted [3,18] Resorcinol has an anti-thyroid activity. Paradoxically, in some patients, sunscreens can themselves cause contact sensitization or irritant dermatitis.[6].

( Then, you will return to the office for the retouch application and repeat the steps just like before. ( ( (

Having talked about hydroquinone, the azelaic acid section should be nice and easy. ( This is to ensure that you get the best results possible. ( On the day of your initial application you will receive home care products which include: cleanser, retinol 1%, fortified bleaching cream rx, SPF 30 and soothing balm. (

( This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. ( Peeling agents should not be passed over the eyes. Pain and burning is commonly encountered during a peel procedure in sensitive skin. A negative history of cold sores cannot predict development of post-operative herpes simplex virus infection after a procedure. Milia often resolve spontaneously with normal cleansing of the face. ( ( Stridor, hoarseness, and tachypnea have been reported developing within 24 h of phenol peeling. Before Melasma is often caused by hormones which result in dark patches on the skin typically on the face in a symmetrical pattern. Ideal candidates for the Revepeel skin lightening system are those that have melasma, sun damage, hyperpigmentation, acne, acne scarring, uneven skin tone, anti-aging concerns, large pores or dull complexion. The side effects of a superficial chemical peel are much like a sunburn with redness and minor inflammation. Frequent post-operative visits should be done so that it can be ensured that appropriate home wound care is being performed and to minimize the risk of infection. Side Effects Of Common Melasma Treatments, *Some photos are models and not actual patients. ( As we discussed, when using prescription-strength creams with active ingredients, these medications are absorbed into the pigment-producing cells of the skin and alter the way that they work. The main side effect of azelaic acid is mild irritation or drying of the skin. ( The result is those dark patches of skin on your face.

This is unsurprising due to its mechanism as an anti-tyrosinase medication and should prompt concern only if irritation becomes severe, causes peeling, or you experience persistent burning. As long as the side effects do not develop into severe, visible irritation or crusting, they should be seen as proof that you are using active ingredients that are penetrating into the skin cells rather than a sign that things are going wrong.

( ( It is a predictor of potential scarring. These symptoms typically resolve within several days of treatment. If erythema with pruritus or burning or stinging, rule out active infection or flaring of an underlying skin condition. The condition is not harmful but it can often make us feel self conscious. [8], It is more common with medium and deep peels occurring within 24-72 h of chemical peeling. (Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@h ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( fRS&}QE Careers. Chemical face peel complicated by toxic shock syndrome. Active herpetic infections can easily be treated with anti-viral agents. ( This website uses cookies to improve your experience while you navigate through the website. ( Erythema persisting beyond the above-mentioned time is abnormal and is an alarming sign.

Cessation of use of birth pills during peripeel period because it may invoke pigmentary changes. Sunlight and heat are the main triggers for this condition which can be frustrating. In case of superficial peels, care should be taken while peeling patients with thin, atrophic, dry skin and in the periocular area since edema can occur in these settings because of deeper penetration.[8]. Tacrolimus works by reducing the production of chemical messengers in the body called cytokines.

( Based on the time of onset, complications can be immediate or delayed. (

( Lasers arent right for everyone, as they can actually make pigmentation worse in some people. JFIF PFU ScanSnap Manager #iX500 C &"((&"%$*0=3*-9.$%5H59?ADED)3KPJBO=CDA CA,%,AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA ( Dermabrasion and chemical peel: A guide for facial plastic surgeons. Tranexamic acid is a relatively new type of treatment for melasma that can be administered orally in a pill, topically in a cream, or injected. (

[1,2] Dermatologists began to show interest in peeling in the 19th century. ( Beta-lactamase-resistant antibiotics with large volumes of parenteral fluid should be given to prevent vascular collapse.[19,20]. National Library of Medicine Pascher F. Systemic reactions to topically applied drugs.

Together, well discuss your concerns and goals to ensure you have the results you want. ( ( Erythema disappears normally in 3-5 days in superficial peel, 15-30 days in medium peel,[4] and 60-90 days in deep peel.

These symptoms normally resolve after a few days of use. (E QE QE dg((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((N IQ] j Just as hydroquinone acts as a tyrosinase inhibitor in the way we explained earlier, so too does azelaic acid. Contact us today at 704-997-6530 or click here! It is often noticed in the jaw neck region where untreated skin in the neck appears more obvious as it abuts the newly rejuvenated cheek or periorbital skin. An assistant should always have a clean dry cotton-tipped applicator in his hand which should be used to absorb any tears that may drip down the face or into the temporal area.[9]. (

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The nasolabial folds, inner canthus of the eye, and corners of the mouth should be protected with petroleum jelly. But opting out of some of these cookies may have an effect on your browsing experience. ( (

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Avoid accidental spillage of the solution, Never move the cotton-tipped applicators directly over the eye area, Impetigo and folliculitis (streptococcal and staphylococcal). ( This most commonly causes a few days of irritation or tingling as the skin gets used to these new treatments. (

The risk of hypertrophic scarring from medium depth peels is rare. ( %PDF-1.3 ( ( TCA 50% and glycolic acid 70% can cause blistering [Figure 1]. The level of expertise of a dermatologist is crucial for the rate of side-effects and for the final peel results. We also use third-party cookies that help us analyze and understand how you use this website. ( Complications from superficial peels are limited to transient hyperpigmentation or dyschromia especially in dark-skinned patients. Rather, its important to remember that birth control is a well-known trigger of melasma.

( ( An official website of the United States government. ( When we use any type of new medication, whether it is a tablet or a cream, its important to be extra vigilant and pay attention to any symptoms you may experience.

( ( ( Patients with telangiectasias may notice a worsening after phenol peeling which can be treated with vascular lasers. Use of photosensitizing agents such as Non steroidal anti-inflammatory drugs, oral contraceptives, etc. ( In 1874 in Vienna, the dermatologist Ferdinand von Hebra used the technique to treat melasma, Addison's disease, and freckles. It is preferred to treat all patients with anti-viral agents regardless of a positive history as many patients do not remember prior herpes simplex infection that may have occurred years ago. (

Kirsch Dermatology Website ( <>

It is usually seen after a Baker Gordon phenol peel.[8]. (

This type of treatment is typically used for stubborn melasma that resists standard first-line treatments, such as topical creams.

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( sharing sensitive information, make sure youre on a federal Dr. D. Y. Patil Medical College, Navi Mumbai, Maharashtra, India, 1Sakhiya Skin Clinic, Surat, Gujarat, India. More prolonged hypopigmentation because of removal of basal layer. The Revepeel is safe and effective for every skin type and tone it is the best chemical peel for skin lightening on the market today. Extreme care should be taken while peeling the periorbital area, Dry swab stick should be kept ready to absorb any tears.

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Like all types of medical treatments, minor side effects are possible. Hydroquinone is the most common pigment-fading ingredient utilized for melasma with various combinations and concentrations available as both prescription and over-the-counter treatments. Systemic anti-fungals (fluconozole, 50 mg/day). Repeated applications should be applied with caution in low body weight patients. ( ( Rapaport MJ, Kamer F. Exacerbation of facial herpes simplex after phenolic face peels. These cookies will be stored in your browser only with your consent. ( (

TCA is more caustic than phenol and may be more likely to produce scarring [Figure 4].[13]. With resorcinol combinations, TCA, or phenol formulas, evaporation of the alcohol or water vehicle base can occur, inadvertently producing a stronger solution.

( [10,11] Since all anti-viral agents inhibit viral replication in the intact epidermal cell, the drug would not have an inhibitory effect until the skin is re-epithelialized, which is 7-10 days in medium and deep peels. It is characterized by the loss of normal skin markings in the absence of scarring. ( The post-peel care of deeper peeling may cause milia by occluding the upper pilosebaceous units with ointments. The mild irritation that is experienced early on with medications such as azelaic acid or hydroquinone often fades away as your skin becomes used to the ingredients.

w !1AQaq"2B #3Rbr A case report. endobj ( Although this condition wont ever just go away, it can be managed by suppressing melanin production in the skin with the Reve Enlighten peel and a medical grade home care regimen. ( chandler necessary result Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. ( Few recommend acyclovir 200 mg five times a day or valaciclovir, 1 g times a day starting 2 days before a peel and continued for 14 days. (

Example: Yes, I would like to receive emails from CAMI. Bleaching effect can be seen after phenol peels. Thats why its important to talk to your dermatologist about your treatment options for melasma and the potential associated risks and side effects.