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Lasers in Melasma: A Review with Consensus Recommendations by Indian Pigmentary Expert Group
Rashmi Sarkar1, Sanjeev Aurangabadkar2, T Salim3
1Department of Dermatology, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India.
Abstract:
Lasers have come up as the newest therapeutic modality in dermatological conditions including melasma. In this article, as a group of experts from Pigmentary Disorders Society in collaboration with South Asian Pigmentary Disorders Forum (SPF), we have tried to discuss the lasers which have been used in melasma and formulate simple consensus guidelines. Following thorough literature search, we have summarised the rationale of using the lasers and the supporting evidences have also been provided. It is clear that laser cannot be the first line treatment for melasma. However, it can be used as an adjuvant therapy in resistant cases, provided the selection of patient and counselling has been done properly.
Insights
Laser therapy is not a first-line treatment for melasma but can be an effective adjuvant therapy for resistant cases when patients are carefully selected and counseled.
Area of Science:
- Dermatology
- Laser Therapy
- Pigmentary Disorders
Background:
- Melasma is a common hyperpigmentation disorder.
- Lasers are emerging as a therapeutic option for dermatological conditions.
Purpose of the Study:
- To discuss laser treatments for melasma.
- To formulate consensus guidelines for laser use in melasma.
Main Methods:
- Comprehensive literature search on laser therapies for melasma.
- Expert consensus development.
Main Results:
- Lasers are not recommended as the primary treatment for melasma.
- Laser therapy can be beneficial as an adjunctive treatment for refractory melasma.
Conclusions:
- Proper patient selection and counseling are crucial for successful laser treatment of melasma.
- Lasers offer a potential option for managing difficult melasma cases.
