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Dermatology/Dermal pigmentation

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Question
QUESTION: Hello Dr Fisher

What can be done to treat dermal hyperpigmentation?

ANSWER: There are topical prescription medications like Triluma which is applied twice a day that reduce hyper pigmentation. There are also laser treatments that will help reduce pigment.

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QUESTION: Dr Fisher, you did not read my question properly. I asked that apart from laser what can be done to treat DERMAL hyperpigmentation?

ANSWER: You did not read my answer correctly. I mentioned the topical prescription Triluma which can remove dermal pigmentation.

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QUESTION: Dr Fisher

1) Does chemical peel treats dermal hyperpigmentation? If yes then which peel will be suitable for treating dermal hyperpigmentation in skintype IV, V and VI?

2) Does mesotherapy  treats dermal hyperpigmentation? If yes then which mesocoktail do you suggest?

Answer
Treating Epidermal and Dermal Pigmentation. I believe you do not know the difference between the epidermis and dermis.
If you have ever treated your pigmentation with a topical lightening product, like Meladerm, you were dealing with epidermal pigmentation. This is much easier to treat than dermal pigmentation because it responds to products from the surface. Dermal conditions typically have to be treated with lasers that are able to penetrate through the epidermis and reach the roots of the problem. This is why some patients respond well to lightening creams and others do not.
Chemical peels remove cells from the epidermis not the dermis. If chemical peels removed tissue from the dermis you would have major sores on your skin since the epidermis was removed.remember chemical peels exfoliate.
1) chemical peels reduce epidermal pigmentation not dermal pigmentation.
2) Mesotherapy employs multiple injections of pharmaceutical and homeopathic medications, plant extracts, vitamins, and other ingredients into subcutaneous fat. Mesotherapy injections allegedly target adipose fat cells, apparently by inducing lipolysis, rupture and cell death among adipocytes. Thus, mesotherapy targets fat cells not pigmented cells.

It is obvious that you do not understand skin physiology.  

Dermatology

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Michael S. Fisher, <B>Ph.D., M.D.</B>

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