Rethinking Melasma: Why treatment starts before the laser

We are bring back an oldie but goodie in this REFRESH episode.

Treating melanin-rich skin safely isn’t just about choosing the right laser—it’s about understanding how energy interacts with the skin and knowing when to adjust your approach.

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In today’s discussion:

Understanding wavelengths and laser safety

Looking beyond Fitzpatrick classification

Assessing pigmentation and sun exposure

BBL and IPL limitations for darker skin

Identifying post-inflammatory hyperpigmentation risks

Choosing water-targeting lasers like Moxi and Halo

Managing fractional laser density

Prioritizing gradual results over aggressive treatments

Using Nd:YAG for hair removal and rejuvenation

Managing heat with radiofrequency treatments

Cooling techniques to reduce complications

Matching treatments to provider experience

Evaluating devices, contraindications, and patient needs

Helpful links & resources

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