本来打算皮秒，在纽约咨询后，发现咨询的人除了手艺，啥都不知道，感觉都没怎么念过书。。。后来自己做些research，发现下面这篇论文非常严谨科学的从100多篇论文中总结了melasma的治疗效果和副作用， 特分享给大家，我自己也打算找皮肤科医生开cream涂了。

Melasma Treatment: An Evidence-Based Review

https://pubmed.ncbi.nlm.nih.gov/31802394/

结论如下:

1. 1. Hydroquinone monotherapy 氢醌 and triple combination cream (hydroquinone , tretinoin, and corticosteroid) are the most effective and well-studied treatments for melasma,
2. 2. chemical peels and laser- and light-based therapies are equal or inferior to topicals, but offer a higher risk of adverse effects.
3. 3. Oral tranexamic acid 氨甲环酸 may be a safe, systemic adjunctive treatment for melasma, but more studies are needed to determine its long-term safety and efficacy.

多谢总结，正需要

谢谢科普 马克

谢科普，有更具体的action plan么？

黄褐斑和晒斑怎么区别的啊

基本都在颧骨附近吧

医美那些人确实不会太专业和学术

感觉这个话题真正应该找皮肤科md来咨询

hydroquinone对我没有什么用。 或者用的时候感觉淡一点， 停了就反弹。

本来打算皮秒，在纽约咨询后，发现咨询的人除了手艺，啥都不知道，感觉都没怎么念过书。。。后来自己做些research，发现下面这篇论文非常严谨科学的从100多篇论文中总结了melasma的治疗效果和副作用， 特分享给大家，我自己也打算找皮肤科医生开cream涂了。

Melasma Treatment: An Evidence-Based Review

https://pubmed.ncbi.nlm.nih.gov/31802394/

结论如下:

1. 1. Hydroquinone monotherapy 氢醌 and triple combination cream (hydroquinone , tretinoin, and corticosteroid) are the most effective and well-studied treatments for melasma,
2. 2. chemical peels and laser- and light-based therapies are equal or inferior to topicals, but offer a higher risk of adverse effects.
3. 3. Oral tranexamic acid 氨甲环酸 may be a safe, systemic adjunctive treatment for melasma, but more studies are needed to determine its long-term safety and efficacy.

hongtangshui 发表于 2023-01-27 12:35

谢谢分享！

chemical peels不管用是吗？

你要找皮肤科md。我的md给我做过皮秒，效果很好，然后开了Hydroquinone作为皮秒后的巩固手段。