Freckles & Melasma

Freckles & Melasma

Case 1


History: Mr. A, a business man of 40 years old. His hobby is outdoor-motorcycling. Therefore he has got dark spots & dark hyper pigment patch on chins. 

Diagnosis: Photo damaged skin (dermal and epidermal type)

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidanc

Period: 3 months

Freckles & Melasma

Case 2


History: Mr. A, a business man of 40 years old. His hobby is outdoor-motorcycling. Therefore he has got dark spots & dark hyper pigment patch on chins. 

Diagnosis: Photo damaged skin (dermal and epidermal type)

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidanc

Period: 3 months

Freckles & Melasma

Case 3


History: Miss Mink, Flight attendant, 28 years old she has suffered from freckles on her cheek. Four months ago, she had laser treatment from a well-known hospital, since then, her have been getting worse.

Diagnosis: Post-Laser Hyperpigmentation

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 2+ months

Freckles & Melasma

Case 4


History: Miss Mink, Flight attendant, 28 years old she has suffered from freckles on her cheek. Four months ago, she had laser treatment from a well-known hospital, since then, her have been getting worse.

Diagnosis: Post-Laser Hyperpigmentation

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 2+ months

Freckles & Melasma

Case 5


History: Miss Mink, Flight attendant, 28 years old she has suffered from freckles on her cheek. Four months ago, she had laser treatment from a well-known hospital, since then, her have been getting worse.

Diagnosis: Post-Laser Hyperpigmentation

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 2+ months

Freckles & Melasma

Case 6


History: Miss Mink, Flight attendant, 28 years old she has suffered with freckles on her cheek. Four months ago, she had a laser treatment from well-known hospital, since then, her have been getting worse.

Diagnosis: Post-Laser Hyperpigmentation

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 2+ months

Freckles & Melasma

Case 7


History: Miss Ple, a women of 30 years old. She love outdoor activities. She started to have melasma on her face after her last trip. Where she was highly exposed from the sun. Tried many methods for treatment but the result was not satisfying.

Diagnosis: Photo damaged skin and melasma (epidermal and dermal)

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 4 months+

Freckles & Melasma

Case 8


History: Miss Ple, a women of 30 years old. She love outdoor activities. She started to have melasma on her face after her last trip. Where she was highly exposed from the sun. Tried many methods for treatment but the result was not satisfying.

Diagnosis: Photo damaged skin and melasma (epidermal and dermal)

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 4 months+

Freckles & Melasma

Case 9


History: Mr. Masaya sung, a 40 years old Japanese man. A friend recommended him to Nida Esth’ and does not use daily sunscreen. He noticed that his skin looked older than his actual age. He also had freckles and wrinkles.

Diagnosis: Photo damaged skin (freckle a dark spot, wrinkles, skin roughness)

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: months 2 – 3 months

Freckles & Melasma

Case 10


History: Mr. Masaya sung, a 40 years old Japanese man. A friend recommended him to Nida Esth’ and does not use daily sunscreen. He noticed that his skin looked older than his actual age. He also had freckles and wrinkles.

Diagnosis: Photo damaged skin (freckle a dark spot, wrinkles, skin roughness)

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: months 2 – 3 months

Freckles & Melasma

Case 11


History: Mrs. Tang a housewife. Her main responsibility is to drop off and pick up her child. Years and had been applying topical medications, but did not see a satisfactory result

Diagnosis: Melasma (dermal and epidermal)

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 2 - 3 months

Freckles & Melasma

Case 12


History: Mrs. Rerye, resort-owner in Phang Nga Island. Her hobby is playing golf. She has suffered from melasma for many years, due to sun exposure, and have tried several treatments from other province but did not achieve a good result.

Diagnosis: Melasma (dermal and epidermal)

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 4 months+

Freckles & Melasma

Case 13


History: Mrs.Keaw, a 40 years old business-woman and factory-owner. She always had sun exposure and has got melasma problem for 4 – 5 years. She had several laser treatments from clinic near her house, but the result was not satisfying.

Diagnosis: Photo damaged skin melasma (dermal and epidermal)

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 3 – 4 months   

Freckles & Melasma

Case 14


History: miss ying, an international finance, 50 years old. She has got a post-laser hyperpigmentation from another clinic. She experienced a lot of treatment techniques but the results were not good. Her friend then recommended her to see our dermatologist

Diagnosis: Melasma (dermal and epidermal) and (Post-Laser Hyperpigmentation)

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 3 - 4 months

Freckles & Melasma

Case 15


History: Miss Nong, a 20 years old nurse. She has freckles on both cheeks, she used some topical medications over the counter, after that, the skin got darker.

Diagnosis: Hori’s nevus and post-inflamed hyperpigmentation.

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 1 months+

Freckles & Melasma

Case 16


History: Mrs.Ya, A factory-owner. She had been exposed to a lot of UV radiance and heat She has never use sunscreen and never avoided to the sun she wants to start taking a good care of her face when her friend said she looked older than her age.

Diagnosis: Photoaging = Melasma (dermal and epidermal type) + roughness skin + wrinkles

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 3 – 4 months

Freckles & Melasma

Case 17


History: Mrs.Ya, A factory-owner. She had been exposed to a lot of UV radiance and heat She has never use sunscreen and never avoided to the sun she wants to start taking a good care of her face when her friend said she looked older than her age.

Diagnosis: Photoaging = Melasma (dermal and epidermal type) + roughness skin + wrinkles

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 3 – 4 months

Freckles & Melasma

Case 18


History:  Mrs. Ann, a 40 years old woman, she started to have melasma when she come back from aboard and face heavy sun exposure 6 months ago. Cosmeceuticals but her melasma has still not improved. She have never done other types of treatment before. 

Diagnosis: Melasma (dermal and epidermal type)

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 3 months

Freckles & Melasma

Case 19


History: Mrs. Ploy. A 28 years old woman. She has got a melasma after skiing and had fragrant heavy sun exposures when she was aboard 8 months ago. She tried expensive-cosmeceuticals and had treatment for many months, but was not satisfied with the result.

Diagnosis: Melasma (dermal and epidermal type)

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 4 months+

Freckles & Melasma

Case 20


History: Mrs. Lek, a 40 years old woman. She never had direct contact to the sun. However, she has to work with the lamp-light, very fragrantly, which because the dark patch on her cheeks to darker even more. She never received any treatment before.

Diagnosis: Melasma (dermal and epidermal)

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 3 months

Freckles & Melasma

Case 21


History: Mrs. Nong a 38 years old woman. She has got a brownish patch after laser treatments from another country’s hospital and heavy sun exposure for over a year. The result was not satisfying

Diagnosis: Post-inflammatory hyper pigmentation

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 4 months

Freckles & Melasma

Case 22


History: Mrs. Ning, a 30 years old doctor, she has got a melasma during pregnancy. It decreased a little after pregnancy. However, it has been several 1 years and melasma still exist. So she is concerned and wants a serious treatment

Diagnosis: Melasma (dermal and epidermal)

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 2 – 3 months

Freckles & Melasma

Case 23


History: Ms. NA, a 50 years old woman. She got melasma after working outdoors in other provinces during April. Never received any treatment before.

Diagnosis: Melasma (dermal and epidermal type)

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 3 months

Freckles & Melasma

Case 24


History: Mr. Puen, 40 years old engineer. His usual activity is playing golf twice a week. He has not been protected to sun radiance for 3 – 4 years, and has never received any treatment before.

Diagnosis: Melasma (dermal and epidermal type)

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 4 months +

Freckles & Melasma

Case 25


History: Miss Fai, a 30 years old woman. She goes jogging in the late mornings. She has got a melasma for many months. After applying the medications, the melasma has still not improved.

Diagnosis: Melasma (dermal and epidermal type)

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 3 months +

Freckles & Melasma

Case 26


History: Mr. Chai, a 50 years old jewelry-owner. He usually contacts with the office light. He had got melasma for over 10 years and has never received any treatment.

Diagnosis: dermal melasma

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 4 months +

Freckles & Melasma

Case 27


History: Miss Kung, a 30 years old woman. She works in United States. After she had done laser-treatment for acne scar 8 months ago and was in contact with the sunlight, her melasma appeared

Diagnosis: Melasma (dermal and epidermal type) and (Post-laser hyperpigmentation)

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 3 months+

Freckles & Melasma

Case 28


History: Miss Yok, a 40 years old business woman. She has to work in sun light often. She has never used sunscreen or avoided the sunlight before. She has got a melasma for many years, but feels that it has gotten worse lately. Her friend recommended to visit our dermatologist.

Diagnosis: Melasma (dermal and epidermal type)

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 3-4months

Freckles & Melasma

Case 29


History: Miss Winnie, a 30 years old woman. She likes to cook and swim. Although she has been trying to avoid the sun and heat, has got a melasma, She has tried on some tropical medication but the melasma is still here.

Diagnosis: Melasma (dermal and epidermal type)

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 3 months+

Freckles & Melasma

Case 30


History: Miss koi, a 40 years old woman. She has got melasma from her usual activity and heavy exposure from the sun. Experienced with many types of treatment, but the melasma has not improved.

Diagnosis: Melasma (dermal and epidermal type) and (Post-laser hyperpigmentation)

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 4 months +

Freckles & Melasma

Case 31


History: Mr. win, a 30 years old pharmacist. His hobby is mountain hiking. He noticed that his melasma has worsen. He has tried some topical medication but the result was the same.

Diagnosis: Melasma (dermal and epidermal type)  

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 4 months+

Freckles & Melasma

Case 32


History: Madame K, a 50 years old business woman. She has received a lot of UV exposure from the sun. She has got melasma for 10 years and has experienced a lot of treatment, but the result was not satisfying. A friend recommended her to come to our dermatologist.

Diagnosis: Photoaging = Melasma (dermal and epidermal type) + roughness skin + wrinkles

Treatment: Multi-Laser therapy + topical medication + sunscreen + sun/heat avoidance

Period: 4 months+

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