Q&A: Can liquid nitrogen treatment help treating my melasma?

Ask A Doctor Question: 

Can liquid nitrogen treatment help treating my melasma, please advice.

- Anna


Emilio M. Justo, M.D. - LocateADoc.com

Dear Anna................I would definitely NOT recommend liquid nitrogen to treat melasma as this approach would very likely result in possible hypo-pigmentation or white blotches on the skin. Melasma is better taken care of with either medical grade skin care or light/medium chemical peels............in certain unique cases one may consider either certain non-ablative lasers or intensed pulsed light.

--Emilio M. Justo, M.D.
Sun City West, AZ


Sharon Bent-Harley, M.D. - LocateADoc.com

In a word, no, liquid nitrogen will remove tissue and pigment as well, leaving a loss of pigment in many cases.
The best treatment by far for Melasma is a specific Medical Grade Skin Care protocol specifically for melasma which includes hydroquinone and Retin A, coupled by specific chemical peels proven most effective for Melasma. These protocols must be advanced to address the melanin in the skin quickly so that the Melasma doesn't adjust to the hydroquinone and lose it's efficacy.
Call and speak to me at your convenience and I can tell you more.

--Sharon Bent-Harley, M.D.
Atlanta, GA


Dima Ali, M.D. - LocateADoc.com

Hello Anna and thank you for your question.  Melasma is a very difficult condition to treat.  It can be even more complex the darker your skin.  Not knowing your skin type it would be difficult to determine which of the many treatment options would be best for you.  Having said that, I do not think liquid nitrogen would be a good option and would especially caution against over the counter versions of it.  You could end up causing more damage to your skin if not scarring.  I hope this helps!

--Dima Ali, M.D.
Reston, VA

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