Dr. Vesna Pljakoska-Melasma and hyperpigmentation

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Melasma, a commonly acquired hypermelanosis, presents as symmetrical irregular to dark-brown macules on sun-exposed areas is undoubtedly one of the top five dermatological referrals we see in everyday practice.
Moving on form the medical management, there are various treatment modalities for melasma providing a different success rate. This list is large and it’s constantly growing. This confirms the fact that there is not only one universal metod of treating melasma.
My clinical experience in treating melasma is combined treatment with eCO2 Fractional Laser and PRP mesotherapy . This method show great results followed by maintenance therapy.