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Tuesday, 20/1/2026 | 13:40 GMT+7

Should hyperpigmentation and skin rejuvenation treatments be combined?

I have postpartum melasma and my skin shows slight sagging, especially around my eyes. Can melasma treatment be combined with skin rejuvenation, or should they be treated in separate stages? (Thu Huong, Vinh Phuc)

Melasma is a condition characterized by increased melanin cell activity, leading to darkened areas on the skin, primarily on the cheeks, nose, and chin. Key causes often include excessive sun exposure, hormonal changes in pregnant or menopausal women, genetics, and environmental factors such as pollution, stress, or the use of low-quality cosmetics.

Melasma treatment primarily focuses on regulating melanin, which helps to brighten and even out skin tone but does not improve elasticity, firmness, or wrinkles. When combining rejuvenation methods, the benefits extend to both skin tone and texture: skin becomes brighter and more even, and collagen regeneration is stimulated, resulting in smooth, firm skin and faded fine lines. This comprehensive approach yields more harmonious, natural, and lasting results compared to single treatments.

Doctor Thuy advises a woman on postpartum melasma treatment. Illustration: Tam Anh General Hospital

As someone with postpartum melasma, you can combine it with skin rejuvenation methods if your skin is assessed as stable and shows no signs of inflammation. Melasma often responds well to pigment lasers and topical medications that inhibit melanin activity. Meanwhile, aging, especially around the eyes, can be improved with rejuvenation technologies like fotona sp dynamis laser and hifu. However, you need a doctor's examination to determine the extent of melasma and your skin's sensitivity, which will help decide whether to treat simultaneously or prioritize pigment control first. This approach helps avoid irritation or post-inflammatory hyperpigmentation, ensuring safety and effectiveness.

The Aesthetics Department, Tam Anh General Hospital, utilizes advanced technologies such as fotona star walker laser, ipl, and mesotherapy in its treatment protocols for melasma, freckles, and brown spots. These methods simultaneously stimulate collagen production, resulting in firm, smooth skin, with long-lasting, safe results and minimal downtime.

When undergoing combined melasma and skin rejuvenation treatments, you must strictly adhere to the personalized treatment plan based on your skin condition. It is important to use adequate sun protection, moisturize thoroughly, and avoid using highly active products outside of your doctor's instructions. Attending follow-up appointments ensures proper skin recovery, minimizes irritation, and prevents post-inflammatory hyperpigmentation. Furthermore, maintaining a healthy lifestyle, getting enough sleep, reducing stress, and avoiding prolonged sun exposure help maintain treatment results long-term.

Doctor Be Thu Thuy

Aesthetics Department, Tam Anh General Hospital, Hanoi

Readers can submit questions about dermatology and aesthetic skin conditions here for a doctor's response.
By VnExpress: https://vnexpress.net/co-nen-ket-hop-dieu-tri-tang-sac-to-va-tre-hoa-da-khong-5007627.html
Tags: hyperpigmentation treatment melasma skin rejuvenation

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