Evaluation Safty And Efficacy Of Fractional Ablative Erbium: Yag Laser Andglycolic Acid 70% In Treatment Of Melasma

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Hesham A. Shokeir , Wafaa M. Ramadan , Maha R. Abo Eittah , Noura A. El Seessy

Abstract

Introduction: Melasma is a common dyschromia that often motivates the search for dermatological care. The treatment options of melasma, including topically applied agents as chemical peelings and the use of various laser systems.
The aim: This study aims to compare the clinical efficacy and safety offractional ablative erbium:YAG Laser versus giycolic acid 70% in the treatment of melasma.
Patients, materials and methods: The present study included 30 patients with melasma on their face aged 21-51 years. The patients were divided into two groups. Group I, 15 patients were treated by fractional erbium YAG laser at 4 weeks interval. Group II, 15 patients were treated by glycolic acid 70%.
Results: The percentage of improvement in patients treated by fractional erbium YAG laser was 25 – 80% and the percentage of improvement in patients treated by chemical peeling was 30 – 85 %. So, the percentage of improvement in both groupswas not significant (P- value = 0.811).
Conclusion: It was observed that both fractional erbium YAG and 70% glycolic acid peel are effective in treatment of melasma.

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