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2020 Vol.6 No.3:10 In Figure 2 the melasma diagnosis is performed using equipment called Evince. The evince equipment has violet visible light on 405 nm (visible light wavelength) differently from wood lamp, which presents black light (ultraviolet light wavelength) which is a disadvantage; can be useful on diagnosis of epidermal and dermal melasma. The volunteer in Figure 3 was submitted to photobiomodulation professional session using only amber LED light associated to infrared laser light only in a side of face (left side). As we can see the PBM procedure decreases the pigmentation on skin (C-D). The irradiation with amber LED light decreases the pigmentation on skin since that decreases the inflammation and vascularization of skin as well as increases the degradation of melanin at skin [27,35-38]. However is important to mention that many authors mention about the photooxidation effects of melanin on skin by visible light increasing either oxygen reactive species than skin pigmentation [35-38]. In case after visible light irradiation procedure the skin pigmentation decreases by bleaching from amber LED light (visible light). But the melanin production after one week can be increased as protection mechanism [37,38]. Knowing this, the application of ideal home care after the melan reduxx program procedure is very important avoiding the melanogenese activation and as consequence increase of skin pigmentation. In this way in our studies we associate amber LED light to infrared laser light modulating the inflammatory response. The association of the infrared laser light to amber Led light on irradiation procedure; avoids the post inflammatory hyperpigmentation after procedure; since that amber led light degraded the melanin on skin and when associated with infrared light; the modulation of inflammation occurs avoiding the feedback negative In the Figure 4 both patients used only the cosmetic home care during 90 days of treatment. However the Patient on Figures 4A and 4B used topical (Melasma Kit - Priscila Menezes Company – Araras- Brazil) and oral (nutraceuticals) home care cosmetics. On Figures 4C and 4D the patients used only topical (Melasma Kit - Priscila Menezes Company – Araras- Brazil) home care cosmetics. As we can see the treatment using only home care cosmetic products show good results on skin depigmentation. But the association between oral and topical cosmetics on home care applications; improve the results on skin aging and on pigmentation control (Figures 4A and 4B). In Figure 5 the patient was submitted to one session of Melan Reduxx procedure using laser and LEDs in the presence of chemical and photoactivated peels (Priscila Menezes company – Araras- Brazil) associated with topical home care cosmetics (Melasma Kit - Priscila Menezes company – Araras- Brazil) around 90 days of treatment. This patient was diagnosticated with dermal melasma by equipment EVINCE (MMOptics-Sao Carlos- Brasil) and the hormonal dysfunctions influences was evaluated on the anamnesis form. The results shows that the pigmentation of skin decreases very slowly, but for only one treatment session, using only the topical home care cosmetics around 90 days, the results were excellent. Figure 3 Patient submitted to one Photobiomodulation professional session using only amber LED light associated to infrared laser light only in a side of face (left side). The fluency applied on skin was 30J/cm2. Before treatment (A-B) and after treatment (C-D). © Under License of Creative Commons Attribution 3.0 License 5 Figure 4 Patient submitted to topical and oral home care cosmetics. Patient on Figure 4A and 4B used topical (Melasma Kit - Priscila Menezes company – Araras- Brazil) and oral (nutraceuticals) home care cosmetics. On Figures 4C and 4D the patients used only the topical (Melasma Kit - Priscila Menezes company – Araras - Brazil) home care cosmetics. Before treatment (A-C) and after treatment (B-D). Already on Figures 6, 7 and 8 the Patient was submitted to four session of melan reduxx procedure using laser and LEDs in the presence of chemical and photoactivated peels (Priscila Menezes company – Araras- Brazil), associated with topical (Melasma Kit - Priscila Menezes company – Araras- Brazil) and oral (nutraceuticals) home care cosmetics treatment. The treatment was done on four sessions with an interval from 15 to 30 days between the sessions (from 3 to 5 months of complete treatment). Journal of Aesthetic & Reconstructive Surgery ISSN 2472-1905PDF Image | Photodynamic Cosmetic Therapy on Melasma Management
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