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Melasma is a common and persistent disorder of hyperpigmentation that affects a significant portion of the population, affecting mainly women. It is often a therapeutically challenging disorder. Physical therapies such as chemical peels, dermabrasion, lasers, and intense pulsed light have also been used with varying degrees of success and side effects. Dark circles eyes, also known as periorbital hyperpigmentation, are a common condition that occurs in both sexes with an increasing frequency in females. Aesthetic treatments include microdermabrasion, chemical peels, lasers, radiofrequency, injectable fillers, surgery, fat transfer, and lightening topical products. Clinical signs of photoaging include coarse skin texture, irregular pigmentation, and laxity of skin tone, as well as the appearance of fine lines and wrinkles. Diverse treatment modalities have been used to improve skin wrinkling and laxity, including chemical peeling, soft tissue filler, laser ablation, and facelift surgery. Lasers have revolutionized the treatment of many dermatological conditions. Different types of lasers can be indicated for pigmentary disorders. Recently, Q-switched lasers arose as a successful application in melasma, dark circles eyes, and photorejuvenation due to its low fluence, short pulse, and specific wavelength.
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