Treatment for melasma includes bleaching agents, sun protection and low energy fractional laser. Dr DeJuliis uses fractional laser on melasma patients with very good results. Fractional laser using very low laser energy delivers pinpoint beams of light into the dermis. This technique destroys melanocytes without damaging the surrounding healthy tissue.
When considering laser, it is very important to consult with a physician who has special expertise in delivering the right energy level to the skin since a strong laser can often overstimulate the skin and make the melasma worse.