Is I2PL a Good Melasma Treatment?

Hello,Melasma is a condition which requires multiple steps and treatments to effectively improve the condition consistently over time.  In our office, here are steps which are effective:
-Pico lasers- The best type of laser for improving the condition.  Please not it takes multiple steps to improve melasma safely
-Nd:YAG Nano lasers with toning- Here a laser is used for deeply resistant melasma to break up particles without generating excessive heat
-Melanage peels- A variety of peels can work and melanage is one of the best for melasma
-Skin topicals- A variety of products including use of lighteners (we prefer natural lighteners such as arubtase found in our product Luminoso) as well as sunscreens can help improve the condition
-Lifestyle choices-Avoiding the sun, hormonal changes (we have a hormone expert in Dr. Chughtai in our office) can all impact melasma.
While melasma is common, patients must understand a multi pronged approach is often the best strategy and controlling this condition.
Best, 
Anil Shah MD

Our protocol for melasma treatment is multi-pronged and includes laser therapy, fractional ablation, Covalent peels, and topical creams. I would begin the melarase creams for at least 4 to 6 weeks before initiating any aggressive laser therapy. 
AM: Melaclenz, Melapads, Melarase AMPM; Melaclenz, Melapads, Melarase PMBest, 
Dr. Karamanoukian
Realself100 Surgeon

Have you tried bleaching formaulations as well as instituted a good sunblock.
These are generally preferred as initial treatments prior to use of a laser or IPL?
In any case you would likely utlilize these agents, the most popular of which is Triluma, as a maintenance therapy.