Pearl Laser for Melasma?

Ablative lasers are rarely the smart choice for melasma. I prefer Fraxel Restore, a fractional non-ablative laser using low energy, high density settings. This is pretty well known. Are you seeing a board certified dermatologist for the melasma? The pre- and post-treament protocol is also critical to the success and long-term benefits of any procedure for melasma, including SilkPeel and lunchtime peels. Good Luck and don't do this a second time. It would worsen even more.

I have had some success with the Pearl laser for melasma and some failures. So far I haven't seen any made worse but I have no doubt that it is possible. In any event, the Pearl laser is an adjunct to other therapy (bleaching agents, etc.) and not a definitive cure.