Melasma Come Back with Sun Exposure?

In my hands, the best treatment for melasma involves an aggressive short term treatment to get rid of the pigment and then a long-term skin maintenance program to keep the pigment away. Short I recommend two or more treatments with the Fraxel Restore 1550nm laser spaced about two weeks apart. In between Fraxel Restore Laser treatments, I recommend using the Cosmion Iontophoretic Rejuvenating Mask three times a week for one hour each treatment. This mask infuses 20% ascorbyl... more

Melasma is often an inherited condition and few people ever get permanent resolution. Treaments give benefit, but estrogen and sun exposure will quickly cause a relapse. No sun, retinoids and antioxidants are the best prevention and Triluma with Jessner peels or Fraxel 1927nm best treatments, in my opinion.