Can Microdermabrasion Remove Melasma?

I would not recommend microdermabrasion as an effective treatment for melasma. Melasma is a deep, resistant form of hyperpigmentation. Microdermabrasion exfoliates exfoliates the skin at a superficial level, so it would be unable to reach the damaged skin cells. To correct melasma, it is necessary to reach the dermis of the skin, where the melasma is contained. The best approach for treating melasma is a combination of a prescription topical regimen and chemical peels. The topical... more

Melasma is a difficult skin condition to treat and often requires many treatments. Bleaching creams, good skin care, sunscreen, IPL treatments are some of the first treatments. It can be very challenging to treat but I have found very good results with most patients by starting with this regimen. Good Luck!

Microdermabrasion is a technique which involves cleaning the outer layers of skin from the epidermis. The pigmentation with melasma is much deeper. Your observations are correct: Microdermabrasion won't help much if at all. Melasma is a challenging problem to treat with any topical, IPL, or laser based therapy.

Microdermabrasion is helpful for refreshing and exfoliating your skin. We often combine this with a light glycolic peel to enhance your results. I have tried IPL PhotoFacial treatments for melasma with unsatisfying results. You should consult a board-certified dermatologist familliar with melasma treatments to discuss your options. I hope this is helpful for you.

Microdermabrasion can improve the penetration of topical lightening agents. It is not the best treatment for melasma, in my opinion. Fraxel Duel is a real breakthrough to improve melasma, but remember, sun avoidance and regular use of bleaching agents will be necessary to maintain the benefit.