Will Pixel CO2 Treat Melasma?

Hello! I've been recommended the Pixel CO2 by an aesthetician in Manhattan. I've heard mixed reviews about this and am concerned I'll have adverse effects. What are your preferences with regards to Pixel vs. Fraxel Dual (which from my research seems to be one of the frontrunners). Pros and cons of each? Thank you! I'm desperate for help.

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2 Doctor Answers | Asked by chloeinthecity

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Pixel treatment and melasma

I would strongly advise against having a Pixel procedure done if you have melasma because of the risk of worsening your melasma or having persistent skin discoloration after the procedure. There are much safer treatment options for melasma with minimal risk of skin discoloration or worsening your melasma afterwards. One of those alternatives would be conservative treatments wtih the 1927nm setting with the Fraxel DUAL, which is a non-ablative laser, as well as chemical peels,... more

Pixel Laser for Melasma?

Hi Chloe. We would not recommend either of the lasers you are suggesting. As compared to a good hydroquinone program, lasers are more expensive, more time consuming, cannot "cure" the condition and have the potential to make the Melasma worse. We use many different lasers, including q-switched lasers, which are commonly used in Asia for Melasma. We have had some success with the treatments, but in about 50% of cases, the Melasma gets worse. Lasers take a... more