I had melasma on my upper cheeks and nose, & the patches were starting to crawl down my cheeks. After trying numerous treatments and products I finally took my doctor's advice & paid for the melanage peel. I am SO GLAD I did it! All the melasma on my nose went away, as did the melasma on the lower parts of my cheeks. I still have melasma on the upper parts of my cheeks, though. I would like to do the peel again!