I had 3 fraxel treatments a year ago to treat moderate/severe melasma. The inital results were very good and I was very happy, almost all of the melasma was gone. But here it is a year later and the melasma is back and actually looks worse. I use sunscreen and stay out of the sun as directed.
I feel like I flushed $3600 down the toilet. I was promised the results would be great and I would only have to go for a once a year "touch-up". No way dont believe it. I have full blown melasma again. Treatments are also pretty painful, although I tolerated it at the time.
Think about it, if fraxel is such a miracle treatment for melasma (which is such a difficult condition to treat) why aren't more derms endorsing it? Many who suffer from this condition are desperate and are willing to try anything. Unfortunately I was one of these people and now I feel like the derm that treated me was only in to make money.
I am now experimenting with chemical peels (Vitalize peel). Its too soon to tell if it will be beneficial but after one peel it has seemed to even out my complextion a bit, lets hope it will help with the melasma.
So my advice for anyone with melasma looking to try fraxel, dont waste your money.