Facelift and/or fillers with melasma. Will it cause the melasma to flare? (Photo)

Significant bruising of the skin can stimulate the pigments cells and cause deterioration of melasma but it will not be likely. The reality is that your melasma can be treated with laser at the same time of facelift or another time. You should consult a surgeon who specializes in both of these areas. Your laser treatment, if you decide to proceed with it, is going to require adequate experience because of the type of skin that you have.Good Luck

Every patient heals differently, but in general, neither fillers nor a facelift should cause a flaring of melasma. Melasma may require ongoing treatment to keep it under control no matter whether or not you have procedures performed.Following the advice from a surgeon on this or any other
website who proposes to tell you exactly what to do based on limited 2
dimensional photos without examining you, physically feeling the tissue,
assessing your desired outcome, taking a full medical history, and discussing
the pros and cons of the operative procedure would not be in your best
interest. I would suggest you find a plastic surgeon who is certified by the American Board of Plastic Surgery
and ideally a member of the American Society for Aesthetic Plastic Surgery
(ASAPS) a  that you trust and are comfortable
with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla,California