What is the best treatment for Melasma if I have an olive/Mediterranean complexion? I'm not dark at all however.

I have used prescription bleaching creams and in the long run it's not much of an improvement. I have used the Obaji system and it's not much better. Would Fraxil help? If so how many sessions?. And what are the costs in California?

Doctor Answers 7

Melasma treatment options

It is important to stress that it is impossible to cure Melasma but certainly your skin appearance can be improved with combination of treatments. Once you undergo chosen treatments, it does not mean that your skin will remain like that forever, you will have to repeat treatments to maintain better skin appearance. I would suggest you to try Picosure laser in combination with chemical peels or Vi peel. Vi peel yield great results for some patients. This has to be done by a provider with experience in correcting skin affected by Melasma. Good luck! 

Summit Emergency Medicine Physician
5.0 out of 5 stars 45 reviews

The best treatment for melasma

Melasma is a problem that many people suffer with. You are not alone. Ditch the over the counter products, they over promise and under deliver. At Key Laser we are using the PicoSure Focus laser for the treatment of melasma with great success. PicoSure Focus is a good choice for people who have darker skin tones. With PicoSure Focus you may also see some improvement with the texture of your skin as well as fine lines and wrinkles. Remember to always wear sunscreen.

Douglas J. Key, MD
Portland Dermatologic Surgeon
4.5 out of 5 stars 15 reviews

Best Treatment for Melasma

I would definitely avoid lasers for Melasma and seek out a physician who is an expert and uses Cosmelan.  You will have the best cosmetic results.  Best, Dr. Green

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 78 reviews

What is the best treatment for Melasma if I have an olive/Mediterranean complexion? I'm not dark at all however.

Thanks for your query. fraxel wont help that much for pigmentation but ndyag will. You can go in for revlight ot 1064 ndyag that will improve the pigmentation and you alter it with chemical peels. hope it helps.

All The Best

Ajaya Kashyap, MD
India Plastic Surgeon
4.9 out of 5 stars 166 reviews

Melasma treatment options

Melasma is a common but difficult problem to treat with no cure. It requires lifelong treatment. Once a patient understands and accepts this, then I  offer several different treatment options. I find combination treatments work best. Topicals including hydroquinone, chemical peels, and adequate sun protection (sunscreen, hats, sunglasses, etc) are important part of any melasma treatment plan. I also like low energy, low density laser treatments such as the Clear + Brilliant Permea combined with C E Ferulic from SkinCeuticals. Fraxel, in most cases, is too strong of a treatment for melasma and may make it worse in some cases. It is important that you see an expert. 

Shaun Patel, MD
Miami Physician
5.0 out of 5 stars 60 reviews

Melasma treatment is usually conservative

The first mode of therapy is alway good topicals (skincare) and chemical peels. Sun protection is key. I even advocate Heliocare, an oral supplement that is an antioxidant and reverse damage from sun exposure. You have to know there is no cure for melasma. Lasers are reserved for failures and can actually make things worse in some cases. The Spectra QS laser has an FDA approval for melasma and involves a series of 8-10 treatments. Some docs are advocating PRP but I haven't seen their before and after photos to prove this works yet.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.7 out of 5 stars 41 reviews

Try a Combination--Clear + Brilliant and microneedling/prp for melasma

We currently use clear + brilliant with bleaching and microneedling/prp and get amazing results. I suggest you see an expert. You will need lifelong treatment, sun protection, skin care. But these treatments can give you improvement and then you maintain. Costs will vary, but see an expert. Best , Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 196 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.