Melasma Treatment - should I go for BBL?

Melasma is a very common stubborn condition.  While there are no permanent solutions there are many good ways to manage this condition.
BBL is probably not the best treatment for melasma as light based therapies can make the condition worse.  
I would suggest following a good skin care regime with hydroquinone based creams along with retinols. Then using a laser like Scitons to perform a fractionated laser treatment like the Halo will help to improve the degree of pigment.
Of course continued protection of your skin from light using a good sun block is very important. And it may be helpful to look into any hormone imbalances that may be contributing to the issue. 
Bhavlene Panesar MD

Melasma or facial hyperpigmentation is a very difficult
condition to treat. In our office, we use a variety of treatments including
skin care products (containing retinoic acid, hydroquinone, glycolic acids),
sunscreens, chemical peels (light, medium, deep including the blue peel), and
lasers (IPL/BBL, Q-switch, PICO, Fraxel). Unfortunately BBL alone will not be enough to get rid of your melasma.

Over the last few years, we have had good success with the
ZO® Blue Peel in treating hyperpigmentation. This is a robust in-office
procedure that provides dermal and epidermal stimulation allowing for maximal
tightening, restoration and rejuvenation of the skin. It also minimizes or
eliminates the appearance of melasma [both epidermal and dermal melasma] and
facial pigmentation. All patients require 6 weeks of skin
conditioning prior to the procedure with the ZO Hydroquinone or
Non-Hydroquinone kit. 

These are advanced techniques so be sure to get an
experienced dermatologist or plastic surgeon consultation for recommendations
and treatment options. Since you are in Calgary, if you haven't see us yet, get a free cosmetic consult by calling us at 403-271-3627 to assess you.