Is the ZO Medical Obagi Blue Peel (ZO Controlled Depth Peel, Maximal Strength) worth the cost to treat melasma?

I would definitely start Melarase creams (AM and PM) followed by three consecutive Melapeels spaced one month apart to address your pigmentation. Best, Dr. KaramanoukianLos Angeles

I recommend another doctor formulated system for maintenance which is all inclusive for your needs and I use it extensively in our practice (see link).H Karamanoukian MD FACS

Melasma can not be completely cured, however effective treatment are possible. This is because your skin is extremely sensitive to UV and even the smallest amount can stimulate your pigment cells to produce colour. The mainstay of treatment is strict UV protection- hats, sunglasses and SPF every 4 hours.
I prefer to use a combination of creams and laser for melasma. Hydroquinone can be used (5-8%), along with vitamin A creams. I usually start my patients on laser (low dose Q switch or Picosure) a few weeks after they commence on creams. Another laser I use is the Clear and Brilliant in the Permea setting combined with creams.

In some cases I combine glycolic AHA peels, and in other cases I use a tablet called Tranexamic acid to help. Melasma treatments should be tailored to each patient.

All the best, Dr Davin Lim. Laser, surgical and aesthetic dermatologist. Brisbane, Australia