Is it safe to have Picosure laser treatment for melasma if prone to keloids?

Thank you for your question! PicoSure treatments for melasma are completely safe for someone prone to keloids.  The laser in non-ablative (does not open the skin barrier).  Let your treating physician know that you have a history of keloids.  Best of luck! 

Hi!  PicoSure is an amazing laser delivering results with minimal downtime. It is a non-ablative laser which means it does not actually puncture or break the skin surface.  So yes you can have PicoSure laser treatment for melasma.  It should not cause scarring or keloids.Best,Dr. Huo

Thanks for your question.  PicoSure treatments for melasma are completely safe for someone prone to keloids.  The laser in non-ablative (does not open the skin barrier).  Let your treating physician know that you have a history of keloids.  Best of luck.

As Dr Huo stated below, since the laser does not break through the skin, it is super unlikely to give you any risk of keloids. it is a great laser for melasma and sun damage. you should plan 3 treatments, each spaced one month apart. use a good sunblock. If you have any ethnicity to your skin, then you should pre treat for 2-3 weeks with HQ. The Picosure laser is great because there is little to no downtime.david berman md