Is there any instructions regarding use of cold or warm water after erbium glass laser treatment? Can I bath next day post op?

This all depends on how large and area you are using the creams. For example, Melarase cream has 60 gm and you are supposed to apply 1 gm per day, for 60 days. Best, Dr. KaramanoukianLos Angeles

Melasma is permanent and you will need long term treatment such as skin care, lasers, microneedling/PRP and peels to get improvement and then be put on a maintenance plan.  Please see an expert for evaluation.  Best, Dr. Emer.

Collagen remodeling after any laser treatment is a process expected to take several months.  At only two weeks after your treatment I am not surprised that the results are not yet apparent.  Be patient and expect to see steady improvement over the next 2 - 3 months.

Some melasma has a hormonal basis so until you correct that problem, there is no longterm solution for melasma. Best, Dr. KaramanoukianLos Angeles

The treatment of age spots begins with rapid exfoliation and correction of pigmentation. Benign sun damage responds well to Melarase AM and Melarase PM creams + Melapads Daily Exfoliating Pads. Melapads can gently replace chemical peels without the requisite peeling. I would begin with ...