Is There a Permanent Cure for Melasma?

Doctor Answers 5

Fraxel laser will help

Fraxel re:store and/or Fraxel re:pair laser can help really help correct melasma.  We have had great sucess in our office using these techniques and patients have been very happy. 

Hope this helps.


New York Plastic Surgeon
4.5 out of 5 stars 8 reviews

Unfortunately, there is no permanent cure for melasma

Melasma is a common disorder where there is increased pigmentation of the skin, usually of the sun exposed areas of the face. It is more common in women with darker skin tones, and women who are on birth control pills, taking hormone replacement, or pregnant. It is also seen in certain diseases involving the hormones.

The exact causes are unknown, but there are genetic factors at work, and melasma is made worse by exposure to sunlight. It is very important for people with melasma to use sunscreen.

Creams that contain lightening agents (for example hydroquinone, kojic acid, and retinoids) may be helpful in treating melasma, as may chemical peels or laser therapy. However, melasma is very difficult to treat and returns easily, especially after exposuer to sunlight.

Jordana S. Gilman, MD
Washington Dermatologic Surgeon
5.0 out of 5 stars 2 reviews

No permanent cure for melasma

Unfortunately, there is not a permanent cure for melasma.  Melasma can be held under control by limiting exacerbating factors such as UV light exposure and hormonal changes.  

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
4.8 out of 5 stars 162 reviews

Fractional helps with Melasma

Hi There and thank you for your question

Melasma is a common condition in which there is excess pigmentation deposits on the skin.
The exact cause is unknown but it can be induced through stress such as with sun exposure, hormonal changes ( pregnancy, birth control pills,) or can be genetic
There is no permanent solution to treat melasma but fractional laser can be helpful in treating the condition
It is very important for those with melasma to wear sunscreen as sunlight can make it worse. Minimum 6 sessions of Fractional are needed, spaced about 4 weeks apart. 

Mansour Bendago, FRCSC
Toronto Plastic Surgeon
4.8 out of 5 stars 73 reviews

No permanent cure for Melasma

There is no permanent cure for melasma.  Melasma can be triggered by hormones and sun exposure makes it worse.  There are many treatments that can improve the pigment changes caused by melasma but if sun exposure persists without sun block, the pigment returns.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 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.