The ablative erbium component can temporarily IMPROVE melasma, however rebound is often seen. It does not cause melasma but the heat from the erbium laser (and to a limited extent the non-ablavitve component) can increase pigment production. Melasma responds better to QSL or gentle lasers that shrink down the 'arms' of the pigment producing cells. Melasma should be managed by treating all aspect of this condition- SPF and hats to reduce melanin production, tyrosinase inhibitory creams, lasers, and T.acid to modulate the VEGF or vascular component of this chronic condition. Laser is not the only answer to this complex skin condition. For more on melasma management, please go to the web reference. Dr Davin Lim. Laser dermatologist. Brisbane.