Picosure laser can help to melasma in olive skin color? (Photo)

I've been battle with this horrible dark spot and ice pick scars for years, I almost do everything finally my doctor told me that is melasma and picosure laser can help me, but not sure yet am afraid to getting worse because I'm Hispanic maybe I'll get more deep dark melasma or so... I would like to know if this laser can do something in my melasma?

Doctor Answers 3

Best laser for melasma?

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Your problem is an extremely common one in my practice. The good news is that your concern can absolutely be addressed. I have a number of different lasers in my practice that I use to address abnormal pigmentation in Hispanic skin types. The PicoSure is one option which is extremely safe and can even improve your scarring. However, the PicoSure is not the always the best choice as the results can be slow coming and requires a number of treatments. 

Often I'll use either a MaxG or a 755 wavelength laser instead of my PicoSure for tackling pigmentation in olive skin tones. With appropriate settings, either can be extremely effective in just a single treatment. 

Locate a board certified plastic surgeon or dermatologist with extensive experience in laser skin care and an extensive array of laser options. That way you ensure the best results with the best equipment possible.

Good luck!

Newburgh Plastic Surgeon

Melasma treatment

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Melasma is difficult condition to treat. Picosure can help with your scars and dark spots, but I usually advise combination of treatments. Picosure treatment will not prevent further spots from occurring. I would suggest you to make an appointment with an expert when it comes to treating melisma so you can get examined and receive personalized treatment. Good luck! 

Hardik Soni, MD (not currently practicing)
Summit Emergency Medicine Physician

Pico for Melasma

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Hi majoramon1,

Thank you for your question and photo.  Melasma is one of the most difficult skin problems to address and the pigment is only part of the problem.  A laser can target pigment in the skin, but the problem with Melasma is the underlying tissues are revved up and ready to produce pigment.  Using lasers that deliver heat to these tissues, can often make the Melasma worse.  Since PicoSure works by mechanical disruption and significantly less heat, manyproviders are using it as a part of their treatment regiment for Melasma.  It is important to recognize that their is no cure for Melasma and that it will require ongoing treatments. 

Hope that helps.


Dr. B

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.