Age spots become darker after PicoWay treatment, should I continue? (Photo)

Thank you for your question, Melasma needs a combination approach to get the best improvement and will need a series of treatments. In our practice, we combine Clear + Brilliant, peels, microneedling/PRP, Aerolase, and sometimes Erbium (Cool Laser) to get the best results. See an expert for a formal evaluation. Best, Dr. Emer

I would suggest always using a skin lightener with melasma treatments. Start with the kareskin Brightening Kit followed by Clear and Brilliant to help with the pigmentation. Best, Dr. KaramanoukianLos Angeles

Although pico lasers have shown efficacy, there are circumstances where we would have to use topical creams like Melarase, especially in those that are prone to get hyperpigmentation and melasma. I recommend Melarase and PIH Relief Complex (Scler-X).Consideration should also be given to avoid BCP, sun exposure ..