Can Silkpeel Dermalinfusion Make Dermal Melasma Worse?

Thank you for your inquiry!  DermalInfusion can be quite effective on melasma when combining treatments with at home skin brightening/bleaching systems.  DermalInfusion has a special skin brightening pro-infusion serum that breaks up the appearance of pigment on the surface of the skin and that slows down the overproduction of melanin.  I have not seen the treatment flare dermal melasma, but you may not successfully treat it with DermalInfusion treatments alone.  With that being said, you may actually be experiencing post-inflammatory pigmentation from the Fraxel treatment rather than melasma. I would recommend going to a Board Certified Plastic Surgeons office to discuss your pigment issues and proper treatment options.  Good luck to you! 

Silkpeel dermalinfusion with lumixyl is generally quite helpful for melasma, along with proper sunscreen, and possibly a home fading/bleaching system. However, you may have more of a post-inflammatory hyperpigmentation from your previous Fraxel treatment rather than true melasma. I would speak with a dermatologist about the best treatment option and avoiding triggers that may worsen your skin e.g. hormones, sun, irritation etc.

Although I have found Silkpeel very effective for melasma and have never seen it flare dermal melasma (although it may not help either) , you seem to have an unusual case. The fact that you did not have melasma before Fraxel, I am wondering if you really have post-inflammatory hyperpigmentation and not melasma at all. Have you seen a board-certified dermatologist? It might be you need a fresh viewpoint.