Does high frequency treatment make melasma worse or better?

Greetings, please see below for treatments. Melasma is a condition which requires multiple steps and treatments to effectively improve the condition consistently over time.  In our office, here are steps which are effective:
-Pico lasers- The best type of laser for improving the condition.  Please not it takes multiple steps to improve melasma safely
-Nd:YAG Nano lasers with toning- Here a laser is used for deeply resistant melasma to break up particles without generating excessive heat
-Melanage peels- A variety of peels can work and melanage is one of the best for melasma
-Skin topicals- A variety of products including use of lighteners (we prefer natural lighteners such as arubtase found in our product Luminoso) as well as sunscreens can help improve the condition
-Lifestyle choices-Avoiding the sun, hormonal changes (we have a hormone expert in Dr. Chughtai in our office) can all impact melasma.
While melasma is common, patients must understand a multi pronged approach is often the best strategy and controlling this condition.
Best, 
Anil Shah MD

The studies may be limited on this question. I would suggest not doing UV treatments as it may increase your risk of pigmentation. Start with Melarase creams first. Best, Dr. KaramanoukianLos Angeles

Melasma needs a combination approach to get the best improvement. In our practice, we combine Clear + brilliant, peels, microneedling/PRP, aerolase, and sometimes erbium laser (coollaser) to get the best results. Radiofrequency is safer than laser, but i UV (ultraviolet) will make it worse.  See an expert for a formal evaluation. Best, Dr. Emer