Which laser treatment works better on hyper pigmentation and melasma?

Greetings, see treatment options below. 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

Laser treatments have limited efficacy unless you use topical creams such as Melarase, avoid direct sunlight, and control hormone exposure. Best, Dr. KaramanoukianLos Angeles

We rarely use laser for melasma because lasers can make melasma worse. I prefer to treat melasma with creams and peels. I have had great success with this approach. 

I recommend getting a formal evaluation with a cosmetic dermatologist. Keep in mind, 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 laser (coollaser) to get the best results. Melasma will need life-long maintenance. Hyperpigmentation also needs a combination approach and can be improved with a combination of lasers, Aerolase, microneedling/prp, skin lightening, peels, and skin care. Sun protection is essential. Don't let distance dissuade you, see an expert for a formal evaluation. Best, Dr. Emer

Although lasers have efficacy for melasma care, it is best to have a good regimen for skin care incuding topical creams along with avoiding sun exposure, consideration given to reduce hormonal exposure, if any, and using 30+ SPF sun block. I recommend the Brightening Kit from Kare Skin.