Melasma, or hyperpigmentation of the skin, is caused by a variety of factors, including hormones, genetics, sun exposure, scarring, and inflammatory skin conditions.
In most cases, melasma is a chronic condition that can be improved, but not cured. There are many effective treatments for melasma, including topical prescription and non-prescription medications, chemical peels, laser treatments, and avoidance of the sun.
Ironically, many of these same treatments that are used to treat melasma can also cause melasma. The discussion you have with your doctor about melasma should focus on ways to minimize melasma.
If you are considering any one specific treatment for melasma, you should have an in-depth discussion with your physician about the depth of treatment and practical goals of any single procedure.
For all practical purposes, there is no single procedure that will provide sustained and permanent reduction of melasma.
One option I recommend is the Melarase cream program to reduce pigmentation and skin discoloration.