Possible laser solution for melasma brown spots and pigment

A laser for melasma brown spots and pigment problems?

As many of you know, most lasers are NOT recommended for treatment of melasma brown spots or pigment problems with darker skin types (IV, V, VI).  That is, unless done by experts and only in certain circumstances.  This is because they can, even in very capable hands, make the pigment problems worse, even if this is usually temporary (PIH post inflammatory hyperpigmentation).

Dr. Vivek Mehta in New Dehli has interesting preliminary data on a safe way to use a laser in darker skin types to improve pigment problems.  He uses a Q-switched YAG laser with low fluence (low energy) with generally good results – calling it a “dual toning” technique.   Apologies for all the industry speak but I know some of our readers are based in India, have darker skin types, and have these problems.

Hope this helps with info on brown spots and pigment,

See Dr. Irwin’s in depth article on melasma – the brown splotchiness on the face

Dr. Irwin


Melasma or brown splotches on face

Melasma or brown splotches on face


Dr. Brandith Irwin, MD

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Hi, I’m Dr. Irwin, and I believe that consumers need and deserve a medically trained and unbiased skincare advocate.

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