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

Ask me your skincare question!

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

  • All our content is written and researched by myself.
  • My medical office in Seattle has treated thousands of patients for 15+ years.
  • This site is not affiliated or financially tied to any product, treatment or device.
Ask Me Something
SkinTour Skincare
One of the best investments in your skin is your daily skincare. Why? Because you can prevent many problems with blotchy skin color, lack of glow, texture, some types of acne, and fine lines with good skincare products. You can also correct some of these problems with effective skincare products. Great skincare is often more expensive because quality ingredients are expensive. Some companies spend on research/development which benefits all of us and adds to the cost. Are they worth it? In general - yes! I have handpicked some of what I consider to be the best skin care products, and offer them for sale on SkinTour's shop. This is based on my team and I's testing and research at our clinic. Many of the products are in my own regimen. What could be better than using skin care products a dermatologist uses?!