A review of melasma treatment focusing on laser and light devices

Janet Y. Li, Elizabeth R.C. Geddes, Deanne M. Robinson, Paul M. Friedman

Research output: Contribution to journalArticlepeer-review

22 Scopus citations


Melasma is a pigmentary disorder of unclear etiology with numerous treatment options and high recurrence rates. Laser and light therapies may be utilized cautiously as second- or third-line options for recalcitrant melasma, but low-energy settings are preferred due to the risk of postin- flammatory hyperpigmentation and melasma stimulation. Commonly used lasers include the low-fluence 1064-nm Q-switched neodymium-doped yttrium aluminum garnet laser, nonablative fractionated lasers, and intense pulsed light. Strict sun protection, concomitant use of bleaching agents, and maintenance treatments are necessary. A variety of other treatments that may also help to improve results are now being more widely adopted, including oral tranexamic acid, pulsed dye laser, antioxidants, and laserassisted drug delivery.

Original languageEnglish (US)
Pages (from-to)223-232
Number of pages10
JournalSeminars in cutaneous medicine and surgery
Issue number4
StatePublished - Dec 1 2016

ASJC Scopus subject areas

  • Surgery
  • Dermatology


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