If you’ve been battling the frustrating cycles of melasma (those brown-grey patches that often appear across the cheeks, upper lip, forehead or chin), you’ll know how tricky it is to treat.
At our clinic, we take a comprehensive approach to melasma, combining medical-grade skincare, sun protection, and the latest technology to treat pigment safely and effectively.
One of our most advanced tools is PicoSure Pro — an FDA- and Health Canada-cleared device for safely treating melasma pigment.
We’ve also achieved great success with prescription and compounded topical programs, including Hydroquinone (HQ)– based regimens, which can deliver remarkable results when used consistently.
What is Melasma—and Why Is It So Challenging?
Melasma is a kind of hyper-pigmentation disorder in which excess melanin is deposited in the skin under influences like:
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Hormonal shifts (pregnancy, birth-control hormones)
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UV/sun exposure
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Inflammation or heat
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Genetic predisposition
Because the pigment resides at multiple depths (epidermal and dermal), and because skin tends to react to any trauma or heat (including lasers) by producing more pigment, melasma remains one of the most challenging aesthetic disorders to treat successfully in the long term.
Hydroquinone (HQ) Programs: Targeting Pigment at the Source
Before jumping to laser treatments, it’s often beneficial to start with a topical program designed to regulate pigment production.
Hydroquinone (HQ) is one of the most effective pigment-suppressing agents available, working by blocking the enzyme responsible for melanin production. When used consistently and under professional guidance, HQ programs can deliver significant improvement over three to six months, helping fade existing pigment and prevent new spots from forming.
We often combine HQ with retinoids, antioxidants, and brightening agents to enhance results. For many patients, this approach helps stabilize the skin before introducing laser treatments, thereby ensuring a safer and more effective overall outcome.
How PicoSure-Pro Works
The PicoSure-Pro uses ultra-short laser pulses (in the picosecond range — one trillionth of a second) at a wavelength of 755 nm, plus optional other wavelengths (532nm, 1064nm) depending on the target.
Key features:
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Because the pulses are so short, the device relies less on heat (which can trigger pigment) and more on photoacoustic/pressure wave effects to quickly shatter pigment.
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It is the only picosecond device cleared by the FDA specifically for melasma pigment (along with certain other pigmented lesions) in all skin types. We use this same laser (with different settings) for tattoo removal.
For patients, this means less thermal damage, a potentially lower risk of post-inflammatory pigmentary worsening, and improved safety in pigmented skin.
The Treatment Process: What to Expect
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Sessions are typically 15–30 minutes long, depending on the area being treated.
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Downtime is minimal compared to older lasers. Some redness or swelling may occur, and pigment may darken slightly before fading.
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Multiple sessions (usually 3–10) are required for optimal results, depending on the depth and severity of pigmentation.
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Post-treatment sun protection is absolutely critical; without it, recurrence is highly likely.
While topical treatments like HQ programs work gradually over several months, PicoSure Pro often delivers visible improvement within just a few sessions, making it a powerful addition for patients seeking faster results or addressing deeper pigment.
The Bottom Line
There is no one-size-fits-all solution for melasma — but with the right combination of medical-grade skincare, advanced laser technology, and expert guidance, long-term improvement is absolutely possible.
If you’re struggling with melasma, we invite you to book a consultation with one of our Skin Consultants to discuss which treatment approach — or combination is right for your skin.