Medically reviewed by Deborah Lenchus, MSN, APRN · Last reviewed July 2026.
This is one of the most important questions in aesthetics, because getting it wrong can make things worse. Melasma is heat- and light-sensitive, and the wrong laser can trigger a rebound that is darker than where you started. Here is how we think about resurfacing when melasma is in the picture at LuXe Concierge Aesthetics in Davie & Weston, FL.
Why melasma is different
Melasma is not just “sun spots.” It is a chronic, hormonally-influenced condition where pigment cells are overactive and easily provoked by heat, light, and inflammation. Aggressive lasers, and even some IPL settings, can flare it.
A safer, layered approach
- First, control the melasma with a dedicated protocol such as Cosmelan/Dermamelan and medical-grade skincare.
- Then, if resurfacing is appropriate, use gentle, conservative settings — often Erbium with careful parameters rather than aggressive ablative passes.
- Strict sun protection is non-negotiable throughout.
Deborah’s Clinical Perspective
With melasma, restraint is the skill. I do not lead with a heat-heavy laser — I stabilize the pigment first, protect the skin, and only then consider gentle resurfacing if it adds value. Many melasma patients get their best, safest results from a pigment-control protocol plus disciplined skincare, not from an aggressive laser. Correctly diagnosing melasma versus ordinary sun damage is half the outcome.
FAQ
Can laser make melasma worse?
Yes. Heat-heavy lasers and some IPL settings can flare melasma, sometimes making it darker. It must be approached cautiously by an experienced provider.
What is the safest treatment for melasma?
Usually a dedicated pigment-control protocol (such as Cosmelan or Dermamelan) plus medical-grade skincare and strict sun protection, with gentle resurfacing only if appropriate.
Is IPL safe for melasma?
Often not — IPL is excellent for sun spots but can worsen melasma if used incorrectly, so melasma needs a specialized approach.
Book a consultation for a melasma-safe plan in Davie & Weston.