That's because "many patients with melasma have a component of dermal melasma, rather than purely epidermal, meaning that the pigment sits in deeper layers of the skin in addition to superficial ...

As mentioned previously, epidermal and dermal melasma respond very differently to treatment. Coverup with opaque cosmetics remains essentially the only option for dermal melasma. An exception to ...

"Nd:YAG lasers and Pico lasers have demonstrated effective at improving melasma," says Dr. Charles. She explains that the ...