Numerous treatment options have been tested in the last few decades, such as trying to eliminate the pigment with IPL, Laser therapy. These methods have been widely used, but they are expensive, invasive and have proven to be a hit and miss when it comes to efficacy. These methods even pose a high risk of making Melasma worse in multi-ethnic skin types as there is an increased risk of post-inflammatory Hyperpigmentation.
Furthermore, there are many topical treatment alternatives: chemical peels, creams containing acids to increase cell turnover, and even medical topical formulations based on hydroquinone, to regulate melanin production.
All these treatments are only a partial solution to a very complex problem. Melasma requires a multifocal approach capable of eliminating, regulating and preventing further pigment from appearing.