Melasma cannot be permanently cured, but it can be well controlled. A combination of strict sun protection, topical treatments, sometimes oral medication prescribed by a doctor, and gentle lasers can lighten patches significantly. Maintenance is needed because heat, sun and hormones can trigger recurrence.
Medically reviewed by [DOCTOR NAME], board-certified dermatologist · Doje Clinic, Apgujeong, Seoul · Last reviewed November 2026
Aggressive or high-heat lasers can worsen melasma, so low-energy toning protocols are preferred.
Visible light also contributes, so tinted sunscreens with iron oxides are often recommended.
Quick facts
- Pico Toning (Picosecond Laser): Mild redness for a few hours; results last long-term with sun protection; melasma can recur
- Laser Toning (Q-switched Nd:YAG): None to minimal; results last maintenance recommended
- Sylfirm X (Pulsed-wave RF Microneedling): Mild redness for 1–2 days; results last maintenance recommended for melasma
Key facts
| Pico Toning | Series of 5–10, every 1–4 weeks |
|---|---|
| Laser Toning | Series of 5–10, weekly to biweekly |
| Sylfirm X | Series of 3–5 |
Patient questions
Frequently asked questions
Can melasma be cured permanently?
Melasma cannot be permanently cured, but it can be well controlled. A combination of strict sun protection, topical treatments, sometimes oral medication prescribed by a doctor, and gentle lasers can lighten patches significantly. Maintenance is needed because heat, sun and hormones can trigger recurrence.
What is Pico Toning?
Pico toning uses an ultra-short picosecond laser at low energy to break up pigment and even out skin tone with minimal heat.
What is Laser Toning?
Laser toning uses a low-fluence Q-switched Nd:YAG laser to gradually lighten pigmentation and refine skin tone.
Your skin plan, designed in Apgujeong
English-speaking consultations · Written quotes · Aftercare you can take home
Medical information on this page is general and educational. Results, downtime and suitability vary by individual. A consultation with a Doje Clinic physician is required before any treatment.