Melasma and photoaging present distinct challenges: pigment deposits require targeted melanin fragmentation, while wrinkles and laxity demand collagen remodeling. Combination laser protocols now address both concerns simultaneously using calibrated wavelengths and treatment sequencing. Key Takeaways Q-switched lasers (1064 nm, 532 nm) fragment melanin deposits without thermal damage, making them key for melasma clearance in darker skin types [1] Fractional lasers (non-ablativ

When brightening serums and prescription creams fail to fade melasma and post-inflammatory hyperpigmentation, dermatologist-led medical spa procedures offer targeted solutions that address pigment at deeper skin layers. Key Takeaways Treatment-resistant pigmentation typically requires escalation from topical products to medical spa procedures like lasers, chemical peels, or microneedling [3] Pigment depth (epidermal vs. Dermal) and Fitzpatrick skin type determine which treatm