Melasma Laser Treatment

Melasma is a common skin condition characterized by flat, freckle-like patches that range in color from brown to gray-brown. These patches typically appear on sun-exposed areas, including the cheeks, forehead, chin, and upper lip. The onset of melasma is primarily linked to several factors, including ultraviolet (UV) light exposure, hormonal fluctuations—such as those occurring during pregnancy or while using birth control pills—and a genetic predisposition that can make certain individuals more susceptible to the condition. Patients often seek treatment options to reduce the visibility of melasma, aiming to enhance overall skin clarity and achieve a more uniform complexion. By tailoring the approach to individual needs, Dr. Michele Green aims not only to enhance immediate appearance but also to promote lasting skin health, helping patients achieve sustained results without compromising skin integrity.

While laser technology is widely used to treat various skin conditions, it is generally not recommended for melasma because it may exacerbate the condition or cause unintended side effects. Instead, effective melasma management usually involves alternative approaches such as chemical peels and topical agents. Chemical peels help exfoliate the skin, removing damaged layers and allowing healthier skin to emerge. Topical treatments, particularly hydroquinone, are commonly used to lighten hyperpigmented areas. Hydroquinone inhibits melanin production in the skin, leading to a noticeable reduction in the appearance of melasma patches over time. Overall, a combination of these methods, guided by Dr. Green, can provide a more sustainable approach to treating melasma and restoring skin balance.

Dr. Michele Green is an internationally recognized, board-certified dermatologist with over 25 years of experience treating pigmentation concerns, including melasma, with advanced non-surgical techniques. She is known for her individualized approach and a less-is-more philosophy, creating treatment plans that prioritize safety, precision, and natural-looking results. Dr. Green is consistently named among New York City’s top dermatologists by Castle Connolly, New York Magazine, and Super Doctors for her dedication to excellence in cosmetic dermatology. During a consultation at her private Upper East Side practice, Dr. Green works closely with each patient to develop a comprehensive melasma treatment and maintenance plan designed to support clearer, more even-toned skin over time.

What is melasma?

Melasma is a skin condition characterized by brown, dark brown, or gray-brown patches on the face, chest, and neck. It is most common in women, with only 10% of cases occurring in men. The condition is also more prevalent among patients with darker skin tones and those of East Asian, Indian, Hispanic, Middle Eastern, and Mediterranean descent, due to the already high levels of melanin and melanocytes in the skin. The pigmentation from melasma is not associated with discomfort, itchiness, or an increased risk of skin cancer. This pigmentation often appears in highly visible areas, including the forehead, upper lip, bridge of the nose, and cheeks, prompting many patients to seek cosmetic treatment. Three main types of melasma may occur: epidermal melasma, which appears in the superficial layer of skin known as the epidermis; dermal melasma, which is located in the middle layer of the skin known as the dermis; and mixed melasma, which occurs when there is a combination of epidermal and dermal melasma.

What causes melasma?

Melasma results from an overproduction of melanin by melanocytes, the skin cells that produce it. Although the exact cause of melasma is unknown, many patients with the condition have a family history of it. Hormonal changes, particularly surges in the female hormones estrogen and progesterone, can trigger melasma. Women are most commonly affected by this skin condition because of hormonal fluctuations associated with contraceptive treatments, pregnancy, and hormone replacement therapy. Additionally, thyroid disorders may be related to melasma, as the incidence of thyroid disease is nearly four times higher than in the general population.

Will melasma go away?

Melasma does not resolve spontaneously and is a chronic pigmentation disorder that often requires ongoing management to remain controlled. In many patients, discoloration can gradually fade with appropriate treatment, but without treatment, it may darken over time. Sun exposure is one of the strongest triggers for melasma, and even brief or indirect ultraviolet exposure can stimulate melanocytes to produce excess pigment in affected areas. Hormonal changes can also reactivate pigment production, which is why melasma frequently fluctuates during pregnancy, with oral contraceptive use, or with hormone therapy. Even when discoloration fades at the surface, excess pigment can persist in the skin, allowing melasma to reappear when triggered by sun exposure or hormonal changes. Long-term improvement depends on consistent treatment sessions, strict sun protection, and post-treatment maintenance strategies to control melanin production and prevent recurrence.

What is melasma laser treatment?

Laser treatment for melasma is often promoted as an advanced technology that effectively addresses excess skin pigmentation. However, it is crucial to recognize that laser treatments, such as Q-switched lasers, are generally not recommended for the management of melasma. This condition differs from other forms of hyperpigmentation in its underlying mechanism, which involves overactive melanocytes—skin cells responsible for pigment production. These melanocytes can respond unpredictably to laser energy, potentially worsening discoloration rather than improving it. When considering treatment options for melasma, it is essential to consult a board-certified dermatologist. A qualified professional will conduct a thorough evaluation of your skin type, the depth and severity of the melasma, and any prior treatments you may have undergone. This comprehensive assessment will enable them to recommend the most appropriate and effective treatment strategy tailored to your specific needs, ensuring optimal results while minimizing the risk of adverse effects.

What are the best treatment options for melasma?

Melasma treatment can be challenging, and many traditional methods for treating skin surface hyperpigmentation can worsen it. Each case of melasma is unique, and the optimal treatment or combination of treatments will vary from patient to patient. The most effective in-office treatments for melasma are typically chemical peels, which increase skin cell turnover to improve skin tone and texture while reducing the appearance of pigmentation. Topical treatments, including hydroquinone, kojic acid, tretinoin, vitamin C, and azelaic acid, are effective for gradually reducing pigmentation and improving outcomes from chemical peels and other cosmetic procedures. While some laser treatments claim to treat melasma, many can actually worsen its appearance. When choosing a melasma treatment, it is essential to consult a board-certified dermatologist, such as Dr. Green, who can develop a personalized treatment plan that safely and effectively addresses your melasma.

What lasers can be used to treat melasma?

Lasers are generally not recommended for treating melasma. Although laser treatments may be effective for certain types of hyperpigmentation, such as sunspots or age spots, they can inadvertently worsen melasma. This is because lasers penetrate deeper layers of skin, thereby intensifying discoloration. Hormonal fluctuations often contribute to melasma; therefore, addressing underlying hormonal imbalances is crucial for effective management. Topical treatments, such as hydroquinone, retinoids, and other skin-lightening agents, are typically preferred for melasma. These options can gradually and safely lighten the affected areas without risking exacerbation. Therefore, a comprehensive approach combining effective topical treatments with hormonal regulation is the most beneficial strategy for individuals with melasma.

Is laser treatment safe for melasma?

Laser treatments are generally contraindicated for individuals with melasma because they can worsen the condition. In some cases, these treatments can increase pigmentation, making melasma more difficult to manage. Instead, topical products specifically formulated to address melasma are a more suitable approach. These products often contain hydroquinone, kojic acid, or tretinoin, which help lighten hyperpigmentation and promote an even skin tone. For optimal results, it is recommended that these topical treatments be combined with sun protection, as ultraviolet (UV) exposure can worsen melasma. Consulting a dermatologist is crucial for developing a personalized treatment plan that prioritizes safety and efficacy in managing melasma.

Treatments are available for melasma

Several treatments may help manage melasma by targeting excess pigment production, improving skin turnover, and supporting a more even skin tone over time. These options are often used before or alongside laser treatments to enhance results and reduce the risk of recurrence.

• Topical medication: Prescription topical medication directly targets the processes responsible for excess pigment production in the skin. These formulations work in different ways, including suppressing melanin synthesis, increasing skin cell turnover, and calming inflammation that can stimulate pigment formation. Over time, consistent use can help lighten dark patches and reduce discoloration intensity. Results develop gradually and require ongoing application; topical medication also plays an important role in maintaining improvement and preventing recurrence once melasma has faded.
• Chemical peels: Used to treat melasma, chemical peels exfoliate the skin’s outer layers and promote skin renewal. By accelerating the shedding of pigmented skin cells, peels can help soften discoloration and improve skin brightness. The peel’s strength and formulation are carefully selected based on skin tone, sensitivity, and pigmentation depth to minimize irritation and reduce the risk of post-inflammatory hyperpigmentation. Chemical peels are often performed in a series and may be combined with topical medications to achieve more consistent, longer-lasting results.
• Cosmelan peel: The Cosmelan peel is a professional depigmenting treatment intended to address persistent pigmentation conditions, such as melasma. It works by regulating pigment production in the skin, helping fade existing discoloration and slow the formation of new pigment over time. Treatment begins with an in-office application, followed by a strict at-home maintenance regimen that supports ongoing pigment control and skin renewal. This two-step process allows for steady, natural-looking improvement. Consistent sun protection and careful adherence to aftercare instructions are essential for maintaining results.
• Microneedling: Microneedling may be used as an adjunctive treatment for melasma to stimulate skin renewal and enhance the absorption of topical agents. The procedure creates controlled microchannels in the skin, stimulating the body’s natural healing process and promoting healthier skin turnover. This process can help achieve a more even tone and can be combined with depigmenting serums, allowing them to penetrate the skin more effectively. Microneedling is carefully customized based on skin type and melasma pattern to limit irritation that could worsen pigmentation.
• Sun protection and skincare maintenance: Daily sun protection is essential for successful melasma management. Ultraviolet exposure stimulates melanin production and can quickly undo treatment progress. Broad-spectrum sunscreen should be applied daily and reapplied as needed, along with protective clothing and avoidance of excessive heat whenever possible. A consistent skincare routine helps protect the skin barrier and reduce inflammation, which can worsen pigmentation. Without strict sun protection, even the most effective melasma treatments may provide only temporary improvement.

Which topical skin care ingredients are most effective for melasma?

Topical treatments are typically the first-line therapy for melasma and are often recommended after laser therapy. Some products and ingredients are available over the counter (OTC), while others require a prescription from a dermatologist. The most effective ingredients for topical melasma treatment include:

Hydroquinone is a prescription-only skin-lightening ingredient. It is commonly found in skin-lightening and bleaching products and is not intended for long-term use. Prolonged use of hydroquinone may lead to ochronosis, which worsens hyperpigmentation. Dr. Green may prescribe cysteamine or tranexamic acid as bleach-free alternatives to hydroquinone.

Patients who experience irritation from hydroquinone or tretinoin may prefer gentler skin-lightening agents, such as kojic acid, tranexamic acid, and azelaic acid. The Skin Brightening Cream from MGSKINLABs features a unique blend of kojic acid and fruit extracts to brighten skin and reduce the appearance of melasma.

Vitamin C serum or antioxidant lotion is among the most effective topical treatments for hyperpigmentation. Vitamin C is a powerful antioxidant that promotes collagen production and skin cell renewal, reducing hyperpigmentation and dark spots in the skin’s outer layer while neutralizing harmful free radicals. Dr. Green’s MGSKINLABs sells a Vita-C Serum with a high concentration of vitamin C to brighten and rejuvenate the skin.

UVA and UVB radiation from the sun are common triggers for melasma, making sunscreen the most critical topical product for preventing and reducing it. For patients with a history of melasma, Dr. Green recommends applying a broad-spectrum SPF 50 or higher daily, even on cloudy days. Sunscreen should be reapplied every 90 minutes or after water activities. Dr. Green advises patients with melasma to apply a chemical sunscreen under a physical sunscreen daily for optimal sun protection. Chemical sunscreens are absorbed into the skin and convert harmful UV rays into heat. In contrast, physical sunscreens create a protective barrier on the skin to prevent UV rays from penetrating. The Hydrating SPF50 from MGSKINLABs contains zinc oxide for sun protection, along with hyaluronic acid and lactic acid to hydrate and soften the skin.

Corticosteroids may improve melasma by reducing inflammation, thereby helping prevent PIH. However, they should be used only briefly, as topical steroid creams can thin the skin. It is imperative to use corticosteroids only under the care of a board-certified dermatologist, such as Dr. Green.

What laser treatment is best for melasma?

When treating melasma, there is no universally recognized “best” laser treatment. In fact, many dermatologists advise against using laser therapies for this condition. While laser treatments can be effective for other types of hyperpigmentation, such as age spots or sun damage, they are often contraindicated for melasma because they can worsen it. Melasma is a complex skin disorder characterized by brown or gray-brown patches, usually on the face. Its causes can include hormonal changes, sun exposure, and genetic predisposition. Because melasma cells are particularly sensitive to light and heat, laser treatments may trigger a rebound effect, resulting in increased pigmentation or other complications. For individuals seeking effective treatment for melasma, it is often recommended to explore alternatives, such as topical creams containing hydroquinone, azelaic acid, or retinoids, along with sun protection strategies to manage and reduce pigmentation. Consulting with a qualified dermatologist can help determine the most appropriate course of action tailored to individual skin needs.

Does melasma come back after laser?

Melasma is known to recur after treatment, particularly after laser therapy. Although these treatments can provide temporary improvements, they do not address the underlying causes of melasma, which are influenced by ongoing factors such as sun exposure, hormonal fluctuations, and heat. As a result, individuals who undergo laser treatment may find that their melasma returns and may even worsen over time. In fact, while laser treatments can initially lighten the pigmented areas, they can inadvertently push the pigment deeper into the skin. This deepening of pigment can make it harder to achieve long-term clarity and skin tone balance.

Furthermore, inconsistent sun protection significantly increases the likelihood of recurrence. If individuals do not use sunscreen consistently, or if their skin becomes irritated or inflamed after laser treatment, the risk of melasma recurrence increases. To manage and control melasma over the long term, a multifaceted approach is essential. This includes daily application of broad-spectrum sunscreen to shield the skin from harmful UV rays, as well as the use of topical treatments designed to regulate pigmentation. Additionally, individuals should make a conscious effort to avoid known triggers, including excessive heat and hormonal changes. By combining these strategies, one can better maintain results and reduce the risk of melasma recurrence.

Frequently Asked Questions (FAQs) about Melasma Laser Treatment

Is laser treatment safe for all skin types?

Laser treatment is not equally safe for all skin types, and special care is required for individuals with darker skin tones. Skin with higher melanin content absorbs laser energy more readily, increasing the risk of unwanted side effects if the treatment is not carefully selected and customized. When laser energy interacts with melanin in the surrounding skin, it can trigger inflammation that disrupts normal pigment regulation. This inflammatory response may lead to post-inflammatory hyperpigmentation, in which the skin darkens after treatment, or hypopigmentation, in which pigment is lost, and lighter patches develop. In some cases, excessive heat or improper laser settings can also increase the risk of scarring. For these reasons, the choice of laser, energy level, and treatment approach must be carefully tailored to skin tone and pigment behavior. Dr. Michele Green can evaluate your skin type and melasma pattern to determine whether laser treatment is appropriate and which options are safe while minimizing pigment-related risks.

Can laser treatment cure melasma permanently?

While some lasers can initially reduce the appearance of melasma, it is a chronic condition that can recur. Risk factors such as sun exposure and hormonal changes can trigger melasma. To prevent new or worsening episodes of melasma and pigmentation, it is essential to wear sunscreen with an SPF of 50 or higher, along with a broad-brimmed hat and SPF clothing. Dr. Green recommends using both chemical sunscreen and physical sunblock for optimal results. Patients should apply sunscreen every morning, even on cloudy days or when indoors, because car or office windows still allow sufficient UVA and UVB exposure, which can exacerbate melasma. When outdoors, patients should reapply sunscreen every 1.5 hours. By minimizing exposure to risk factors, patients can reduce the likelihood of melasma returning. These practices can help prevent melasma from reemerging after laser treatment or any other cosmetic procedures.

Is laser treatment good for melasma?

Melasma is a challenging skin condition to treat, and some treatments commonly used for other forms of hyperpigmentation, such as laser therapy, can exacerbate it. Although some laser treatments have FDA approval for melasma, others can still exacerbate it, causing additional side effects such as post-inflammatory hyperpigmentation (PIH). Given these risks, Dr. Green often uses topical treatments and chemical peels, such as the Cosmelan peel. Treatment for melasma should be performed only by a board-certified dermatologist to ensure safety and effectiveness.

Is the CO2 laser good for melasma?

No, a CO2 laser is not an appropriate treatment for melasma. CO2 lasers, also known as carbon dioxide lasers, are a type of laser resurfacing treatment that can be ablative, meaning they remove the outer layer of skin, or fractional, meaning they use micro-beams of laser energy to address skin concerns while leaving the surrounding skin undamaged. CO2 laser resurfacing effectively addresses a range of skin conditions, including skin cancer, acne scars, deep wrinkles, and sunspots. However, a split-face, double-masked comparative study found that CO2 lasers were ineffective for long-term reduction of melasma. These lasers are associated with unwanted side effects, such as post-inflammatory hyperpigmentation (PIH), scarring, and hypopigmentation, particularly in individuals with darker skin tones. While CO2 lasers can be effective for facial rejuvenation, they are not suitable for treating melasma.

Is the Moxi laser good for melasma?

The Moxi laser is generally not a good treatment option for melasma. Moxi is a non-ablative fractional laser that improves skin texture, early sun damage, and overall tone by delivering heat to stimulate renewal. While this can help with concerns such as fine lines or uneven texture, melasma is sensitive to heat and inflammation. Heat applied to areas affected by melasma can stimulate melanocytes and increase pigment production, potentially darkening or spreading the discoloration. Because Moxi does not directly regulate melanin production, it can worsen melasma rather than improve it. For patients with melasma, treatments that focus on pigment control, gentle exfoliation, and sun protection are more reliable and predictable. A board-certified dermatologist can determine whether laser treatment should be avoided altogether or used only after other options have been exhausted.

Is the Halo laser good for melasma?

The Halo laser is not considered a good treatment option for melasma. Halo is a hybrid fractional laser that uses heat to resurface the skin, stimulate collagen production, improve skin texture, reduce fine lines, and address sun damage. While these benefits make it effective for certain concerns, melasma differs from other pigmentation issues. Heat and inflammation can activate melanocytes and increase melanin production, making melasma darker and spreading it. Because the Halo laser relies on heat and controlled injury to achieve results, it carries a significant risk of worsening melasma, particularly in patients with darker skin tones. For this reason, it is not recommended for the treatment of melasma. Patients with this condition typically respond better to targeted pigment treatments such as prescription topicals, chemical peels designed for melasma, and meticulous sun protection. A board-certified dermatologist is best suited to determine the appropriate treatment approach based on the individual’s pattern and depth of melasma.

Is the BBL laser good for melasma?

Broadband Light therapy, also called BBL, is generally not a good option for treating melasma, even though it is often used to improve other forms of pigmentation. This treatment works by delivering broad-spectrum light to the skin to reduce visible discoloration and create a more even tone. While this approach is effective for sunspots and freckles, melasma responds differently because pigment production in affected areas is highly sensitive to light. When light-based energy is used on melasma, it can stimulate melanocytes and increase melanin production. As a result, existing patches may darken, and new discoloration may appear. Because BBL does not directly control pigment activity and relies on repeated light exposure to achieve results, it may worsen melasma.

Is a carbon laser good for melasma?

Carbon laser treatment is neither effective nor appropriate for melasma. Carbon laser procedures use a topical carbon solution and low-energy laser light to exfoliate the skin’s surface, reduce oil, and improve the appearance of enlarged pores or mild acne. Melasma, however, is driven by overactive pigment cells and deeper pigment deposition that cannot be corrected by surface exfoliation alone. Furthermore, carbon laser treatments may irritate melasma-affected skin, exacerbating inflammation and triggering further pigmentation. Because melasma is highly sensitive to heat and irritation, treatments that do not specifically target pigment regulation can worsen discoloration over time. For these reasons, carbon laser treatments are not recommended for the management of melasma. Patients seeking improvement may see better results with targeted topical therapies, chemical peels, and strict sun protection, under the guidance of a board-certified dermatologist.

Can lasers make melasma worse?

Yes. While some laser treatments can improve melasma, many light-based devices, including intense pulsed light (IPL), can worsen it. Therefore, it is essential to consult a board-certified dermatologist, such as Dr. Green, when seeking treatment. Typically, Dr. Green will resort to FDA-approved laser treatments for melasma only if other methods are ineffective. IPL, Fraxel, and PicoSecond lasers can exacerbate melasma by deepening skin pigment. This may reduce the effectiveness of other melasma treatments, such as topical agents and chemical peels.

How much is a melasma laser treatment?

The cost depends on several factors, including geographic location, the size and scope of the treatment area, and the type of institution where you receive treatment. Melasma treatment varies from patient to patient, depending on the type of melasma present – dermal, epidermal, or mixed – with deeper forms often requiring multiple treatments to improve cosmetic appearance. The best treatment is also determined by the patient’s Fitzpatrick skin type and treatment history. Some patients may require a combination approach that integrates topical creams with chemical peels or laser therapies. During your initial consultation with Dr. Green, she will determine the most effective treatment plan for you, and her office will provide an estimate of the total treatment cost. Depending on the effectiveness of the first-line treatment, follow-up treatment may be necessary, potentially increasing total treatment costs.

How many laser sessions for melasma?

There is no fixed number of laser sessions for treating melasma, as laser therapy is not typically the primary treatment for this skin condition. Melasma, characterized by brown or gray-brown patches on the skin, is often influenced by factors such as sun exposure, hormonal changes, and genetics. Given the variability in individual skin types and the underlying causes of melasma, treatment plans can vary significantly from person to person. Therefore, it’s crucial to consult a board-certified dermatologist, who can assess your situation and recommend the most appropriate, effective treatment options tailored to your needs. This may include a combination of therapies, such as topical treatments, chemical peels, or laser treatments, alongside preventive measures like sun protection.

Can laser treatment remove melasma?

Patients often wonder whether laser treatments can effectively remove melasma. Those with melasma must exercise extreme caution when considering laser treatments. Many lasers use heat to ablate pigmented lesions or stimulate collagen production. However, heat can inadvertently push pigmentation deeper into the skin, worsening the appearance of melasma. Individuals may even notice new melasma spots after undergoing laser treatment. Currently, the PicoWay, PicoSure, and fractionated non-ablative laser treatments are FDA-approved for the treatment of melasma. Nonetheless, it is crucial to consult a board-certified dermatologist, such as Dr. Green in NYC, before pursuing any laser treatments to ensure your melasma does not worsen.

Will melasma come back after laser?

Yes, melasma can recur after laser treatment. Laser therapies are effective at breaking up existing pigment and significantly improving the appearance of melasma, especially when discoloration is persistent or has not responded well to topical treatments alone. Melasma is a chronic skin condition characterized by abnormal pigmentation, and a variety of ongoing triggers can influence it. These triggers include prolonged sun exposure, heat, hormonal changes (such as those associated with pregnancy or hormonal contraceptives), and genetic predisposition to skin pigmentation. While laser treatment helps reduce the visible signs of melasma, it does not eliminate the skin’s inherent tendency to produce excess pigment. Therefore, there is a substantial risk of recurrence if individuals continue to encounter these triggers. To mitigate this risk, it is crucial to adopt a comprehensive skincare routine that includes diligent sun protection—such as wearing broad-spectrum sunscreen daily, even on cloudy days and in winter, and avoiding peak sun hours.

Additionally, a consistent maintenance routine may include topical medications—such as hydroquinone, tretinoin, or other skin-lightening agents—as well as gentle skincare practices that avoid skin irritation. Without these preventive measures, the likelihood of melasma recurrence increases significantly, potentially leading to frustration among affected individuals. Hence, ongoing vigilance and care are essential for long-term management of this condition.

Which laser treatment is best for melasma?

When considering laser options for treating melasma, it is crucial to recognize that treatment effectiveness depends more on the individual patient’s characteristics and needs than on the specific laser device used. Many patients report better, more consistent results with non-laser alternatives, such as chemical peels or prescription topical ointments that target hyperpigmentation. In fact, laser treatments can sometimes exacerbate the condition, leading to increased pigmentation. To determine the most appropriate course of action, a thorough evaluation by a board-certified dermatologist is essential. This assessment evaluates factors including the patient’s skin type, the specific pattern of melasma, and prior treatment responses. By understanding these elements, the dermatologist can make informed decisions about whether laser therapy is appropriate and how to integrate it safely into the patient’s overall treatment plan. This tailored approach ensures that patients receive the most effective care while minimizing the risk of complications.

How to get started with melasma treatments today

Melasma can develop at any stage of life due to various factors, including hormonal changes, sun exposure, and genetics, and can be frustrating. Fortunately, numerous non-invasive treatment options can effectively improve the appearance of pigmentation. Consulting an expert in cosmetic dermatology, such as Dr. Green in New York City, enables a thorough assessment of your skin type and condition. Dr. Green will work closely with you to develop a personalized treatment plan with minimal downtime, which may include topical agents and chemical peels, to promote healthier, more balanced-looking skin. With the right approach, you can regain your confidence and achieve a more radiant complexion.

Dr. Michele Green is an internationally renowned, board-certified dermatologist with over two and a half decades of experience providing her patients with the best non-invasive treatment options for melasma and other hyperpigmentation conditions, including the Cosmelan peel and microneedling. Dr. Green takes a holistic, less-is-more approach, creating customized skincare routines and treatment plans that address her patients’ unique concerns and aesthetic goals. She is consistently recognized by Castle Connolly, New York Magazine, Super Doctors, and The New York Times as one of New York’s best dermatologists for her dedication to her patients and expertise. To schedule a consultation with Dr. Green and begin treatment for your melasma, contact us online today or call our New York City-based dermatology office at 212-535-3088.