Melasma can present a complex challenge for both patients and dermatology clinicians, requiring a multimodal approach. Next Steps in Derm, in partnership with Pigmentary Disorders Exchange Symposium, interviewed Sandy Tsao, MD, FAAD, assistant professor of dermatology at Harvard Medical School. Watch as Dr. Tsao shares her procedural approach to treating melasma, including using lasers and other devices.

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In the interview, Dr. Tsao outlines which melasma patients make the best candidates for laser and device procedures. She details where lasers fit in the therapeutic framework, and the role of chemical peels. In addition, Dr. Tsao gives an update on advancements and best practices when using picosecond lasers and non-ablative fractionated lasers for melasma. Plus, Dr. Tsao advises pre-treatment regimens that can enhance laser efficacy and minimize risks like post-inflammatory hyperpigmentation.

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Navigating the journey to effectively treat melasma involves selecting the right patients, recognizing the potential risks associated with different treatments, and leveraging advancements in dermatological technologies. Dr. Tsao provides a comprehensive approach to managing this challenging condition with a balance of efficacy and safety.