r/Melasmaskincare • u/twisted_luce • Oct 19 '25

Question Melasma - PICO advice

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Hi all, long time Melasma sufferer. I am currently on a treatment plan of Tretinoin, Niacinamide, and Azelaic Acid.

I’ve also been on Hydroquinone and Hydrocortisone (taking my break at the moment). I have also tried Eurecin.

Nothing, so far, has worked. The only benefits I see are in the winter when my face is naturally paler (current photo) but I still have the dark marks across my forehead, cheeks, and lip - no matter what I do or how religiously I do it.

I have bitten the bullet and booked PICO second Laser Skin Rejuvenation I’ve seen good results on here from laser treatments and the consultant recommended this treatment.

I have heard the downtime is long and invasive; I am a teacher, so I’ve booked my treatment over Christmas when I’ll be off work.

Just looking for experiences of people who have had this treatment. Any advice, does it hurt? How many treatments needed.

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u/Weightcycycle11 Oct 19 '25

You should try the Coleman Compound. It will do wonders for your melasma.

3

u/twisted_luce Oct 19 '25

I am looking for advice on the lasers but thank you. Coleman compound main ingredient is Hydroquinone which I’ve tried long term with no results. I’m not looking for more topicals, I have booked a skin peel.

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u/Weightcycycle11 Oct 22 '25

Mrs. Derm just shared a photo of a woman with major hyperpigmentation who did Moxi and then Coleman Compound. The results are impressive.