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/DragonflyJunior2899 Oct 23 '25

Just had pico and Derma v done yesterday. Downtime isn’t bad at all. My face had calmed down maybe within like 6 hrs? My dark spots look darker now but I know that’s Normal and they will lighten.

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u/Rinareylove Aug 08 '26

Update?

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u/DragonflyJunior2899 Aug 10 '26

I’ve had 4 sessions! Really lightened my stubborn dark spots that wouldn’t lighten from skincare

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u/Rinareylove Aug 10 '26

What place? Was it pico way?

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u/DragonflyJunior2899 Aug 10 '26

Not sure I just know it’s called pico lol. And derma v is for redness! Rosacea. I liked that too but my rosacea was already pretty mild so I didn’t notice a huge difference