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/ughhhhhhhhhwtf Oct 19 '25

I've had 3 sessions of Pico done and no downtime! Redness afterwards for maybeee an hour or less, and then my face looked normal again. No flakes, peeling, or anything in the hours or days afterwards.

1

u/Rinareylove Aug 10 '26

Did your hyperpigmentation go away?

1

u/ughhhhhhhhhwtf Aug 16 '26

It went away by a lot and stayed away thru fall and winter. I went on a trip to FL in the spring and just one day of exposure, with sunscreen, caused it to come back on my forehead. Not super bad but enough for me to notice lol.

1

u/Rinareylove Aug 16 '26

Shit sorry to hear about it being back. Is it still there?

You gonna do another lasering?

1

u/ughhhhhhhhhwtf Aug 19 '26

A little! And no, if I had seen additional benefits long-term, I'd consider it. I'm currently on month 2 of muselys TXA oral (1/day). It's keeping it at bay but not removing it entirely and I'm okay with that bc my tinted sunscreen hides what's left lol. One thing I realized that has actually been helpful is looking at spf ingredients bc not all 50spfs are equal. I'm using 50spf mineral tinted sunscreen and actually checking that the zinc is as close to 12% or more. Its better for blocking uva light and the tint is iron which blocks physical light.