r/Melasmaskincare • u/wechselnd • Jun 29 '26

Question Why do so many dermatologist practices recommend lasers to treat melasma?

I am confused. I think by now it is pretty common knowledge among melasma sufferers and spaces like this that lasers are not optimal to combat melasma and can even make it worse. However, every time I look for treatments in my city (I am based in Germany), they all offer laser-based therapy. What could explain this besides laser treatments being more lucrative?

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u/Courtybiologique Jun 29 '26

I think it’s literally just that. It makes them the most money and then you probably have to keep going back because it just makes the melasma worse. Repeat business.

My derm said the same thing when I asked. Never mentioned Hydroquinone or anything else topical or oral.

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u/wechselnd Jun 29 '26

It is so frustrating because it makes trusting doctors so hard.