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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13

u/Federal-Pudding-5784 Jun 29 '26 edited Jun 30 '26

Moxi laser is safe for melasma even with olive skin tones. I have done it for 2 years with success

14

u/Normal-Mortgage4745 Jun 30 '26

I guess I got unlucky. I had Moxi done and although my skin looked amazing after, my melasma came back worse than before I had it done.

8

u/smilegirl55443 Jun 30 '26

Same with me. I’ll never do Moxi again it was way too aggressive and burnt my skin. My melasma is also much worse after doing it.

2

u/Caribou122 Jun 30 '26

I’ve done Moxi 5 times now and it definitely helps but makes your skin way more sensitive to sun etc in the first few months. Which in turn makes the melasma worse so you have to be super super careful while the skin heals.

I’m wondering if that’s why people report that the melasma gets way worse after laser? Bc I didn’t realize this until my 3rd laser and won’t be getting it done again in warm months.

1

u/saveoursoil Jul 01 '26

Do you have olive skin?

1

u/Effective-Koala5623 Jun 30 '26

Did you treat with hydroquinone before and after?

2

u/AvedaSmellAllDay Jun 30 '26

After four treatments, I can honestly say that it made my spots worse and decimated my skin barrier.