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J Cutan Aesthet Surg. 2019 Apr-Jun;12(2):76-84. doi: 10.4103/JCAS.JCAS_179_18.

Laser Toning in Melasma.

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Department of Dermatology, Ashwini Ruaral Medical college, Solapur, Maharashtra, India.
Consultant Dermatologist, Dr. J W Aurangabadkar New Skin clinic, Hyderabad, Telangana, India.


Melasma is a common acquired disorder of hyperpigmentation. A variety of treatment options has been suggested for the management of melasma. A range of different lasers had been tried in the treatment of melasma. Q-switched Nd-YAG laser (QSL) is the most commonly used laser in the treatment of melasma. Recently, laser toning or low-fluence, multi-pass technique has become popular in treatment of melasma. Authors aimed to review the procedure, its effectiveness, combination therapies using laser toning, and complications of laser toning. A PubMed search was made using keywords such as laser toning, QSL, melasma, and lasers in melasma, and relevant articles were reviewed.


Laser toning; Laser toning is a safe and effective treatment in the management of melasma. Combination therapies including laser toning and topicals often produce satisfactory responses. It is considered as a third-line option in the management of melasma in those patients who failed to respond adequately to trial of medicines and peels. A careful watch should be kept on side effects such as mottled hypopigmentation.; Q-switched Nd:YAG laser; melasma

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