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Request An AppointmentMelasma is a frustrating and persistent skin condition that causes dark patches—usually on the face—and can significantly impact confidence and self-esteem. If you’ve tried everything from topical creams to chemical peels with little success, you’re not alone. One of the more promising breakthroughs in skin treatments is Fraxel laser therapy. The question is does Fraxel for melasma actually work.
In this blog, we’ll explore how Fraxel Dual Laser targets stubborn pigmentation and whether it could be the right solution for your skin.
Fraxel Laser Treatment
Fraxel is a non-invasive, FDA-approved laser therapy designed to treat skin concerns like hyperpigmentation, melasma, and signs of aging. Unlike traditional lasers, Fraxel uses fractional laser technology, which means only a fraction of the skin is treated at a time, leaving surrounding tissue untouched.
Key Benefits of Fraxel Laser:
- Stimulates collagen and elastin production
- Targets specific areas of pigmentation
- Minimal downtime compared to other laser treatments
- Effective for melasma, sunspots, acne scars, and fine lines
The treatment creates microthermal zones—tiny columns of heat—that encourage the skin to heal itself naturally. This precision allows Fraxel to address melasma without harming the surrounding skin.
How Fraxel Targets Melasma
Melasma is notoriously difficult to treat due to its deep pigmentation and hormonal triggers. Fraxel for melasma stands out because of its dual wavelength technology:
Dual Wavelengths Explained:
- 1550 nm wavelength: Penetrates deeper to treat dermal melasma and stimulate collagen.
- 1927 nm wavelength: Focuses on epidermal pigmentation, removing surface-level discoloration.
This two-pronged approach treats melasma at multiple skin depths, which leads to more comprehensive and longer-lasting results.
Clinical Insight:
Studies reveal that 75% of patients experience noticeable improvement in melasma after 3 to 5 Fraxel sessions on the face,
Real Results: Patient Testimonials
“After three sessions of Fraxel, my dark patches from melasma lightened significantly.” — Maria, 42, NYC
“Creams and peels didn’t work for me. Fraxel laser gave me the results I was looking for—with minimal downtime.” — James, 36
On platforms like RealSelf, 66% of patients rated Fraxel as ‘WORTH IT’ for melasma as of July 2025.
However, results can vary. Some users have experienced post-inflammatory hyperpigmentation (PIH) or uneven skin tone, particularly those with darker skin types.
What to Expect During a Fraxel Treatment
1. Pre-Treatment Consultation
- Your Dermatologist assesses skin type, melasma severity, and medical history
- A custom treatment plan is created with the number of sessions discussed
2. During the Procedure
- Topical numbing cream is applied
- Treatment takes 20–40 minutes
- Feels like a warm, tingling sensation
- ice is used after to cool the area
3. Post-Treatment Care
- Redness and swelling may last 3–5 days
- Avoid sun exposure and daily use of SPF 30+ sunscreen (UV rays stimulate pigment)
- Use of gentle moisturizers to support skin recovery
- Kojic acid, niacinamide, hydroquinone, azelaic acid, Vit C and retinoids may be used.
- Sun-protective clothing and hats may be required to minimize sunlight.
- Makeup may be worn
- Maintenance treatments may be needed to prevent further pigment production and recurrence.
Potential Side Effects of Fraxel for Melasma
| Side Effect | Severity | Duration |
|---|---|---|
| Redness & Swelling | Mild | 2–5 days |
| Peeling/Flaking | Moderate | Up to 7 days |
| PIH (in darker skin tones) | Rare but possible | Weeks to months |
To minimize risks:
- Choose an experienced physician who has experience with these procedures like Dr. Jaliman.
- Follow all aftercare guidelines for complete healing of the epidermis and rejuvenation,
- Discuss any history of skin sensitivity or pigmentation changes
- Discuss birth control pills and other prescription medications you use
- Discuss all noninvasive treatment options for melasma and dark spots
- Discuss potential complications
Fraxel vs. Other Melasma Treatment
| Treatment | Effectiveness on Melasma | Downtime | Risk of Irritation |
|---|---|---|---|
| Fraxel Laser | High | Low | Minimal (if done properly) |
| Chemical Peels | Moderate | High | High (especially for sensitive skin) |
| IPL Therapy | Low–Moderate | Very Low | Low |
Fraxel stands out for its ability to treat both superficial and deep melasma, delivering results with less downtime and fewer risks compared to aggressive peels.
Fraxel Right for Your Skin Type and Complexion
Best Candidates:
- Fitzpatrick skin types I–III
- Epidermal melasma (superficial pigmentation)
- Those who have not responded to creams or peels
Caution For:
- Fitzpatrick skin types IV–VI (higher risk of PIH)
- Individuals prone to keloids or scarring
- Patients not willing to commit to multiple sessions or understand the healing process
Tip:
Always consult with a board-certified dermatologist to evaluate if Fraxel for melasma is the best choice for your skin type and condition. This procedure can not be done during pregnancy.
The Number of Fraxel Sessions Needed for Melasma
Typically, 3 to 5 Fraxel sessions, spaced 4 to 6 weeks apart, are required for noticeable results. Most patients report:
- Reduction in dark patches after the 2nd or 3rd session depending upon the depth
- Up to 70% improvement in pigmentation over a full series
Fraxel for Melasma
Fraxel can lighten melasma, but maintenance is often needed.
Not always. Melasma is chronic and may return because of constant melanin production. However, Fraxel offers long-term improvement with a combination of good skincare products and sun protection. Careful management of melasma pigmentation is key.
What Fraxel Feels Like During Treatment
Most patients report mild discomfort, similar to a sunburn, thanks to a numbing cream applied pre-treatment. A Zimmer Chiller is also used to provide cold air and make the procedure more comfortable.
Fraxel can worsen pigmentation in certain skin types.
Yes, particularly in sensitive or darker skin tones, due to a risk of post-inflammatory hyperpigmentation. This can be minimized with proper care and expert guidance and protection from UV exposure.
Final Thoughts: Fraxel could be an option for Melasma
If you’re dealing with persistent melasma and haven’t seen results from conventional treatments, Fraxel Dual Laser might be the next step toward clearer, more even-toned skin. While no solution is perfect, Fraxel offers one of the most effective treatments currently available—especially when tailored to your skin type and needs.
Learn More or Book a Consultation
Ready to take control of your melasma? Visit NYC Dermatologist Dr. Debra Jaliman or call to learn more about Fraxel treatments or schedule your personalized consultation with a laser specialist.
