Pigmentation concerns range from isolated brown spots to melasma — and those two things require meaningfully different approaches. Isolated spots from sun exposure or post-inflammatory marks respond well to targeted laser energy.

Melasma is more complicated: it's hormonally influenced, prone to recurrence, and can worsen with aggressive treatment if the skin is overstimulated. Dr. Martin takes a deliberately conservative, progressive approach to melasma — the goal is steady reduction without triggering a rebound, which is a real risk if the treatment is too intense too soon. The Spectra MDF and Hollywood Spectra platforms use Q-switched Nd:YAG energy to shatter melanin deposits selectively, scheduled as a series rather than a single aggressive session. The Lase MD Ultra gently exfoliates the superficial layers where much of the discoloration lives and also supports the delivery of topical brightening agents into the skin post-treatment. For patients with photodamage alongside pigmentation, the Sciton Halo Tribrid addresses both in one session. Patients with melasma hear directly from Dr. Martin that ongoing sun protection and maintenance treatments are part of any realistic plan — because the condition is managed, not cured.