Dermatology Melasma Treatment, Laser Toning Methods Varying by Skin Condition | [Yonsei Star Dermatology Sinchon]

When dark spots appear on the cheekbones every time you look in the mirror, most people immediately seek out laser treatments. However, melasma is not just a single problem of deepened pigment. Depending on the depth of the pigment and how much stimulation the skin can tolerate, the same laser must be used in entirely different ways.

One of the most common misconceptions in melasma treatment is that higher energy will yield faster results.

For skin where pigment repeatedly surfaces, the treatment process itself can be a source of irritation. Dry or sensitive skin may experience prolonged redness from the same laser application, and that irritation can, in turn, trigger more pigment. This means that healthy skin and sensitive skin react differently.

Therefore, in the clinic, after first checking the pattern of the pigment and the day's skin condition, we determine the type of laser, the application method, and the energy level. If the order is reversed, the treatment may be prolonged.

The causes of melasma are not singular. It appears due to a combination of UV exposure, aging, and hormonal changes, affecting a wide range of age groups. Since the causes and skin conditions vary, equipment has also diversified accordingly.

Recently, PicoWay Laser, which shortens the irradiation time, has been widely used for pigment treatment, and derivative devices continue to increase. As the names have grown, it is more practical to consider what suits your pigment rather than what is best.

When considering pigment and skin texture together — Gold-Diamond Toning

It is not uncommon for individuals with melasma to also have uneven skin tone or rough texture. Gold-Diamond Toning is based on laser toning and aims to address both pigment and skin texture, reducing situations where only the pigment fades while the skin texture remains unchanged.

When irritation is a concern — Cool Shot Toning

There are cases where one wants to receive toning but is concerned about heat or redness. Cool Shot Toning considers reducing the burden of heat and irritation on the skin during the procedure.

If your skin tends to dry out or redden easily after a laser treatment, it means there is an option to change the method itself, not just reduce the intensity.

Even after melasma treatment, it can reappear due to UV exposure, hormonal changes, and daily irritations. For this reason, melasma is less of a one-time treatment and more of a condition that requires ongoing management.

Before the procedure, it is important to check the pigment condition and the skin's sensitivity and dryness. After the procedure, consistently applying sunscreen and moisturizing is closer to maintaining the results.

From general laser toning to Pico toning, Gold-Diamond Toning, and Cool Shot Toning, the options have expanded. Therefore, rather than choosing a device name first, it is better to first ascertain the depth of your pigment and what your skin can tolerate. We recommend checking the toning method suitable for your skin through consultation.

Author · Dr. Jinmoon Kang / Dermatologist Dr. Jinmoon Kang is the chief director of Yonsei Star Dermatology Sinchon and has extensive experience in pigment and laser treatments. He graduated from Yonsei University College of Medicine, completed his residency in dermatology at Severance Hospital, served as a professor at Bundang CHA Hospital, and currently holds an adjunct professorship in the Department of Dermatology at Yonsei University College of Medicine. Detailed credentials can be found in his medical staff profile. · Last reviewed August 24, 2026

This article is intended to provide general medical information, and treatment methods and results may vary depending on the type of melasma and individual skin condition. Please consult a dermatologist for an accurate diagnosis and treatment plan.