Background and Aims
Melasma is a treatment-resistant and acquired pigmentary facial skin condition of uncertain etiology particularly prevalent in the older Asian female. Traditional bleaching agents have offered some success. Intense pulsed light (IPL), fractionated non-ablative and more recently ablative laser technology have also been used, but were associated with postoperative hyper-pigmentation in the Asian skin. The present study examined theconsecutive application of 2 modes of the 1064 nm Nd:YAG laser in the dual toning process.