When it comes to laser and energy-based procedures, patients with melasma or a history of hyperpigmentation often worry about whether heat-based devices can make their condition worse. This is an important and valid concern — because the wrong device, wrong settings, or improper pre- and post-care can trigger pigmentation in sensitive skin types.
At PFRANKMD, our treatment philosophy centers on safety, education, and precision. Melasma requires a completely different approach than other pigmentation issues. Heat can sometimes stimulate pigment-producing cells, which is why understanding when — and how — to use energy-based devices is essential.
With advancements in modern non-ablative laser technology, including the Miria laser, our providers can safely and effectively treat skin concerns while minimizing the risk of flare-ups. These devices offer improved energy control, enhanced cooling, and more predictable outcomes, making them suitable for many patients who previously had limited options.
Our approach to treating melasma and hyperpigmentation includes:
– Thorough pre-treatment evaluation to determine melasma type and triggers
– Customized treatment planning based on skin tone, sensitivity, and severity
– Safe device selection, prioritizing non-ablative and low-risk modalities
– Strict preventative protocols, including pigment-suppression skincare
– Targeted post-care routines to stabilize melanocytes and prevent rebound pigmentation
With the right technology, the right provider, and the right treatment plan, many patients can safely undergo procedures such as Miria, gentle resurfacing, and combination therapies without exacerbating melasma.
PFRANKMD is a premier aesthetic and longevity healthcare brand founded by Dr. Paul Jarrod Frank, located in New York City, with a state-of-the-art surgical facility and a full scope of dermatology providers at our flagship Upper East Side office on 8th Street between Fifth and Madison Avenues. Our team bridges the gap between aesthetic medicine and whole-body health, offering science-backed, customized treatments in skin rejuvenation, body sculpting, regenerative medicine, and metabolic optimization.
To learn more about safe, effective melasma and hyperpigmentation treatment options, visit pfrankmd.com or call (212) 327-2919 to schedule a consultation.
How to Treat Melasma Safely with Heat-Based Devices | NYC Dermatology