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Laser Toning

Low-fluence Q-switched for gradual melasma improvement

Duration
20-30 min
Downtime
0 days
Sessions
8-10 sessions (2-4 wk intervals)

About This Treatment

Laser toning uses 1064nm Q-switched laser at low fluence (1-3J/cm²) in multiple passes to gradually improve refractory melasma. Shorter pulse width than traditional nanosecond lasers enables fine melanin shattering with minimal collateral tissue damage.

Multi-pass gradual approach reduces irritant dermatitis risk while clearing pigment—preferred for Asian skin types due to lower PIH risk.

Mechanism of Action

1064nm wavelength selectively absorbed by deep melanin; low-fluence multiple pulses gradually shatter pigment. Inter-treatment intervals (2-4 weeks) allow natural wound healing, reducing inflammation while promoting pigment clearance. Efficient macrophage melanin phagocytosis minimizes PIH risk.

Indications

Pigmentation / dullness

Expected Results

60-80% melasma improvement expected after 8-10 sessions. Gradual improvement visible 2-4 weeks post-treatment. Results are durable; maintenance every 3-6 months.

Clinical Evidence

Polnikorn N (2008)
Treatment of melasma by selective photothermolysis using a ruby laser. J Cosmet Laser Ther
Clinical improvement was reported in this study (see original paper for details).
Kim TH, Park KC (2012)
Low-fluence Q-switched 1064 nm laser for melasma management. Dermatol Surg
Clinical improvement was reported in this study (see original paper for details).

Risks & Side Effects

Transient redness (hours), mild swelling. Rare aesthetic PIH. Proper fluence settings and post-care sun protection essential.

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