Laser toning is a safe and effective treatment in the management of melasma. Combination therapies including laser toning and topicals often produce satisfactory responses. It is considered as a third-line option in the management of melasma in those patients who failed to respond adequately to trial of medicines and peels. A careful watch should be kept on side effects such as mottled hypopigmentation.
Laser toning can be combined with various other topical or physical treatment modalities to obtain better efficacy and to increase the safety of treatment by minimizing complications.
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