Melasma presents unique challenges that require experience, restraint, and a long-term strategy. At Roy Geronemus, M.D., we approach melasma with physician-guided care designed to manage pigment concerns safely and responsibly. We use a variety of lasers to improve the condition of your skin with little downtime.
Melasma often behaves differently than other forms of discoloration, requiring a careful evaluation and tailored treatment.
Pigment concentrated in the superficial skin layers.
Deeper pigment that responds more gradually to treatment.
Combination pigment patterns across multiple skin layers.
Pigment irregularities influenced by pregnancy, hormones, or medications.
Pigment concentrated in the superficial skin layers.
Deeper pigment that responds more gradually to treatment.
Combination pigment patterns across multiple skin layers.
Pigment irregularities influenced by pregnancy, hormones, or medications.
We focus on pigment depth, skin type, and skin structure to design responsible treatment plans that support long-term management.
Targets pigment concerns gently to reduce the risk of rebound darkening.
Treats deeper pigmentation irregularities safely across a range of skin tones.
Improves overall skin quality while addressing surface hyperpigmentation.
Enhances tone consistency with controlled energy delivery.
Precision broadband light for powerful skin correction.
450 +
Publications on dermatology, including hundreds on laser treatment.
30 +
Years of experience with laser technology.
10000 +
Laser skin resurfacing treatments delivered.
With over 450 publications and a leading role in developing many of today’s laser devices and related technologies, Dr. Roy Geronemus offers a level of expertise rarely found in cosmetic dermatology and birthmark treatments. Dr. G performs all procedures, safely combining laser, injectable, and energy-based treatments when clinically appropriate.
Melasma differs from other pigment conditions because it responds to a combination of internal and external triggers. Unlike sun spots, melasma often extends deeper into the skin and covers broader areas, which makes evaluation and long-term management more complex.
Effective melasma treatment in NYC begins with understanding these layered contributors rather than treating pigment on the surface alone.
Dr. Geronemus’s technique can help melasma, however, it is true that use of the wrong device can exacerbate melasma. Careful technology selection and controlled energy delivery help reduce risk and support safer outcomes from melasma treatment in NYC.
Yes. Dr. Geronemus uses laser systems designed to treat pigment while protecting the surrounding skin, which proves especially important for melanin-rich skin types. This approach reduces the risk of post-treatment discoloration.
No, melasma does not have a permanent cure, but expert-guided care can manage it effectively. Treatment focuses on reducing visible discoloration, stabilizing skin behavior, and minimizing recurrence. With proper maintenance, many patients experience long-term improvement following melasma treatment in NYC.
Downtime varies based on treatment selection. Some options allow patients to immediately return to daily activities, while others involve redness, flaking, or planned recovery. We review expectations before treatment, so you can plan appropriately.
Long-term control requires consistent sun protection, heat management, and adherence to maintenance care. Dr. Geronemus also recommends periodic evaluations and ongoing skincare to help minimize recurrence and support lasting results.
