Melasma: laser treatment to lighten patches and even out the skin
Melasma is a dermatological condition that affects many people, causing dark spots on the skin, primarily on the face. These spots, in addition to impacting aesthetics, can affect self-esteem and confidence for those who experience this condition. Fortunately, advancements in laser technology have made it possible to achieve a more effective and long-lasting treatment to reduce hyperpigmentation and even out skin tone.
At Atelier do Sorriso, located in the heart of the Algarve, we use the most advanced technologies for melasma treatment, combining two highly effective lasers:
- Fotona Laser – A state-of-the-art laser that works deep within the skin, fragmenting melanin deposits and stimulating cellular renewal.
- Fractional Erbium Laser – A technology that promotes skin resurfacing, removing pigmented cells from the surface layer and improving skin texture.
The combination of these technologies allows for superior and faster results, providing clearer, more even, and rejuvenated skin.
What is Melasma?
Melasma is a condition characterized by the appearance of dark spots on the skin, primarily on the face. These spots are usually symmetrical and appear on the cheeks, forehead, nose, and chin. Although they do not cause pain or physical discomfort, they can significantly impact self-esteem.
Causes of Melasma
Melasma occurs due to excessive production of melanin, the pigment responsible for skin color. Several factors can contribute to this overproduction, including:
Sun exposure
Ultraviolet (UV) radiation stimulates melanocytes, the cells that produce melanin, resulting in dark spots.
Hormonal changes
Pregnancy, oral contraceptives, and hormone therapies can trigger melasma.
Genetic predisposition
Individuals with a family history of melasma are more likely to develop the condition.
Use of certain medications
Some medications can make the skin more sensitive to sunlight, increasing the risk of melasma.
Risk Factors and Who is Most Affected
Melasma is more common in women, especially those with darker skin tones. People living in areas with high sun exposure, such as the Algarve, are also more susceptible. Additionally, individuals who use irritating cosmetic products or have a history of skin conditions may be at higher risk.
Conventional Treatments for Melasma
Before exploring the advantages of laser melasma treatment, it is important to understand the conventional options available. While these methods may be effective for some people, many patients seek more advanced and long-lasting alternatives.
Topical Creams
Topical creams are often the first line of treatment for melasma. They typically contain ingredients such as:
Hydroquinone
A depigmenting agent that reduces melanin production.
Kojic acid
A natural compound that inhibits melanin production.
Azelaic acid
An acid that helps lighten the skin and reduce inflammation.
Retinoids
Vitamin A derivatives that promote cell renewal and skin brightening.
Although these creams can lighten dark spots, results may be slow and variable. Additionally, prolonged use of some of these products can cause irritation and skin sensitivity.
Chemical Peels
Chemical peels use acids to exfoliate the skin’s surface layer, promoting cell renewal and lightening dark spots. The most common acids include:
- Glycolic acid
- Salicylic acid
- Trichloroacetic acid (TCA)
Peels can be effective, but they also pose risks of irritation, redness, and peeling. Furthermore, results may not be permanent, requiring repeated treatments.
Other Dermatological Treatments
Other options include:
- Microdermabrasion: A procedure that uses fine crystals to exfoliate the skin.
- Intense Pulsed Light (IPL) therapy: Uses light to treat dark spots.
While these treatments may provide improvements, many patients report that dark spots return over time, especially if strict sun protection measures are not followed.
Want to know if this treatment is right for you? Book an assessment.
Laser Melasma Treatments Before & After

Fotona Laser: Advanced Technology for Melasma Treatment
At Atelier do Sorriso, we also use the Fotona Laser, a state-of-the-art technology that delivers highly effective results in lightening melasma spots. Fotona combines different laser types to penetrate deep into the skin, fragmenting melanin and stimulating cellular regeneration without damaging the skin’s surface.
How Does Fotona Laser Work for Melasma Treatment?
The Fotona Laser works in two primary ways:
- Nd:YAG (Neodymium:YAG) – Penetrates deep into the skin, directly targeting melanocytes and breaking down melanin deposits responsible for dark spots.
- Er:YAG (Erbium:YAG) – Works on the renewal of the skin’s surface layer, removing pigmented cells and stimulating collagen production for a more even skin tone.
Fractional Erbium Laser: Skin Lightening and Renewal
To enhance the results of melasma treatment, the Fractional Erbium Laser is one of the most effective technologies used at Atelier do Sorriso. This laser precisely removes the outer skin layers, promoting cellular renewal and stimulating collagen production.
How Does the Fractional Erbium Laser Work for Melasma Treatment?
The Fractional Erbium Laser operates in a controlled manner, fragmenting melanin deposits responsible for dark spots while simultaneously promoting a resurfacing effect on the skin. This process improves texture, evens skin tone, and progressively reduces hyperpigmentation.
The laser melasma treatment has gained popularity due to its effectiveness and long-lasting results.
At Atelier do Sorriso, we use cutting-edge laser technology that offers significant benefits compared to conventional treatments.
Benefits of Melasma Laser Treatment with Fotona

The combination of Fotona Laser and Fractional Erbium Laser technologies provides an advanced and highly effective treatment for melasma. These lasers work on different layers of the skin, delivering fast, safe, and long-lasting results.
Fast and progressive results
Many patients notice significant improvements after just a few sessions, with visible reduction of dark spots and a more even skin tone.
Lower risk of irritation
Unlike chemical peels and depigmenting creams, laser treatment minimizes the risk of irritation and skin sensitivity.
Dual and precise treatment
The Fotona Laser (Nd:YAG) penetrates deeply to break down melanin, while the Fractional Erbium Laser creates a resurfacing effect, eliminating pigmented cells on the skin’s surface.
Long-lasting results
With proper care, the effects of laser treatment can be maintained over time, reducing the recurrence of dark spots.
Collagen stimulation and cellular renewal
In addition to lightening melasma, the treatment improves skin texture and firmness, providing a more youthful appearance.
At Atelier do Sorriso, we customize each treatment protocol according to the specific needs of our patients, ensuring a safe and effective procedure to restore the skin’s natural beauty.
Post-Treatment Care for Melasma in Algarve
To ensure long-lasting results from laser melasma treatment and allow the skin to recover properly, it is essential to follow some post-treatment recommendations:
Sun Protection
Use a broad-spectrum sunscreen with SPF 50+ daily. Sun exposure can worsen melasma and compromise treatment results.
Hydration
Keep your skin well-hydrated with creams suitable for your skin type. Hydration aids recovery and maintains healthy skin.
Avoid Irritating Products
Refrain from using products containing alcohol, strong fragrances, or other irritating ingredients that may sensitize the skin.
Follow-Up Consultations
Schedule regular check-ups with your dermatologist to monitor treatment progress and make adjustments if necessary.
Frequently Asked Questions About Laser Treatment for Melasma
Is laser melasma treatment painful?
Laser melasma treatment with Fotona is generally well tolerated by patients. The integrated cooling system helps minimize discomfort during the procedure. However, sensitivity may vary from person to person.
How many sessions are needed to see results?
The number of sessions required may vary depending on the severity of melasma and the individual response to treatment. On average, 3 to 5 sessions are recommended to achieve significant results.
Is laser treatment safe for all skin types?
Yes, Fotona laser melasma treatment is safe for all skin types. However, it is important to undergo an initial assessment with a dermatologist to determine the best approach for your specific case.
Related treatments
Book a Consultation in the Algarve
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Atelier do Sorriso:
Laser Melasma Treatment in the Algarve
Melasma causes dark patches that are hard to treat with creams alone. At Atelier do Sorriso we combine Fotona and fractional Erbium laser technology with suitable aftercare.
Pigmentation Diagnosis
We assess the causes and risk factors of melasma in each skin.
Fotona Laser
Advanced technology to act on pigmentation.
Fractional Erbium
Renews the skin and helps lighten the patches.
Alternative to Creams
An option when creams and peels are not enough.
Aftercare
Sun protection and home care help maintain the results.
Qualified Professionals
Treatment planned by professionals experienced in laser.
Photos of our clinic in Almancil, Algarve, where we treat melasma with a laser:
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Sile Harty28/10/2026Trustindex verifica se a fonte original da avaliação é Google.
I have been attending the clinic since 2024. Very friendly, professional and English speaking staff. I would highly recommend.Publicado em Google
Arthur Williams26/10/2026Trustindex verifica se a fonte original da avaliação é Google.
Excellent service Speak many languages I am very happy with service and high recommend this clinic And Celine is excellent on receptionPublicado em Google
Emmanuelle Guerreiro Guerreiro26/10/2026Trustindex verifica se a fonte original da avaliação é Google.
Excelente atendimento e excelente tratamento.Publicado em Google
Jan-Gerd van Senden25/10/2026Trustindex verifica se a fonte original da avaliação é Google.
Prettige tandartsPublicado em Google
Beatriz Santos23/10/2026Trustindex verifica se a fonte original da avaliação é Google.
Óptimo atendimento. Muitos profissionais. Procedimentos muito cuidadosos. Nada de dor associada! Agradeço em especial à Dra. Adriana e Dra. Marília 😊Publicado em Google
franck samouillan22/10/2026Trustindex verifica se a fonte original da avaliação é Google.
L’atelier do Sorriso ont une équipe médicale très professionnelle est compétente ainsi que l’équipe d’accueil très réactive











