The purpose of this study is to determine the efficacy of light treatment and laser treatment for melasma. These treatment options have not been thoroughly explored in the treatment of melasma. By studying the effect of different treatments, a better treatment plan may be developed for people with melasma.

The objective of this study is to determine the efficacy of light treatment and laser treatment for melasma. These treatment options have not been thoroughly explored in the treatment of melasma. By studying the effect of different treatments, a better treatment plan may be developed for people with melasma.

Inclusion Criteria:

• Diagnosis of melasma lesion measuring at least 4 square centimeters.
• Age 18-75 years.
• Good health.
• Willingness and ability to understand and provide informed consent for participation in the study.
• Ability to communicate with the investigator.
• Must be willing to forgo other treatment options for melasma during the course of the study.

Exclusion Criteria:

• Inability to understand the protocol or to give informed consent.
• Mental illness.
• Under 18 years of age and over 75 years of age.
• Laser treatment in the last 6 months before enrollment.
• Isotretinoin within the past year.
• Lidocaine allergy.
• History of herpes simplex viral infection.
• Concurrent active disease to facial area (i.e acne).
• Bleeding disorder.
• History of abnormal wound healing.
• History of abnormal scarring.