If you have melasma and live in Toronto, you’ve probably been told to try IPL. Stop. IPL can actually worsen melasma in some patients, especially Fitzpatrick III-VI skin types. Here’s why Aerolase is the better choice.
The fundamental difference
IPL (Intense Pulsed Light) uses a broad spectrum of light (515-1200nm). It treats multiple skin issues at once – redness, brown spots, texture. But the broad spectrum also means melanin in your skin (not just the spot you’re targeting) absorbs energy. For melasma specifically, this heat can rebound your pigmentation worse than before.
Aerolase Neo Elite uses a single 1064nm wavelength with an ultra-short 650-microsecond pulse. The pulse is so brief and the wavelength so deep that surrounding skin doesn’t heat up. Melasma cells get targeted without triggering the rebound response.
The melasma rebound problem
Melasma is hormonally driven and inflammation-sensitive. Anything that creates heat or irritation in your skin can trigger MORE pigment production over the following weeks. IPL is essentially a heat-based treatment. For melasma patients, this is the worst possible mechanism.
Why dermatologists are switching
Most reputable Toronto dermatologists have moved away from IPL for melasma over the last 5 years. Aerolase Neo Elite and tranexamic acid are the new standard of care for stubborn melasma.
What an Aerolase melasma protocol looks like
- Session length: 15-20 minutes per area
- Number of sessions: typically 4-6 spaced 3 weeks apart
- Downtime: zero. You can apply makeup the same day.
- Pain level: very mild. No numbing usually needed.
- Combined with: tranexamic acid (topical or oral) for maximum results
What IPL might still be useful for
If you have sun spots from photo-aging (NOT melasma), and you’re a Fitzpatrick I-II, IPL can still be a great option. For melasma specifically though, Aerolase wins.
Costs at our Toronto clinic
Aerolase melasma session: $250 for full face. Package of 4 sessions: $850. See our melasma treatment page for the full protocol.
FAQ
Will Aerolase clear my melasma completely?
Most patients see 60-80% reduction. Melasma is a chronic condition, so maintenance and sun protection are critical to prevent return.
Is Aerolase safe on darker skin?
Yes. FDA-cleared for Fitzpatrick I-VI. This is the main reason it’s preferred for melasma in Toronto’s diverse population.
Does insurance cover it?
Melasma treatment is considered cosmetic, so generally no.
Book a melasma consultation at Bar Beauty Medical Toronto. We’ll assess your skin and customize a protocol.