Title : Clinical, Dermoscopic and Histopathological Evaluation of Fractional Ablative Erbium: YAG Laser in Treatment of Melasma

Melasma is a common hyperpigmented lesion that affects mainly females. The treatment options of melasma, including topically applied agents and the use of various laser systems as fractional ablative Erbium: YAG laser. This study aims to evaluate fractional ablative erbium: YAG Laser in the treatment of melasma. The present study included 15 patients with melasma on their face aged 21-51 years. The patients were treated by fractional erbium YAG laser at 4 weeks interval. The percentage of improvement in patients treated by fractional erbium YAG laser was 25 – 80%. There was significant decrease in melanin content and vascular content shown by histopathological examination and dermoscopy. Fractional erbium YAG is effective and safe in treatment of melasma.