Skin & dermatology

Laser toning

Low-fluence Q-switched Nd:YAG laser · 1064 nm laser toning · QS Nd:YAG toning

At a glance

Recovery
0–1days
Pain
Mild
Sessions
About 10 sessions
Type
Non-surgical

Sessions are spaced apart, so on a short trip you may only get one.

What it is

Repeated passes of a 1064 nm Q-switched Nd:YAG laser at low energy across the face. It is widely used in Asia for melasma and uneven pigment. A 2022 systematic review of 42 studies found it generally effective for melasma, but results vary and some studies report pigment returning within about three months after treatment ends.

Who it’s for

People with melasma or diffuse uneven pigment who can commit to a series of visits. The American Academy of Dermatology describes laser and light treatments as add-ons for people already using prescribed skin medication and daily sun protection.

How it’s done

Makeup is removed and the eyes are covered. The laser is passed over the treatment area several times at low energy, then sunscreen is applied.

Why we don’t list a price

What to get in writing

Recovery

Little or no downtime; mild redness usually settles within a day. Results build gradually over a series of sessions. In one study of Korean patients, the median course was 10 sessions about one week apart.

Risks and side effects

  • Mottled hypopigmentation (white spots) that can persist, linked to high cumulative laser energy
  • Rebound darkening (hyperpigmentation) from inflammation, especially with aggressive settings or darker skin
  • Melasma returning after the course ends
  • Temporary redness after each session

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Aftercare

  • Use broad-spectrum sunscreen (SPF 30 or higher) every day and reapply outdoors
  • Keep using the skin-care plan your dermatologist prescribed between sessions
  • Tell the clinic promptly if new white or darker patches appear

Questions people ask

Does laser toning remove melasma permanently?

No. Reviews report improvement, but also recurrence after treatment stops. Most plans include long-term sun protection and maintenance.

How many sessions are usually needed?

Protocols vary. In one study of Korean patients, the median was 10 sessions about one week apart. Ask for the planned number and the total price before starting.

Can it make pigment worse?

Yes. A 2022 systematic review reported rebound hyperpigmentation with aggressive settings, especially in darker skin, and persistent white spots linked to high cumulative energy.

Sources

Facts on this page come from medical societies, public agencies and medical journals.

  1. pubmed.ncbi.nlm.nih.gov/35888655(opens in a new tab)
  2. pubmed.ncbi.nlm.nih.gov/30280474(opens in a new tab)
  3. aad.org/public/diseases/a-z/melasma-treatment(opens in a new tab)

This is general information, not medical advice, and we don’t refer you to any clinic. We don’t list clinic names, reviews or rankings. Unnie Note is an independent publication with no ties to any clinic or booking service.

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