Study of Acid Peel and Laser for the Treatment of 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.