Pigmentation & Melasma Treatment in Burnaby
Restore clarity. Break the cycle of pigment.
Pigmentation is excess or unevenly distributed melanin, triggered by UV, hormones, inflammation and sometimes blood-vessel changes. At Skin Art MD in Burnaby, BC, a physician-guided plan may combine PicoSure picosecond laser for surface pigment with Sylfirm X RF microneedling for stubborn melasma, plus strict sun protection. Melasma is chronic and can return.
- 2–6
- Typical PicoSure sessions, about 4–6 weeks apart
- Same Day
- Most people resume normal activities; redness usually settles within hours to a few days
- Daily SPF
- Melasma can return, so sun protection continues after treatment
- 2–6
- Typical PicoSure sessions, about 4–6 weeks apart
- Same Day
- Most people resume normal activities; redness usually settles within hours to a few days
- Daily SPF
- Melasma can return, so sun protection continues after treatment
What Type Is It?
Correct diagnosis is critical. Treating Melasma like a standard Sun Spot can lead to rebound. Which type matches your skin?
Unsure? VISIA skin analysis can help show pigment and redness below the surface before the physician plans your treatment.
Why Does Pigmentation Happen?
Pigmentation isn't just one thing; it ranges from simple sun damage to complex hormonal conditions like Melasma.
UV & Heat Activation
Sun exposure and heat trigger melanocytes to produce pigment as a defense mechanism. This causes sun spots and can worsen melasma.
Hormonal Triggers
Pregnancy, birth control, and hormonal therapy can trigger Melasma. This is often deeper and more recalcitrant than sun spots.
Vascular Feeding
Abnormal blood vessels can 'feed' pigmentation, especially melasma, making it return even after successful laser treatments.
Basement Membrane Damage
A leaky skin foundation allows pigment to sink into the deeper dermis, where it becomes much harder to treat.
How Is Pigmentation Treated at Skin Art MD?
Treatment depends on the type of pigment: fragment what is already there, calm the triggers underneath, and protect against recurrence.
Skin Art MD pigment plan: Sylfirm X works on vessels and the skin barrier, PicoSure fragments pigment, then medical skincare and sunscreen help limit rebound.
1Picosecond Laser and RF Microneedling
PicoSure (Pigment Fragmentation)
Pressure, Not Heat
Ultra-short picosecond pulses break pigment into fine particles with photoacoustic pressure, using less heat than traditional lasers, which may lower PIH risk in Asian skin.
Sylfirm X (Foundation Repair)
Treat the Roots
Pulsed-wave RF microneedling aims at abnormal vessels associated with pigment and at the skin barrier beneath it.
2Essential Medical Skincare
How We Approach Pigmentation
VISIA Diagnostic Mapping
We use clinical imaging (VISIA) to map UV damage and visible vascular patterns before treating.
Pressure, Not Heat
PicoSure relies on a pressure effect rather than heat, which may reduce the inflammation that can lead to rebound pigment.
Physician-Guided Protocols
A physician oversees the protocol, with settings calibrated to your skin type and pigment depth.
Long-Term Control Focus
We don't just clear the spot; we educate you on triggers and maintenance to help results last.
Common Questions
Ready for a Clearer Canvas?
Book your VISIA Pigment Analysis and clinical assessment with a physician.
Related articles
- Sylfirm X for Melasma and Redness: How It Works, Session Spacing and Aftercare
Recurring melasma and persistent facial redness bring many people to Sylfirm X. This guide explains what its two pulse modes target, how sessions are usually spaced, what skin does in the days afterwards, and why sun protection and maintenance matter as much as the device.
- PicoSure vs PicoWay for Asian Skin Pigmentation: Freckles, Sun Spots & Melasma
PicoSure and PicoWay are picosecond lasers often compared for treating pigmentation on Asian skin, where ultra-short pulses deliver lower thermal transfer to surrounding tissue than Q-switched lasers or IPL. Learn how they differ for Fitzpatrick III-V skin, and how settings are chosen through physician assessment.
- Sylfirm X Body RF Microneedling in Burnaby: CW vs PW Explained
A science-focused look at how Sylfirm X's CW and PW radiofrequency microneedling modes work on body skin laxity, stretch marks and texture in Burnaby — with published evidence and the factors a physician assessment considers.
- Sylfirm X for Melasma and Acne Scars: Effectiveness and Recovery Timeline
Sylfirm X is a dual-wave RF microneedling system for melasma and acne scars. Here is how it works, what effectiveness and recovery look like, and how a treatment series is planned.

