MARKHAM · TORONTO · SINCE 2017

Melasma Treatment in Toronto & Markham

Multi-device combination · Personalized protocol · End-to-end follow-up. Dr. Dan Xu's PIH-prevention protocol, designed specifically for Asian skin types Fitzpatrick III–V.

Multi-device combination (not a single device) Physician-led personalized protocol Ongoing follow-up with dynamic protocol adjustments Specialist in Asian Skin: Fitzpatrick III–V
Dr. Dan Xu, M.D., CCFP
Dr. Dan Xu, M.D., CCFP
Allergan/Juvéderm N.A. Trainer · 5,000 clients · 80,000 treatment areas · PicoSure Pro Specialist

Quick Answer

Melasma treatment in Toronto works best as a long-term plan, not one laser session. Melasma on the face shows as brown or grey-brown patches that often come back. At our Markham clinic, Dr. Dan Xu and our team combine gentle laser, a medical brightening cream and daily SPF 50+ to lighten and control melasma.

View Contents (12)
  1. 01 Melasma Before an…
  2. 02 Why choose ID Cos…
  3. 03 What is melasma, …
  4. 04 What causes melas…
  5. 05 How do you tell m…
  6. 06 Why does melasma …
  7. 07 What is the best …
  8. 08 How does Dr. Xu p…
  9. 09 How much does mel…
  10. 10 Is melasma treatm…
  11. 11 Dr. Dan Xu, M.D.,…
  12. 12 “Timeless Asian B…
REAL PATIENT RESULTS

Melasma Before and After: Dr. Xu's Real Cases

Most of these clients had a combination plan, with two lasers used together. Each card lists every treatment used.

Real clients treated by Dr. Dan Xu and our team at ID Cosmetic Clinic in Markham. Every client signed a Media Release Form. Photos are unretouched clinical records; results vary between patients with skin type and aftercare, and are not guaranteed.

01Melasma Reduced In A Male Three-Quarter View

Concern
Before treatment the three-quarter view shows large, heavily coloured pigment on the cheek and temple.
Outcome
After treatment the large pigment is reduced with blurred edges, and the cheek tone more even than before.
Maintenance
Strict sun protection and reviews as per the treatment schedule; melasma tends to recur and needs long-term maintenance.

02Mature Male Melasma Paler

Concern
Before treatment the three-quarter view shows patchy pigment with spots on the cheek and forehead and a dark tone.
Outcome
After treatment the patchy pigment and spots are paler and the cheek brighter than before.
Maintenance
Strict sun protection and reviews as per the treatment schedule; melasma tends to recur and needs long-term maintenance.

03Melasma And Pigment Dots Lighter In Three-Quarter View

Concern
Before treatment the three-quarter view shows light patches of melasma mixed with pigment dots on the cheek and an uneven tone.
Outcome
After treatment the melasma patches and the dots have lightened together, leaving the cheek even and clean.
Maintenance
Strict sun protection and reviews as per the treatment schedule; melasma tends to recur and needs long-term maintenance.

04Melasma Patch Area Paler In Three-Quarter View

Concern
Before treatment the three-quarter view shows a large area of melasma on the cheek in varying depths of colour.
Outcome
After treatment the patch of melasma on the cheek has faded to a much lighter shade, and the three-quarter view shows an evener, brighter cheek.
Maintenance
Strict sun protection and reviews as per the treatment schedule; melasma tends to recur and needs long-term maintenance.

05Symmetrical Cheek Melasma Faded

Concern
Before treatment the frontal view shows symmetrical patches of melasma on both cheeks.
Outcome
After treatment the melasma on both cheeks has faded and the tone is more consistent.
Maintenance
Strict sun protection and reviews as per the treatment schedule; melasma tends to recur and needs long-term maintenance.

06Mature Melasma And Spots Faded Together

Concern
Before treatment the three-quarter view shows melasma on the cheek mixed with dense pigment dots.
Outcome
After treatment the melasma and the dots have faded in step and the cheek tone is more even than before.
Maintenance
Strict sun protection and reviews as per the treatment schedule; melasma tends to recur and needs long-term maintenance.

07Dull Discolouration Brightened In A Male Patient

Concern
Before treatment the frontal view shows an overall dull complexion with discolouration on the cheeks and around the eyes.
Outcome
After treatment the tone is brighter, the discolouration on the cheeks and around the eyes lighter and the face fresher.
Maintenance
Strict sun protection; review as per the treatment schedule to maintain.

08Cloud-Like Melasma Faded In Frontal View

Concern
Before treatment the frontal view shows cloud-like melasma on both cheeks with scattered pigment dots.
Outcome
After treatment the cloud-like melasma has faded, the dots are fewer and both cheeks much brighter.
Maintenance
Strict sun protection and reviews as per the treatment schedule; melasma tends to recur and needs long-term maintenance.

09Large Mature Melasma Paler

Concern
Before treatment the three-quarter view shows large, deep-coloured melasma spread across the cheek.
Outcome
After treatment the large melasma patches are markedly paler and smaller, and the cheek tone more even than before.
Maintenance
Strict sun protection and reviews as per the treatment schedule; melasma tends to recur and needs long-term maintenance.

10Dense Blotches Largely Cleared In Close-Up

Concern
Before treatment the cheek close-up shows dense melasma blotches and dots covering almost the whole cheek.
Outcome
After treatment the dense blotches and dots are largely cleared and the cheek skin clean and smooth.
Maintenance
Strict sun protection and reviews as per the treatment schedule; melasma tends to recur and needs long-term maintenance.

11Melasma Colour Turned Lighter In Three-Quarter View

Concern
Before treatment the three-quarter view shows fairly dark patches of melasma on the cheek.
Outcome
After treatment the melasma colour has turned lighter and closer to the surrounding skin, and the cheek looks clearer.
Maintenance
Strict sun protection and reviews as per the treatment schedule; melasma tends to recur and needs long-term maintenance.

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All before & after photos for Melasma ›

Why choose ID Cosmetic Clinic for melasma treatment?

For melasma treatment in Toronto, Dr. Xu builds your plan around your melasma type, skin tone and triggers, then checks and adjusts it at every visit. Dr. Dan Xu and our team perform each treatment.

Our experience and certifications

Real-world clinical experience

  • 5,000 clients · 80,000 treatment areas performed
  • Has treated thousands of melasma patients with Asian skin types
  • 8,000+ complex revision cases (including corrections of earlier treatments)
  • Complete Before & After photo records for every patient

Medical professional training

  • M.D. Full medical school training + CCFP family medicine specialty certification
  • Wood’s lamp + Fitzpatrick + multidimensional diagnosis incorporating medical history
  • Fitzpatrick III–V Specialist protocol for PIH prevention
  • Multi-device combination protocol design (PicoSure Pro / PicoWay / BBL / resurfacing)

Industry-recognized credentials

  • Cynosure PicoSure Pro® Canada KOL
  • Allergan / Juvéderm North America Official Trainer
  • Sofwave & Candela Medical Joint KOL
  • McMaster University Clinical Teaching Physician
  • IMCAS International conference speaker

Transparent and verifiable

  • CPSO Registered practicing physician (publicly verifiable)
  • Google 4.9★ · 283 Authentic patient reviews
  • Written informed consent form signed before each treatment session
  • All Before & After images are unretouched
  • Author of Timeless Asian Beauty (2024)

As one of fewer than 50 Cynosure KOLs in Canada, Dr. Xu’s clinical insights on pigment management in Asian skin have become a reference for peer training.

WHAT IS MELASMA

What is melasma, and how is it different from other pigmentation?

Melasma is a chronic skin condition that causes brown or grey-brown patches on both sides of the face. Also called chloasma or the “mask of pregnancy”, it happens when pigment cells make too much pigment. It is most common in women and in darker skin tones. Melasma is one type of hyperpigmentation; for other dark spots, see our hyperpigmentation treatment page.

5 ways melasma differs from common pigmentation

1

Melasma is chronic and often comes back

Freckles and sun spots can typically be cleared in a single laser session with minimal risk of recurrence. Not appropriate for melasma: melanocytes are repeatedly activated by hormones, UV exposure, and heat. Without controlling the triggering factors: rebound within a few months.

2

It has several triggers, not one cause

They work together, so melasma treatment must address all of them at once.

3

The wrong treatment can make it worse

High laser energy triggers PIH (dark marks after skin irritation), so melasma gets darker and spreads.

4

It needs combined treatment, not one method

Unlike freckles, melasma needs laser, a brightening cream, SPF 50+ and maintenance together.

5

It needs long-term care, not a one-time cure

Success means clear lightening and long remission (a calm phase); results usually last 12–24 months.

Melasma on face: what does it look like?

Many people first notice melasma as a brown shadow across both cheeks or the upper lip. These signs set it apart from other dark spots.

  • Shape: flat brown or grey-brown patches (not raised, painful or itchy)
  • Border: usually soft and blurry (sun spots have sharp edges)
  • Symmetry: the same on both sides of the face (unlike acne marks)
  • Color: light to dark brown; grey-brown or blue-grey patches suggest deeper (dermal) melasma
  • Season: darker in summer, lighter in winter (because of UV light)

Where does melasma appear on the face?

Malar type · Cheekbone pattern

Malar type (most common)

Both cheekbones and the upper cheeks: the main melasma pattern, seen in over 70% of patients.

Centrofacial pattern

Centrofacial

Forehead, nose bridge, upper lip and chin. Common in hormonal melasma (pregnancy or birth control pills).

Mandibular pattern

Mandibular pattern

Jawline and chin. Less common, and seen more in older patients.

Is this melasma? A quick self-check

  • Are the patches the same on both sides of your face?
  • Are the edges soft and blurry?
  • Are they on your cheekbones, upper lip or forehead?
  • Do they get darker in summer?

⚠️ If 3–4 apply, it is likely melasma, especially after pregnancy, on birth control pills, with a family history, or if creams or laser made it come back. Only a Wood’s lamp exam can tell surface (epidermal) from deep (dermal) melasma, so a consultation is recommended to confirm it. Because Dr. Xu is a medical doctor, every spot is checked at your consultation, so you know it is melasma before treatment starts.

CAUSES & TRIGGERS

What causes melasma?

Melasma is caused by several triggers working together: sun, hormones, genes, skin inflammation and heat. Knowing your triggers shapes your melasma plan.

01

Sun and UV light (the strongest melasma trigger)

UVA, UVB and visible light make the skin produce extra pigment (melanin). UVA can worsen melasma even on cloudy days, indoors or through glass.

Why it matters: SPF 50+ is a requirement, not a suggestion. Melasma treatment without strict daily sun protection will almost certainly relapse.
02

Hormones (estrogen and progesterone)

50–70% of pregnant women get the “pregnancy mask”, and about 25% of women on birth control pills develop melasma. PCOS (polycystic ovary syndrome) and thyroid problems can also make it worse.

Why it matters: hormones are the second strongest melasma trigger, so stopping the pill or managing hormone problems can significantly improve results.
03

Genes and family history

About 40–60% of people with melasma have a family history of it. People of Asian, Latin American and South Asian descent have a higher risk.

Why it matters: if melasma runs in your family, start strict sun protection young (18–25) to lower your risk.
04

Skin inflammation and injury (PIH)

Acne, eczema, too much laser energy and harsh chemical peels can all trigger post-inflammatory hyperpigmentation (PIH), which then worsens existing melasma.

Why it matters: treatment should follow “less is more”: low energy, longer gaps and thorough skin prep first.
05

Heat and a damaged skin barrier

Saunas, cooking heat, hot yoga, strong light and a damaged skin barrier (from over-exfoliating or harsh skincare) can all switch on the pigment cells.

Why it matters: to keep your melasma results, avoid heat and repair your skin barrier.
DIFFERENTIAL DIAGNOSIS

How do you tell melasma from freckles, sun spots, PIH and Hori’s nevus?

You can tell melasma from these look-alikes by its pattern, color and triggers, and with a Wood’s lamp exam. Each needs different treatment. For more, read our melasma vs hyperpigmentation guide.

Melasma vs freckles

Freckles are small dots with sharp edges that start in childhood and run in families. Melasma forms larger patches with blurry edges and needs a long-term plan.

EPHELIDES
ShapeSmall spots with sharp edges (under 5 mm)
SymmetryScattered, not always on both sides
TriggerMostly genes, made worse by UV light
StartsIn childhood
TreatmentLaser, results in 1–2 sessions

Melasma vs sun spots and age spots

Sun spots, or age spots, come from years of sun, not hormones, and have sharp edges. They often clear in 1–3 laser sessions; melasma needs long-term care.

SOLAR LENTIGINES
ShapeSeparate spots with sharp edges
LocationSun-exposed areas (backs of hands, shoulders)
TriggerYears of UV exposure (not hormones)
TreatmentLaser, cleared in 1–3 sessions

Melasma vs acne marks (PIH)

Acne marks (PIH) sit only where acne, a rash or an injury was, and often fade partly on their own. Melasma forms matching patches on both cheeks.

POST-INFLAMMATORY HYPERPIGMENTATION
LocationOnly where the skin was inflamed or injured
SymmetryFollows the acne, eczema or injury
TriggerAcne, eczema or injury
Fades on its own?Partly, over 6–24 months
TreatmentLaser, 3–5 sessions, plus treating the cause

Melasma vs Hori’s nevus

Hori’s nevus is deep, blue-grey pigment on both cheekbones that does not change with the seasons. It needs a deeper-reaching laser and 10 or more sessions.

HORI’S NEVUS · ABNOM
ColorBlue-grey or ash (deep, dermal type)
LocationMostly on both cheekbones
SeasonNo clear pattern
Wood’s lampDoes not show deep pigment
Treatment1064 nm laser, 10+ sessions
ASIAN SKIN · FITZPATRICK III–V

Why does melasma treatment need extra care for Asian skin?

Asian skin (types III–V on the Fitzpatrick skin-tone scale) reacts more strongly to heat, so melasma treatment needs extra care. This is a core area of expertise at ID Cosmetic Clinic.

Asian skin has about 2–3 times more active pigment cells (melanocytes), and any heat can over-activate them and worsen melasma. That is why high-energy IPL and aggressive resurfacing often backfire on Asian skin and are contraindicated outright.

How we prevent rebound darkening (PIH)

PIH is the most common and serious problem after melasma treatment in Asian skin. We prevent it by avoiding what triggers it:

  • Laser energy that is too high
  • A chemical peel at the wrong time
  • Poor sun protection after treatment
  • More treatment while the skin barrier is damaged

Once PIH occurs, it clears more slowly than the melasma itself, often over 6–12 months. Slow is fast: rushing treatment is how PIH begins.

PIH risk by skin type, and Dr. Xu’s protocol

FitzpatrickSkin tonePIH riskDr. Xu’s protocol
II–IIIFair / light skin toneLowStandard energy, cream, SPF
III
lighter Asian
BeigeMediumModerate energy, 4 weeks of cream, SPF
IV
Typical Asian
yellowish-brownHighLow energy, 6 weeks of cream, strict SPF
V
Deeper Asian / South Asian skin
light brownVery highUltra-low energy, test spot, long-term cream
In different hands, the same laser can cause 5–10 times more PIH in Asian skin, so the physician’s skill matters more than the device. — Dr. Dan Xu, M.D., CCFP
TREATMENT PROTOCOL

What is the best treatment for melasma?

The best treatment for melasma is a combination plan that suits your skin, not one laser or cream. You cannot get rid of melasma for good, but the right plan can clearly lighten it and keep it under control. Dr. Xu builds your plan from the options below; for other pigment problems, see our pigmentation laser options.

01

Gentle picosecond laser First-line choice

The gold standard for melasma laser treatment in Asian skin. Its very short pulse breaks up pigment with little heat, lowering the PIH risk. Dr. Xu’s main melasma laser is the PicoSure Pro laser, at low energy.

02

Cysteamine skin-prep cream Essential

Cyspera® is a medical-grade cysteamine cream that slows pigment production at its source. It is safer than hydroquinone, does not cause PIH or light patches (hypopigmentation), and is used for 4–6 weeks before laser and long term to prevent melasma recurrence.

03

Two-wavelength laser (Dual Pico®) First choice for treatment-resistant cases

For mixed or stubborn melasma, one session uses two wavelengths: 755 nm for surface pigment and 1064 nm for deeper pigment. Learn more about Dual Pico treatment.

04

Medical-grade chemical peel (an add-on only)

A TCA and mandelic acid peel speeds up the shedding of pigmented surface skin. It is only an add-on, never a standalone melasma treatment. See our chemical peel options.

05

BroadBand Light (only for surface melasma and lighter skin)

Ai BBL® HEROic™ is a smart type of IPL light. It is safe for surface melasma in Fitzpatrick I–III skin; type IV and above need careful assessment, and high-energy IPL is not recommended. Read about the BBL HEROic light treatment.

06

Tranexamic acid (TXA), cream or tablets

Tablets can help stubborn melasma once a physician has checked for a blood clotting disorder or a family history of blood clots (thrombosis). The cream can be used alone or with cysteamine cream.

07

SPF 50+ sun protection and barrier repair cannot be omitted

No melasma treatment keeps its results without sun protection. Your plan always includes:

  • Daily SPF 50+ sunscreen (reapply every 2 hours, and wear a hat outdoors)
  • Visible light protection (tinted sunscreen with iron oxides)
  • Repair care (HydraFacial, ceramide cream or medical dressings)
DR. XU’S 6-STEP PROTOCOL

How does Dr. Xu plan your melasma treatment?

Dr. Xu plans your melasma treatment in 6 steps, because the right protocol fades melasma and the wrong one can worsen it. Each step has a job: confirm it is melasma, find your type, check your PIH risk, set a timeline, adjust at every visit and keep your results.

1

Confirm it is really melasma

  • Wood’s lamp: a light that shows if melasma is surface (epidermal), deep (dermal) or mixed
  • Dermoscopy: a skin magnifier that shows pigment and small blood vessels
  • Fitzpatrick skin typing: your skin tone’s risk level
  • Medical history: pregnancy, birth control, family history, medicines and sun habits
  • Photos: the same lighting and angles each time
2

Find your melasma type

Over 80% of patients have mixed melasma (surface, deep and some PIH), so Dr. Xu matches the treatment to the type:

  • Surface melasma: a gentle 755 nm laser as the main treatment
  • Deeper pigment: add PicoWay for deep melasma (1064 nm)
  • Mixed melasma: both wavelengths in one session (Dual Pico)
  • Melasma with some PIH: calm the inflammation first
3

Check your risk of dark marks (PIH)

Dr. Xu checks your skin type, medical history and lifestyle. With any single high-risk factor, a test spot is mandatory, treatment starts at ultra-low energy, and 6 weeks of skin-prep cream is required.

4

Plan your treatment timeline

You get a full timeline from the start:

[Week 0]Consultation, diagnosis and first photos
[Weeks 0–4]Skin-prep cream morning and evening + SPF 50+
[Week 4]Test spot (if high risk) or 1st laser
[Week 8]2nd laser + skin check
[Week 12]3rd laser + photo comparison
[Week 16]4th laser (if needed)
[Week 20]5th laser (if needed)
[Week 24]Full review, then maintenance
[Week 24+]Maintenance every 3–6 months + cream + SPF

Most people see a first change after 4–8 weeks, clear improvement by about 3 months, and the best melasma result about 6 months after a full course.

5

Adjust the plan at every visit

  • Fine-tune the energy (lower it, or wait longer, if your skin reacted too much)
  • Review your sun protection (which products, and how often you reapply)
  • Decide whether to continue: there is no fixed package, and we stop when the goal is reached, safely
6

Maintenance: the most important stage after treatment

Your care does not end with the course. Your maintenance plan:

  • Long-term brightening cream (daily or every other day)
  • SPF 50+ mandatory (daily — outdoors, indoors, on overcast days, and even through windows)
  • Avoid heat (saunas, long cooking, hot yoga)
  • Avoid hormone triggers (discuss birth control options with a gynecologist)
  • Maintenance treatment (one low-energy laser session every 3–6 months)

With the full plan, strict sun protection and maintenance, only 10–20% of people see mild melasma return within 12 months. With laser alone, 60–80% see it return, often within 6 months; with no maintenance or sun protection, over 80% do, often within 3 months.

Melasma treatment without maintenance is money wasted. The right question is not “How many sessions will cure it?” but “How do I manage melasma long term?” — Dr. Dan Xu, M.D.
PRICING & PAYMENT

How much does melasma treatment cost in Toronto?

The cost to get rid of melasma depends on your melasma type and depth, the size of the area and the number of sessions, so there is no standard price list. Dr. Xu gives you a personal quote after your free consultation. For general prices of the main laser we use, see our PicoSure Pro treatment page.

Complex melasma cases
consultation pricing

Dr. Xu adjusts the settings as you go · Recommended for complex, high-risk, or treatment-resistant cases

Combination protocol package
consultation pricing

Several devices, creams and resurfacing combined · package pricing available

  • We accept VISA / Mastercard / Amex / Debit / E-transfer
  • Affirm / PayBright financing available (select treatment packages)
  • Private Insurance: Some extended health benefit (EHB) plans may cover consultation fees — inquire for individual assessment
  • OHIP: Cosmetic treatments are not covered by insurance
  • All new patients receive a free 30-minute consultation and assessment
RISKS & SAFETY · Informed consent

Is melasma treatment safe?

Melasma treatment is safe for most people when a physician plans it around your skin type. After laser, expect redness or mild swelling for a few hours to 2 days, and a darker look that sheds in 7–14 days. Skin may feel dry and sensitive for 1–2 weeks, and the cream can sting mildly at first. The main risk to prevent, especially for Asian skin, is rebound darkening (PIH). We keep it low with gentle settings, a test spot when needed, skin-prep cream and strict SPF 50+. Good candidates are 18 or older, healthy, have confirmed melasma and can commit to long-term care.

Rare risks, and how we prevent them
  • Rebound darkening (PIH): the main risk for Asian skin, prevented with gentle energy settings and the right protocol
  • Melasma coming back: prevented with daily sun protection and regular maintenance
  • Light patches (hypopigmentation), rare with picosecond lasers
  • Little or no change, or worse melasma: prevented by confirming the diagnosis first and using the right device and protocol
  • Scarring: extremely rare with PicoSure Pro, and more often linked to poor aftercare or picking
When melasma treatment needs careful assessment first
  • A tan or sunburn from the past 2 weeks that has not fully settled
  • Medicines that make skin sensitive to light (tetracyclines, sulfonamides, St. John’s Wort)
  • Active cold sores (herpes simplex)
  • A hormone condition that is not under control
  • An active autoimmune condition that affects the skin
  • Being unable to commit to long-term maintenance
When we do not treat melasma
  • Pregnancy or breastfeeding (laser is contraindicated; after pregnancy, treatment starts 6 months after breastfeeding ends)
  • Active skin infection or open wounds
  • Oral Accutane (isotretinoin) in the past 6 months
  • Keloid-prone skin (a history of keloid or raised scars)
  • Expecting complete removal in a single session
  • Fitzpatrick VI skin (the deepest skin tone) without an expert assessment
YOUR PHYSICIAN

Dr. Dan Xu, M.D., CCFP

ID Cosmetic Clinic Founder & Medical Director · Author of Timeless Asian Beauty

As a Chinese-Canadian medical aesthetic physician in Toronto, Dr. Dan Xu is known for deep clinical expertise, a refined aesthetic eye and a keen cultural sensibility. Dr. Xu brings experience from over 80,000 injectable procedures, and has successfully managed over 8,000 complex medical aesthetic cases, over 90% of which involve Asian skin clients.

Dr. Xu has established a systematic clinical protocol for pigment management and anti-aging treatments in Asian faces. Dr. Xu is one of fewer than 50 physicians in Canada recognized by Cynosure as PicoSure Pro® Key Opinion Leader certified physicians.

Dr. Xu’s aesthetic philosophy is simple: “Beauty should elevate who you already are, not alter what makes you unique.”

80,000Clinical procedures
8,000+Complex revision cases
4.9★Google 283 Reviews

Professional Certifications & Credentials

  • Education — M.D. + Family Medicine Specialty (CCFP)
  • Experience — 5,000 clients · 80,000 treatment areas, 90%+ on Asian skin
  • Expertise — Fitzpatrick III–V Pigment management + PIH risk control
  • Authority — Cynosure PicoSure Pro Canada KOL (fewer than 50 nationwide)
  • Authority — Allergan / Juvéderm North America Official Trainer
  • Authority — Sofwave & Candela Medical Joint KOL
  • Authority — McMaster University Clinical Teaching Physician
  • Authority — IMCAS Guest speaker at international medical aesthetic conferences
  • Trust — CPSO Registered Physician · Verify publicly ↗
  • Trust — Author of Timeless Asian Beauty (2024)

Medically reviewed by Dr. Dan Xu, M.D., CCFP. This page is based on Dr. Xu’s clinical experience. Your own treatment plan is decided at your consultation.

AUTHOR · 2025

“Timeless Asian Beauty”

Timeless Asian Beauty — by Dr. Dan Xu, M.D., CCFP

Timeless Asian Beauty, written by Dr. Dan Xu, is a book dedicated to Asian faces. Rather than imposing rigid beauty standards, it invites readers to explore beauty through culture, anatomy and self-understanding.

Drawing on clinical experience in China, Korea and Canada, Dr. Xu challenges the long-dominant Western-centric aesthetic bias. The book is the first to specifically address the bone structure, aging patterns and skin characteristics of Asian patients, including Asian melasma skin profiles, with a systematic framework for aesthetics.

Not to change who you are — but to embrace the most authentic version of yourself.
Identify with your own beauty. — Dr. Dan Xu, M.D.

Free Download — Limited Time

PATIENTS ASK

Melasma treatment FAQ

Short answers to the melasma questions patients ask most.
What is the most successful treatment for melasma?
A combination plan designed by a physician, not a single laser or cream. For most people, Dr. Xu combines a gentle picosecond laser, a brightening cream such as Cyspera and daily SPF 50+.
How many laser sessions does melasma need?
Most people need 3–5 laser sessions, 4–6 weeks apart. Deep melasma and Asian skin often need 5–6 gentler sessions, and stubborn melasma 6 or more.
Is melasma 100% curable?
Not 100%, but it can be kept under control. Melasma is chronic and can come back, because hormones and UV light keep triggering it, but laser, creams and daily SPF 50+ can keep it in remission, usually for 12–24 months.
Is melasma laser treatment safe for Asian skin?
Yes, with an experienced physician. A gentle picosecond laser gives off little heat, so its risk of PIH (dark marks after irritation) is much lower than with traditional nanosecond lasers.
Why does melasma come back after treatment?
Melasma comes back when its triggers are not controlled: UV light, hormone changes (pregnancy, birth control pills) and heat. Not enough sun protection is the most common cause of melasma returning.
Is melasma treatment painful?
Most people feel only mild to moderate discomfort during melasma treatment. Laser feels like quick rubber-band snaps, and numbing cream applied 30–45 minutes before helps a lot. Downtime is minimal: mild redness usually settles within 2–4 hours.
Will pregnancy melasma (chloasma) fade on its own after birth?
Sometimes, but not always. Most pregnancy melasma fades within 6–12 months after birth, but what remains usually needs medical treatment. Laser and oral brightening medicines are contraindicated (not allowed) during pregnancy and breastfeeding.
Can IPL be used to treat melasma?
Only with extra caution. IPL works for surface melasma in Fitzpatrick I–III skin, but in Fitzpatrick IV–V skin it carries a high PIH risk and can make melasma worse, so Dr. Xu uses it only on suitable skin types.
Which cream is most effective for melasma?
Cyspera (cysteamine) is one of the most clinically supported medical brightening creams available today. Tranexamic acid (TXA) cream is another option, used alone or with it.
Where can I get melasma treatment near me?

Our melasma treatment clinic is ID Cosmetic Clinic, at 30 Gibson Dr, Units 113-117, Markham. Our Markham clinic serves the GTA and is an easy commute from all GTA cities. Your first visit is a free consultation with Dr. Xu.

Real Clients · Google Reviews

What Our Clients Say

★ 4.9 · 283 Google reviews

Vivian Okoth

Vivian Okoth

0 reviews

★★★★★

Dr. Xu and the staff here are fantastic. I’ve been coming here for years and always leave satisfied! The clinic has a relaxed, comfortable, and welcoming atmosphere—I always look forward to my visits.

today on Google →
Mary Jane

Mary Jane

1 reviews

★★★★★

I am so grateful to the friend who recommended this place to me. Dr. Xu is amazing—she is the only doctor I’ll see from now on! Everyone on the staff is incredibly friendly and helpful.

5 days ago on Google →
Millicent Akisa

Millicent Akisa

1 reviews

★★★★★

She is truly outstanding! She is both friendly and professional, highly knowledgeable, and has a very warm and gentle manner. She listens carefully to your needs and takes the time to explain all the options to you.

a month ago on Google →
Chen cheng

Chen cheng

15 reviews

★★★★★

Vivian is extremely professional. Of all the times I've been here, her technique and service are the best. She finished my hyaluronic acid injection very quickly, with minimal pain. She's also beautiful and has a great p…

a month ago on Google →
Emmaculate Matswa

Emmaculate Matswa

1 reviews

★★★★★

I'm so glad I came here. Dr. Xu is incredibly knowledgeable, and every piece of advice she gave was meticulous and thoughtful. I really enjoyed talking to her about skincare. Everyone here is so warm and friendly .

2 months ago on Google →
Sally Yang

Sally Yang

2 reviews

★★★★★

Ling was absolutely amazing! She is so friendly, kind, and welcoming. She made the whole experience so enjoyable and comfortable. Truly appreciate her warm personality and excellent service. Highly recommend!

2 months ago on Google →
Zara F. Bell

Zara F. Bell

2 reviews

★★★★★

Absolutely amazing clinic. I was treated with the upmost care and respect. Felt like I've know them my whole life. The whole crew is amazing and so sweet! The service was impeccable by Dr. Dan Xu, she is literally the be…

3 months ago on Google →
Caroline Fan

Caroline Fan

8 reviews

★★★★★

I had a really pleasant visit at ID cosmetics today with Ling. I had my pico laser appointment today. Ling treated me with such kindness and care. She was really attentive prepping me for my treatment and checking in on…

3 months ago on Google →
Vivian Okoth

Vivian Okoth

0 reviews

★★★★★

Dr. Xu and the staff here are fantastic. I’ve been coming here for years and always leave satisfied! The clinic has a relaxed, comfortable, and welcoming atmosphere—I always look forward to my visits.

today on Google →
Mary Jane

Mary Jane

1 reviews

★★★★★

I am so grateful to the friend who recommended this place to me. Dr. Xu is amazing—she is the only doctor I’ll see from now on! Everyone on the staff is incredibly friendly and helpful.

5 days ago on Google →
Millicent Akisa

Millicent Akisa

1 reviews

★★★★★

She is truly outstanding! She is both friendly and professional, highly knowledgeable, and has a very warm and gentle manner. She listens carefully to your needs and takes the time to explain all the options to you.

a month ago on Google →
Chen cheng

Chen cheng

15 reviews

★★★★★

Vivian is extremely professional. Of all the times I've been here, her technique and service are the best. She finished my hyaluronic acid injection very quickly, with minimal pain. She's also beautiful and has a great p…

a month ago on Google →
Emmaculate Matswa

Emmaculate Matswa

1 reviews

★★★★★

I'm so glad I came here. Dr. Xu is incredibly knowledgeable, and every piece of advice she gave was meticulous and thoughtful. I really enjoyed talking to her about skincare. Everyone here is so warm and friendly .

2 months ago on Google →
Sally Yang

Sally Yang

2 reviews

★★★★★

Ling was absolutely amazing! She is so friendly, kind, and welcoming. She made the whole experience so enjoyable and comfortable. Truly appreciate her warm personality and excellent service. Highly recommend!

2 months ago on Google →
Zara F. Bell

Zara F. Bell

2 reviews

★★★★★

Absolutely amazing clinic. I was treated with the upmost care and respect. Felt like I've know them my whole life. The whole crew is amazing and so sweet! The service was impeccable by Dr. Dan Xu, she is literally the be…

3 months ago on Google →
Caroline Fan

Caroline Fan

8 reviews

★★★★★

I had a really pleasant visit at ID cosmetics today with Ling. I had my pico laser appointment today. Ling treated me with such kindness and care. She was really attentive prepping me for my treatment and checking in on…

3 months ago on Google →
Grace

Grace

Local Guide · 13 reviews

★★★★★

I got a treatment done by Ling today and she was super friendly and helpful. She made me feel very comfortable throughout the entire process from the beginning til the end and I’d like to get it done by her again next ti…

4 months ago on Google →
Yvonne H

Yvonne H

Local Guide · 54 reviews

★★★★★

Ling was so kind and super precise. I loved her recommendations—felt like she just knew what I needed! Thank you!

7 months ago on Google →
Dou Xu

Dou Xu

2 reviews

★★★★★

Ling is just amazing—so gentle and professional. She really knows her stuff! I felt super cared for. The whole experience? Honestly, so relaxing.

7 months ago on Google →
Yan Sun

Yan Sun

3 reviews

★★★★★

Dr. Dan Xu is seriously amazing—so skilled and patient! Felt super at ease the entire time. The results? Wow, just wow.

7 months ago on Google →
Olivia W

Olivia W

3 reviews

★★★★★

Entrusting my face to Dr. Xu and her team is reassuring, and everyone's service attitude is super nice. The clinic environment is clean and elegant, and Dr. Xu is enthusiastic and professional. I have always trusted her…

7 months ago on Google →
Hana Yu

Hana Yu

9 reviews

★★★★★

I have been here since 3 years ago, Dr.Xu is very professional and all the staff are very nice and patient. I highly recommend this place!

8 months ago on Google →
xiaojie chen

xiaojie chen

7 reviews

★★★★★

Susie has an incredibly caring attitude, and all of her suggestions were truly helpful. I really appreciated her support!

8 months ago on Google →
Jackie Tse

Jackie Tse

Local Guide · 18 reviews

★★★★★

Dr Xu is very friendly and professional. Appointment was made quickly and the consultants provided professional and helpful advice. After the procedure, the consultant provided advice on after care and treatment plans. H…

8 months ago on Google →
Grace

Grace

Local Guide · 13 reviews

★★★★★

I got a treatment done by Ling today and she was super friendly and helpful. She made me feel very comfortable throughout the entire process from the beginning til the end and I’d like to get it done by her again next ti…

4 months ago on Google →
Yvonne H

Yvonne H

Local Guide · 54 reviews

★★★★★

Ling was so kind and super precise. I loved her recommendations—felt like she just knew what I needed! Thank you!

7 months ago on Google →
Dou Xu

Dou Xu

2 reviews

★★★★★

Ling is just amazing—so gentle and professional. She really knows her stuff! I felt super cared for. The whole experience? Honestly, so relaxing.

7 months ago on Google →
Yan Sun

Yan Sun

3 reviews

★★★★★

Dr. Dan Xu is seriously amazing—so skilled and patient! Felt super at ease the entire time. The results? Wow, just wow.

7 months ago on Google →
Olivia W

Olivia W

3 reviews

★★★★★

Entrusting my face to Dr. Xu and her team is reassuring, and everyone's service attitude is super nice. The clinic environment is clean and elegant, and Dr. Xu is enthusiastic and professional. I have always trusted her…

7 months ago on Google →
Hana Yu

Hana Yu

9 reviews

★★★★★

I have been here since 3 years ago, Dr.Xu is very professional and all the staff are very nice and patient. I highly recommend this place!

8 months ago on Google →
xiaojie chen

xiaojie chen

7 reviews

★★★★★

Susie has an incredibly caring attitude, and all of her suggestions were truly helpful. I really appreciated her support!

8 months ago on Google →
Jackie Tse

Jackie Tse

Local Guide · 18 reviews

★★★★★

Dr Xu is very friendly and professional. Appointment was made quickly and the consultants provided professional and helpful advice. After the procedure, the consultant provided advice on after care and treatment plans. H…

8 months ago on Google →

View all 283 reviews →

BOOK YOUR CONSULTATION

Ready to begin your melasma treatment?

Book a free 30-minute consultation with Dr. Dan Xu, M.D., CCFP. Dr. Xu will do a Wood's lamp exam and Fitzpatrick assessment, then build a personalized treatment plan, with no upselling and no pressure, just honest answers to the questions that matter to you.

📞 Phone
🕙 Hours
Mon–Sun · 10:00 AM – 6:00 PM
🌐 Service Area
Clients come to our Markham clinic for melasma treatment from across the Greater Toronto Area (GTA), including Toronto, North York, Scarborough, Richmond Hill, Vaughan, Stouffville, Pickering and Ajax. Toronto · Markham · Richmond Hill · Vaughan · Scarborough · North York · Greater Toronto Area (GTA)
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FREE 30-MIN CONSULTATION · DR. DAN XU

Free 30-Minute Consultation

Every consultation is conducted personally by Dr. Xu (Mon–Sat).

24 hr response · English/Chinese OK

Technology defines the possibilities; the physician defines the direction.
Identify with your own beauty.