REAL PATIENT RESULTS

Dr. Xu's Real Melasma Treatment Cases

The following before-and-after images are from actual patients treated by Dr. Dan Xu at ID Cosmetic Clinic (Toronto / Markham). All patients have signed a written Media Release Form authorizing public use. All photos are unretouched clinical records. Individual results vary based on skin type, Fitzpatrick classification, and treatment adherence.

BEFOREMelasma Before Treatment · Case 09 · ID Cosmetic Clinic
AFTERMelasma After Treatment · Case 09 · ID Cosmetic

Case 9 · Melasma Clinical Record

Ideal candidate profile
Asian Female · Fitzpatrick IV · Duration 5 Years
areas of concern
Melasma (comprehensive improvement with multimodal combination protocol)
treatment plan
Dual picosecond combination therapy — PicoSure® + PicoSure Pro® + PicoWay® + 2 additional treatments — 5 items total (4 sessions)
Treatment outcomes
Significant melasma improvement · Overall results look natural
PIH / post-treatment darkening
No PIH
maintenance
Routine sun protection + monthly at-home skincare + quarterly clinical assessments

Case 09: Melasma Before & After · Asian Female · Fitzpatrick IV · Duration 5 Years · Multimodal combination protocol led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto / Markham

BEFOREMelasma Before Treatment · Case 13 · ID Cosmetic Clinic
AFTERMelasma After Treatment · Case 13 · ID Cosmetic Clinic

Case 13 · Melasma — Real Patient Documentation

Ideal candidate profile
Asian Female · Fitzpatrick IV · Duration 5 Years
areas of concern
Melasma (comprehensive improvement with multimodal combination protocol)
treatment plan
Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (4 sessions)
Treatment outcomes
Significant melasma improvement · Overall results look natural
PIH / post-treatment darkening
No PIH
maintenance
Routine sun protection + monthly at-home skincare + quarterly clinical assessments

Case 13: Melasma Before & After · Asian Female · Fitzpatrick IV · Duration 5 years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham

BEFOREMelasma Before Treatment · Case 17 · ID Cosmetic Clinic
AFTERMelasma After Treatment · Case 17 · ID Cosmetic

Case 17 · Melasma Clinical Record

Ideal candidate profile
Asian Female · Fitzpatrick IV · Duration 5 Years
areas of concern
Melasma (comprehensive improvement with multimodal combination protocol)
treatment plan
Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (4 sessions)
Treatment outcomes
Significant melasma improvement · Overall results look natural
PIH / post-treatment darkening
No PIH
maintenance
Routine sun protection + monthly at-home skincare + quarterly clinical assessments

Case 17: Melasma Before & After · Asian Female · Fitzpatrick IV · Duration 5 Years · Multimodal combination protocol led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto / Markham

BEFOREMelasma Before Treatment · Case 18 · ID Cosmetic
AFTERMelasma After Treatment · Case 18 · ID Cosmetic Clinic

Case 18 · Melasma Clinical Record

Ideal candidate profile
Asian female · Fitzpatrick IV · Duration 6–12 months
areas of concern
Melasma (comprehensive improvement with multimodal combination protocol)
treatment plan
Dual picosecond combination therapy — PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
Treatment outcomes
Significant melasma improvement · Overall results look natural
PIH / post-treatment darkening
No PIH
maintenance
Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+

Case 18: Melasma Before & After · Asian Female · Fitzpatrick IV · Duration 6–12 Months · Multimodal combination protocol led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto / Markham

BEFOREMelasma Before Treatment · Case 20 · ID Cosmetic Clinic
AFTERMelasma After Treatment · Case 20 · ID Cosmetic Clinic

Case 20 · Melasma Real Results

Ideal candidate profile
Asian female · Fitzpatrick IV · Duration 6–12 months
areas of concern
Melasma (comprehensive improvement with multimodal combination protocol)
treatment plan
PicoSure® + Vbeam® sensitive skin repair (3–4 sessions)
Treatment outcomes
Significant melasma improvement · Overall results look natural
PIH / post-treatment darkening
No PIH
maintenance
Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+

Case 20: Melasma Before & After · Asian Female · Fitzpatrick IV · Duration 6–12 Months · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham

BEFOREMelasma Before Treatment · Case 21 · ID Cosmetic Clinic
AFTERMelasma After Treatment · Case 21 · ID Cosmetic Clinic

Case 21 · Melasma — Real Patient Documentation

Ideal candidate profile
Asian female · Fitzpatrick IV · Duration 6–12 months
areas of concern
Melasma (comprehensive improvement with multimodal combination protocol)
treatment plan
PicoSure® + Vbeam® sensitive skin repair (3–4 sessions)
Treatment outcomes
Significant melasma improvement · Overall results look natural
PIH / post-treatment darkening
No PIH
maintenance
Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+

Case 21: Melasma Before & After · Asian Female · Fitzpatrick IV · Duration 6–12 months · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham

BEFOREMelasma Before Treatment · Case 22 · ID Cosmetic Clinic
AFTERMelasma After Treatment · Case 22 · ID Cosmetic

Case 22 · Melasma Clinical Record

Ideal candidate profile
Asian Female · Fitzpatrick I · Duration 5 Years
areas of concern
Melasma (comprehensive improvement with multimodal combination protocol)
treatment plan
PicoSure® + M22® IPL Photofacial (multiple sessions within 3 months)
Treatment outcomes
Significant melasma improvement · Overall results look natural
PIH / post-treatment darkening
No PIH
maintenance
Routine sun protection + monthly at-home skincare + quarterly clinical assessments

Case 22: Melasma Before & After · Asian Female · Fitzpatrick I · Duration 5 years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham

BEFOREMelasma Before Treatment · Case 01 · ID Cosmetic Clinic
AFTERMelasma After Treatment · Case 01 · ID Cosmetic Clinic

Case 1 · Melasma — Real Patient Documentation

Ideal candidate profile
Asian female · Fitzpatrick IV
areas of concern
Melasma (comprehensive improvement with multimodal combination protocol)
treatment plan
PicoSure® + PicoSure Pro® + PicoWay® + Ultherapy® and 17 additional treatments (multiple sessions within 3 months)
Treatment outcomes
Significant melasma improvement · Overall results look natural
PIH / post-treatment darkening
No PIH
maintenance
9-12 months later for a Juvéderm® touch-up

Case 01: Melasma Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto / Markham

BEFOREMelasma Before Treatment · Case 06 · ID Cosmetic Clinic
AFTERMelasma After Treatment · Case 06 · ID Cosmetic Clinic

Case 6 · Melasma Clinical Record

Ideal candidate profile
Asian female · Fitzpatrick IV
areas of concern
Melasma (comprehensive improvement with multimodal combination protocol)
treatment plan
BTL Exilis Ultra™ + BTL Exilis Ultra 360 + Fotona® 4D lifting + 15 additional treatments (multiple sessions within 3 months) — 17 items total
Treatment outcomes
Significant melasma improvement · Overall results look natural
PIH / post-treatment darkening
No PIH
maintenance
Routine sun protection + monthly at-home skincare + quarterly clinical assessments

Case 06: Melasma Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham

BEFOREMelasma Before Treatment · Case 11 · ID Cosmetic Clinic
AFTERMelasma After Treatment · Case 11 · ID Cosmetic Clinic

Case 11 · Melasma Real Results

Ideal candidate profile
Asian female · Fitzpatrick IV · Duration 6–12 months
areas of concern
Melasma (comprehensive improvement with multimodal combination protocol)
treatment plan
PicoSure® + Vbeam® sensitive skin repair (3–4 sessions)
Treatment outcomes
Significant melasma improvement · Overall results look natural
PIH / post-treatment darkening
No PIH
maintenance
Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+

Case 11: Melasma Before & After · Asian Female · Fitzpatrick IV · Duration 6–12 months · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham

BEFOREMelasma Before Treatment · Case 11 · ID Cosmetic Clinic
AFTERMelasma After Treatment · Case 11 · ID Cosmetic Clinic

Case 11 · Melasma Real Results

Ideal candidate profile
Asian female · Fitzpatrick IV · Long-term duration
areas of concern
Melasma (comprehensive improvement with multimodal combination protocol)
treatment plan
PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
Treatment outcomes
Significant melasma improvement · Overall results look natural
PIH / post-treatment darkening
No PIH
maintenance
Routine sun protection + monthly at-home skincare + quarterly clinical assessments

Case 11: Melasma Before & After · Asian Female · Fitzpatrick IV · Long-Standing Duration · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham

BEFOREMelasma Before Treatment · Case 45 · ID Cosmetic
AFTERMelasma After Treatment · Case 45 · ID Cosmetic Clinic

Case 45 · Melasma Clinical Record

Ideal candidate profile
Asian female · Fitzpatrick IV
areas of concern
Melasma (comprehensive improvement with multimodal combination protocol)
treatment plan
Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
Treatment outcomes
Significant melasma improvement · Overall results look natural
PIH / post-treatment darkening
No PIH
maintenance
Routine sun protection + monthly at-home skincare + quarterly clinical assessments

Case 45: Melasma Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham

BEFOREMelasma Before Treatment · Case 46 · ID Cosmetic Clinic
AFTERMelasma After Treatment · Case 46 · ID Cosmetic Clinic

Case 46 · Melasma Real Results

Ideal candidate profile
Asian female · Fitzpatrick IV
areas of concern
Melasma (comprehensive improvement with multimodal combination protocol)
treatment plan
PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
Treatment outcomes
Significant melasma improvement · Overall results look natural
PIH / post-treatment darkening
No PIH
maintenance
Routine sun protection + monthly at-home skincare + quarterly clinical assessments

Case 46: Melasma Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham

BEFOREMelasma Before Treatment · Case 49 · ID Cosmetic Clinic
AFTERMelasma After Treatment · Case 49 · ID Cosmetic Clinic

Case 49 · Melasma — Real Patient Documentation

Ideal candidate profile
Asian female · Fitzpatrick IV
areas of concern
Melasma (comprehensive improvement with multimodal combination protocol)
treatment plan
Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
Treatment outcomes
Significant melasma improvement · Overall results look natural
PIH / post-treatment darkening
No PIH
maintenance
Routine sun protection + monthly at-home skincare + quarterly clinical assessments

Case 49: Melasma Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto / Markham

BEFOREMelasma Before Treatment · Case 52 · ID Cosmetic Clinic
AFTERMelasma After Treatment · Case 52 · ID Cosmetic

Case 52 · Melasma Clinical Record

Ideal candidate profile
Asian female · Fitzpatrick IV
areas of concern
Melasma (comprehensive improvement with multimodal combination protocol)
treatment plan
Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
Treatment outcomes
Significant melasma improvement · Overall results look natural
PIH / post-treatment darkening
No PIH
maintenance
Routine sun protection + monthly at-home skincare + quarterly clinical assessments

Case 52: Melasma Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham

BEFOREMelasma Before Treatment · Case 53 · ID Cosmetic
AFTERMelasma After Treatment · Case 53 · ID Cosmetic Clinic

Case 53 · Melasma Clinical Record

Ideal candidate profile
Asian female · Fitzpatrick IV
areas of concern
Melasma (comprehensive improvement with multimodal combination protocol)
treatment plan
PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
Treatment outcomes
Significant melasma improvement · Overall results look natural
PIH / post-treatment darkening
No PIH
maintenance
Routine sun protection + monthly at-home skincare + quarterly clinical assessments

Case 53: Melasma Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham

BEFOREMelasma Before Treatment · Case 71 · ID Cosmetic Clinic
AFTERMelasma After Treatment · Case 71 · ID Cosmetic Clinic

Case 71 · Melasma Real Results

Ideal candidate profile
Asian female · Fitzpatrick IV · Duration 6–12 months
areas of concern
Melasma (comprehensive improvement with multimodal combination protocol)
treatment plan
Dual picosecond combination therapy — PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
Treatment outcomes
Significant melasma improvement · Overall results look natural
PIH / post-treatment darkening
No PIH
maintenance
Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+

Case 71: Melasma Before & After · Asian Female · Fitzpatrick IV · Duration 6–12 months · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham