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48-year-old woman with hormonally driven melasma. It is important to pretreat melasma with prescription strength skin care prior to treatment to start reducing the pigmentation. After pre-treating, we did a series of microneedling which is safe for this particular pigmentation concern. We saw significant improvement in just one treatment with additional results attained with further products and treatments. At-home skincare and sunscreen are very important to maintain this result. Beautiful!