Melasma and other pigment changes are often the result of chronic sun exposure to the skin. UV radiation from the sun causes us to age prematurely. Visible skin damage in the form or brown spots or melasma most commonly occurs on the face and hand. A variety of treatment options are available and we a Neaman MediSpapride ourselves in offering some of the most effective modalities on the market. See a great example here of the use of the Spectra Laser to treat Melasma.