Melasma is the most difficult pigment problem to treat. The pigment is located deeper in the skin, making it more difficult to treat. After considerable research, Huidzorg West started using the Toskani Spot out Kit plus. This is the most effective treatment for deeper pigment. Depending on the appearance of the skin, this treatment is combined with the fractionated laser or a chemical peel where possible. By using these different treatment methods, the skin therapist can effectively treat the melasma. Unfortunately, melasma is a chronic pigment disorder. With the use of treatment methods, the skin therapist can reduce the symptoms but not the cause. With melasma, new pigmentation spots can always be formed. This can be maintained through follow-up treatment and good skin care.