There are risks associated with laser therapy for melasma. These adverse effects include redness or discoloration, burning, stinging, and the possibility of infection due to topical anesthetic allergies. Certain lasers, notably vascular lasers, do not seem to be effective in the treatment of melasma. Others have the potential to exacerbate melasma by creating hyperpigmentation, especially on Black and dark skin, so make sure to choose the treatment provider wisely.