
The Melasma Protocol
Clinical Case Studies & Advanced Laser Science
The "Austin Summer" Protocol: Cooling & Carboxy
In the Austin heat, melasma isn’t just a pigment issue—it’s a reactive one. Most aggressive lasers fail because they trap "bulk heat" in the dermis, which the body interprets as an injury, triggering a rebound flare-up.
At The Piazza Center, Kari’s protocol flips the script. By pairing the Moxi laser with professional Carboxy masks, we trigger the Bohr Effect. This isn't just cooling the skin; it’s a biological "flash-flood" of oxygen that neutralizes thermal stress instantly. We suppress melanocyte overactivity before you even leave the chair, ensuring the glow stays—and the pigment doesn't come back.
Case Study 01: Multi-Layer Pigment Correction
BASELINE - BEFORE
FINAL RESULTS: 3 ROUNDS OF MOXI
Clinical Observations:
Patient 1 underwent a full 3-round series. We targeted deep-seated hormonal pigment that was unresponsive to traditional hydroquinone. By session 3, the skin exhibited significant clearance of epidermal "shattered" pigment and a marked improvement in overall luminosity. The integration of Carboxy masks prevented post-laser darkening even during peak UV months.
Case Study 02: Mid-Protocol Pigment Softening
BASELINE
INTERIM STATUS: 2 ROUNDS
Clinical Observations:
Patient 2 is currently "two down" in their 3-treatment arc. Even at 66% completion, there is a visible lifting of the melasma "mask" around the periorbital and malar regions. The patient is currently scheduled for their final session to consolidate these results and finalize the melanocyte suppression phase.
Moxi Laser & Melasma FAQ
Is Moxi safe for all skin types?
Yes. Moxi is specifically designed to be safe for a wide range of skin tones, including darker Fitzpatrick types who are often at higher risk for PIH (Post-Inflammatory Hyperpigmentation) from other lasers.
How does Kari's protocol differ from a standard Moxi treatment?
A standard Moxi focus is on texture. Kari’s Melasma Protocol is specifically tuned for pigment, incorporating medical-grade suppressors and post-treatment Carboxytherapy to manage the skin's thermal response—essential for Austin's climate.
Will I see results after just one treatment?
While initial brightening occurs, melasma is deep-seated. As shown in our case studies, the most significant and lasting clearance occurs between sessions two and three.


