I had bad dark spots from acne (never broke out to much untill I hit 30, now I am 32 and Thank God it is slowing down) and melasma (pregenancy mask, even though I am not pregenant I still have it from "hormones" they say). I did Fraxel Laser which was a waste of $5K. It actually had reverse effects on me and made my melasma worse. If you have any bit of olive or darker skin, it could have this reaction. They tell you this but you never think you will be that person that it has the bad effect on, ya know! Anyway, then I got this treatment called Cosmelean, it is from the makers of mesotherapy, and my skin looks awesome. I got the treatment from a plastic surgeon but it is not a procedure that requires sedation or anything.
Oh, and anyone who says Laser feels like a rubberband snapping on your skin is full of it. I have a very high tolerance for pain and it felt like I was getting electricuted (sp?). And, for 3 days after I looked like the elephant man and I had to go through this 5 x's - NOT WORTH THE PAIN OR MONEY!