I think it comes down to remembering that melasma is a medical condition with cosmetic symptoms. Some insurance companies even pay for the treatments because they are a medical condition. I think if you saw it as a treatment that was required to maintain your skin's normal appearance, you would be able to have just about any treatment done even if the temporary side effects were uncomfortable. I've seen people cope with far more uncomfortable symptoms at work. Heck, even my my coworker who is pumping breastmilk looks miserable sometimes. Melasma is not merely an annoyance. It is a disease of the skin that can be extremely disfiguring. I think if you had it you would be able to do just about anything to treat it!