Pigmentation & Melasma Treatments in Cary, NC
Reveal clearer, brighter, and even-toned skin
Pigmentation & Melasma Treatments in Cary, NC
Reveal clearer, brighter, and even-toned skin

Pigmentation & Melasma Treatments at Prejuve MedSpa
Discover the transformative power of Karma, our state-of-the-art laser device designed for advanced skin rejuvenation. Utilizing cutting-edge picosecond and nanosecond technology. Karma delivers remarkable results by targeting a wide range of skin concerns. Whether you’re looking to reduce fine lines and wrinkles, acne scars, improve skin texture, or address pigmentation issues, Karma offers a gentle yet highly effective solution. Experience smoother. brighter, and more youthful-looking skin with Karma – the ultimate choice for radiant, rejuvenated skin.
The KARMA Treatment
The Karma treatment is a revolutionary approach to achieving radiant and youthful skin. Using state-of-art picosecond and nanosecond technology, Karma targets various skin concerns such as fine lines, wrinkles, pigmentation issues, and acne scars.
What KARMA Treats
Karma offers a comprehensive solution for a wide array of skin concerns, making it the go-to choice for complete aesthetic treatments. With its advanced picosecond and nanosecond technology, Karma effectively addresses:
- Fine Lines
- Wrinkles
- Pigmentation/Discoloration Issues
- Acne Scars
What sets Karma apart is its versatility, allowing treatments to be performed on virtually all parts of the body. From facial rejuvenation to scar reduction and overall skin revitalization. Karma delivers exceptional results with minimal discomfort and downtime.
Pigmentation & Melasma Treatments
Pigmentation and melasma treatments target unwanted dark spots, uneven skin tone, and discoloration caused by sun exposure, hormonal changes, or aging. Using advanced therapies such as chemical peels, laser treatments, microneedling, and medical-grade skincare, these treatments help lighten pigmentation and restore a balanced, radiant complexion.
Each treatment plan is customized to your skin type and condition, ensuring safe and effective results. With consistent sessions and proper aftercare, pigmentation and melasma can be significantly reduced, leaving your skin looking healthier, smoother, and more youthful.
Come to Prejuve MedSpa for smooth results!
Frequently Asked Questions
What causes pigmentation and melasma?
Pigmentation and melasma are commonly caused by sun exposure, hormonal changes, genetics, and aging, leading to dark patches or uneven skin tone.
Which treatments are effective for pigmentation and melasma?
Options include chemical peels, laser therapy, microneedling, and customized skincare products designed to lighten and balance skin tone.
How long does it take to see results?
Results vary, but noticeable improvements can often be seen within a few sessions. Long-term success depends on consistent treatments and good sun protection.
Can pigmentation and melasma return after treatment?
How soon can I wear makeup after pigmentation or melasma treatment?

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Results
After three aerolase treatments




Pigmentation & Melasma Treatments
Real Results, Real Words
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Brooke ValekTrustindex verifies that the original source of the review is Google.
I Had Lip Filler done by Dr Neelu Agarwal, it was the best experience I’ve had with facial injections! I’ve had lip filler 3 times before going here and my pain tolerance is very low but I was very comfortable the whole time and very numb! I barely felt a thing! I have M shaped lips which I’ve heard are hard to work with but she completely understood my vision for my lips and did beautiful.Posted on Google![]()
Charlotte HomerTrustindex verifies that the original source of the review is Google.
Had my very first derma planing and hydra facial with Brooke and she did a fantastic job and was very professional and knowledgeable, Thank youPosted on Google![]()
Amelia JohnsTrustindex verifies that the original source of the review is Google.
I had a fantastic experience and my chin filler turned out perfectly! Thank you, Dr. Neelu Agarwal for your exceptional care and amazing work. I'm so happy with my results and highly recommend Prejuve MedSpa to anyone looking for aesthetic treatments.Posted on Google![]()
LArconTrustindex verifies that the original source of the review is Google.
⭐⭐⭐⭐⭐ Five stars are simply not enough for the care I have received at Prejuve MedSpa! About six months ago, I underwent the Pico Laser Fractional Karma treatment for acne scars, skin resurfacing, and collagen building, followed by the Rejuran Tone-Up PDRN booster. The downtime was minimal—only about 24 hours—and the results have been incredible. My skin looks smoother, healthier, and more youthful than ever. Every patient who walks into our medical office comments on how glowing and refreshed my skin looks. I have also been using Alastin Restorative Skin Complex and Alastin Hydratint Sunscreen daily, which have helped maintain and enhance my results. In the past, I also had Morpheus8 and CoolPeel treatments, all recommended by Dr. Agarwal as part of a customized plan for my acne scarring. The combination of these treatments has truly transformed my skin. What sets Prejuve apart is the personalized approach and genuine care from the entire team. They take the time to educate, guide, and support their clients every step of the way. I could not be happier with my results and would highly recommend Prejuve to anyone looking to improve their skin or hair health.Posted on Google![]()
Ashish RathoreTrustindex verifies that the original source of the review is Google.
Excellent laser hair removal experience. Friendly staff treatment, and amazing result after just a few session. Highly recommend prejuve medspa. 👌Posted on Google![]()
Sheetal MotwaniTrustindex verifies that the original source of the review is Google.
Dr. Neelu Agarwal has completely transformed my skin, and I couldn’t be more grateful. From the very beginning, she took the time to understand my concerns and created a personalized skincare regimen along with a series of microneedling treatments tailored specifically for me. I followed her recommendations, and the results have exceeded my expectations. My skin is smoother, brighter, firmer, and more even-toned, with a noticeable improvement in texture, pores, and overall radiance. What truly sets Dr. Agarwal apart is her expertise, thoughtful approach, and genuine commitment to helping her patients achieve healthy, beautiful skin through treatments that actually work. She doesn’t believe in one-size-fits-all solutions—she develops a plan that is right for you. I highly recommend Prejuve Medspa to anyone looking for exceptional skincare guidance and outstanding results.Posted on Google![]()
John ConfortiTrustindex verifies that the original source of the review is Google.
Been coming here for over a year, and you wont find a better group of professionals. Dr. Agarwal is the best.Posted on Google![]()
Yaneth AlvarengaTrustindex verifies that the original source of the review is Google.
Hoy recibí mi primer Hidra-facial , fue la mejor experiencia que e tenido en mucho tiempo en mi cara, la excelente atención de Marilú a sido inigualable, ellas es muy atenta, su mano es muy suave, responde a tus inquietudes, ella es lo máximo!! La recomiendo muchísimo, estaré feliz de regresar 🥰🥰👏👏Posted on Google![]()
Vibha BabbarTrustindex verifies that the original source of the review is Google.
Amazing team of doctors! I visited in December 2025 for a consultation regarding my dark under-eye circles, and Dr. Neelu carefully assessed my skin before recommending the most suitable treatment for my skin type — PRP. So far, I’ve completed two sessions, and the results have been incredible. My kids even said, “Mama, your eyes used to be black, now they’re brown!” 🙂 I’m truly grateful to Dr. Neelu and her wonderful team for guiding me toward the right treatment. I never imagined I could be free from my stubborn dark circles, but here I am — finally confident and happy with my skin 🙂
At Prejuve MedSpa, we empower women and men to look and feel their best. Check out our specials every month for ways to save on the treatments and products that deliver results.

Prejuve MedSpa and Wellness
At Prejuve MedSpa and Wellness, we don’t see aesthetics and wellness as just a service—it’s a calling to restore and enhance the natural beauty and confidence within every individual who walks through our doors. Under the medical leadership of Dr. Neelu Agarwal, MD—honored with Cary Magazine’s Maggy Awards for Best Physician and Best MedSpa (2024, 2025 & 2026)—we deliver physician-led, results-driven care rooted in decades of clinical expertise. Our expert providers combine the latest non-invasive innovations, medical-grade technology, and evidence-based treatments to help you refresh your appearance, revive your energy, and restore self-confidence. Serving Cary, Apex, Morrisville, Holly Springs, Raleigh, and the greater Triangle region of North Carolina, every personalized plan is delivered in a serene, patient-focused environment built on trust, safety, and long-term wellness outcomes.
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Find Out If Our Treatments Are Right for You
At Prejuve, we offer a range of advanced skincare and wellness treatments. Not every service is for everyone — this quick check will help you determine if you’re a candidate for our MedSpa services.
Q: Do you want to rejuvenate your skin and restore a youthful glow?
A: Our advanced aesthetic treatments are designed to refresh your skin, enhance radiance, and bring back your natural youthful appearance.
Q: Are you looking for safe, non-surgical aesthetic treatments?
A: We specialize in clinically proven, non-invasive procedures that deliver visible results without the risks or downtime of surgery.
Q: Do you desire personalized care tailored to your unique needs?
A: Every treatment plan is customized after a detailed consultation to ensure it aligns perfectly with your goals and skin type.
Q: Are you ready to invest in your wellness and confidence?
A: We’re here to help you look and feel your best—because self-care is the best investment you can make.
What Our Patients Say
Real stories from real Prejuve patients
I love, love, love Dr. Agarwal She’s been my primary care provider for about 20 years, so there was no one else to consider when I looked into cosmetic wellness. I had fillers done on my face and I was very pleased with the results I will definitely be back for other procedures in the future
Helen McNeill
My visit to Prejuve for a VISIA analysis and a facial was excellent. Marilu, my esthetician, was not only incredibly kind and professional but also took the time to patiently answer all of my questions. The spa itself has a great environment, and the team was punctual and very professional. I had a wonderful experience from start to finish.
Catalina Patel
I work at Prejuve MedSpa and had the opportunity to get Botox on my forehead — I’m absolutely thrilled with the results! My forehead looks smoother and free of expression lines, yet still very natural. All the ladies who work here are so professional, kind, and always make you feel comfortable. I’m very happy to be part of such a dedicated team and to also enjoy their excellent services. 100% recommended!
Vanesa Merced
I had an amazing HydraFacial with Marilu! She was professional, knowledgeable, and made me feel so comfortable throughout the entire treatment. My skin feels refreshed, hydrated, and glowing. Marilu truly has a gentle touch and an eye for detail—I could immediately see the difference after my session. I highly recommend her to anyone looking for a great facial experience!
Diana Alvarez
I have been getting vitamin injections for the past few months and my energy level has increased. It takes less than 5 minutes. The staff are amazing , friendly and work with my busy schedule. In addition, I have a lot of fast growing facial hair and have to shave. I got a treatment Friday and haven’t had to shave and today is Monday. I am so thankful to my doctor Neelu Agarwal at Cary Medical Clinic for recommending these treatments.A recent photo looking amazing!
Rhonda Woolard
