Melasma
Target Stubborn Skin Discoloration with Expert Treatments
Melasma is a common skin condition that causes dark, patchy discoloration on the face, typically affecting the cheeks, forehead, upper lip, and jawline. Often triggered by sun exposure, hormonal changes, or genetics, melasma can be stubborn and difficult to treat—but with advanced dermatologic care, its appearance can be significantly reduced for a more even, radiant complexion.
What Is Melasma?
Melasma is a hyperpigmentation disorder caused by overactive melanocytes (pigment-producing cells) in the skin. It leads to brown, gray, or tan patches that appear symmetrically on the face. While melasma is not harmful or contagious, it can be cosmetically frustrating and difficult to fade without professional intervention.
Types of Melasma
Epidermal Melasma
Affects the outermost layer of skin (epidermis), making it the easiest to treat.
- Dark brown patches with well-defined borders.
- More responsive to topical treatments and chemical peels.
Dermal Melasma
Pigment is deposited deeper in the skin, making it harder to fade.
- Light brown or bluish-gray patches with less distinct edges.
- May require laser therapy or microneedling to improve discoloration.
Mixed Melasma
A combination of epidermal and dermal melasma, the most common type.
- Varied brown and gray pigmentation with both superficial and deep pigment.
- Often requires a combination of treatments for the best results.
Hormonal Melasma (“Pregnancy Mask”)
Common in pregnant women and individuals on hormonal birth control, caused by fluctuating estrogen and progesterone levels.
- Dark patches appear on the cheeks, forehead, and above the lip.
- May improve after pregnancy or hormone regulation, but often requires additional treatment.
Dermatologist-Recommended Melasma Prevention
While some cysts form due to genetics or hormonal changes, there are ways to minimize their occurrence and prevent complications.
Daily Sun Protection
Sun exposure triggers and worsens melasma, making broad-spectrum SPF essential.
- Use SPF 50+ sunscreen daily, even when indoors.
- Reapply sunscreen every 2 hours, especially if outdoors.
- Wear wide-brimmed hats, sunglasses, and protective clothing for extra defense.
Avoid Heat & Inflammation
Heat and irritation can worsen melasma, even without direct UV exposure.
- Avoid hot showers, saunas, and excessive facial steaming.
- Choose gentle, fragrance-free skincare products to prevent irritation.
- Limit skin exfoliation to avoid triggering post-inflammatory pigmentation.
Regulate Hormonal Triggers
Hormonal fluctuations play a major role in melasma development and persistence.
- If on hormonal birth control, consider alternatives with lower estrogen levels.
- Manage pregnancy-related melasma with dermatologist-recommended treatments postpartum.
- Stress management helps regulate cortisol levels, reducing flare-ups.
Topical Lightening Agents
Prescription creams reduce excess pigmentation and promote even skin tone.
- Hydroquinone: A gold-standard skin-lightening ingredient that inhibits melanin production.
- Tranexamic Acid: Helps fade stubborn pigmentation and prevent future flare-ups.
- Azelaic Acid & Kojic Acid: Reduce skin discoloration while brightening the complexion.
Chemical Peels
Professional peels exfoliate the skin and improve melasma by speeding up cell turnover.
- Gently exfoliate the skin to improve tone, texture, and pigmentation.
- Stimulate cell renewal to gradually fade melasma patches.
- Safe and customizable for even the most sensitive skin types.
- A beautiful complement to at-home brightening regimens and laser therapies.
Laser & Light Therapy
Advanced energy-based treatments target deep pigment deposits in the skin.
- Moxi laser treatment. One of the safest and most effective treatments for melasma, Moxi’s fractionated energy breaks apart unwanted pigment gently, making it ideal for all skin tones. Paired with a thoughtful skincare regimen, it helps restore balance and radiance to the complexion.
- Low-energy laser treatments are safer for melasma-prone skin than traditional IPL.
Microneedling with Tranexamic Acid
A minimally invasive treatment that boosts pigment correction and collagen production.
- Tiny microchannels allow tranexamic acid to penetrate deep into the skin.
- Helps reduce discoloration, improve skin texture, and enhance product absorption.
- Best performed in a series of treatments for cumulative results.
- Oral Tranexamic Acid
FAQs
Is melasma permanent?
While melasma is a chronic condition, it can be significantly improved and controlled with proper treatments.
Does melasma get worse over time?
Without consistent sun protection and treatment, melasma can darken and spread.
Can men get melasma?
Yes! While more common in women, men with frequent sun exposure or hormonal imbalances can also develop melasma.
How long does it take to see results from melasma treatments?
4–12 weeks, depending on the treatment approach and skin type.
Will stopping birth control pills help melasma?
If hormones are a trigger, discontinuing birth control may help, but additional treatment is often needed.
Can melasma be treated at home?
While over-the-counter creams may help, prescription treatments and professional procedures offer faster, more dramatic results.
What skincare ingredients should I use for melasma?
Minimal scarring can occur, but advanced dermatologic techniques minimize marks, and laser therapy can further improve skin appearance.
Is laser treatment safe for melasma?
Yes, but only low-energy, targeted laser treatments—high-intensity lasers may worsen pigmentation.
How do I prevent melasma from returning?
Daily SPF, avoiding heat, and ongoing maintenance treatments are key to long-term control
Still Have Questions?
Even Out Your Skin Tone with Expert Melasma Treatments
If you’re struggling with stubborn dark patches, our dermatology team offers cutting-edge treatments to restore a bright, even complexion.
Dermatologists
Tessa Cervantes MD
Dermatologist
Dr. Cervantes specializes in comprehensive care for diverse skin types.
Tessa Cervantes MD
Dermatologist
Dr. Cervantes specializes in comprehensive care for diverse skin types.
Milton Moore MD
Dr. Moore is a seasoned dermatologist known for his innovative approach and dedication to excellence. With a focus on comprehensive skin health, he’s committed to delivering exceptional outcomes for every patient.
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