Medical Dermatology
Melasma
A patient, layered approach — because melasma rewards restraint.
Piece · 005
Overview
Melasma is stubborn and easily aggravated. We combine gentle topicals, sun-strategy coaching, and carefully chosen in-office treatments to lighten pigment without provoking rebound.
Melasma is the most temperamental pigment condition we treat. Aggressive lasers and strong actives often backfire — the pigment darkens instead of lightening.
The plans that work are patient. Sun strategy first, prescription lightening second, gentle in-office treatments third, always in that order.
Our approach
- — Prescription lightening regimens
- — Sun-strategy coaching
- — Gentle chemical peels
- — Selective laser and Fraxel Dual
When to see a dermatologist
Signs it's time to book.
- —Symmetric brown patches on the cheeks, forehead, or upper lip
- —Pigment darkens with sun or heat exposure
- —Over-the-counter brighteners aren't helping (or are making it worse)
- —Pigment appears or worsens with pregnancy or hormones