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Melasma Treatment

Dermatologist in Mill Valley and Lafayette, CA

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Melasma

Personalized Solutions for Uneven Skin Pigmentation

Melasma is a common pigmentation condition that causes brown, gray-brown, or darker patches on the skin, most often appearing on the cheeks, forehead, upper lip, and chin.

While melasma is not medically dangerous, it can be persistent and difficult to manage without a personalized treatment plan.

At Zand Dermatology, we help patients understand their pigmentation concerns and develop individualized strategies for improving skin tone.

What Causes Melasma?

Melasma can be triggered or worsened by several factors, including:

  • Sun exposure
  • Visible light exposure
  • Hormonal changes
  • Pregnancy
  • Certain hormonal medications
  • Genetic predisposition

How Is Melasma Treated?

Treatment focuses on reducing excess pigmentation, preventing worsening, and maintaining long-term results.

Options may include:

  • Prescription Lightening Creams: Such as hydroquinone or combination topical treatments when appropriate.
  • Topical Skin Care: Ingredients such as azelaic acid and retinoids may help improve uneven pigmentation.
  • Chemical Peels: Carefully selected peels may improve discoloration in appropriate patients.
  • Selected Laser or Light-Based Treatments: Considered cautiously for certain cases because these procedures can sometimes worsen melasma.
  • Daily Sun and Visible Light Protection: Broad-spectrum sunscreen, often tinted with iron oxides, can help reduce triggers.

Frequently Asked Questions

Can melasma be permanently cured?

Melasma is often a chronic, recurring condition. Treatment can improve its appearance, but maintenance and sun protection are usually necessary.

Does melasma get worse in the sun?

Yes. UV exposure and visible light can stimulate pigmentation and worsen melasma.

Is melasma the same as sun spots?

No. Although both involve pigmentation, melasma is often associated with hormonal factors and requires a different treatment approach.

Schedule Your Consultation

Achieve a more even-looking complexion with an individualized treatment plan. Contact Zand Dermatology to schedule your melasma consultation.