Melasma


What is Melasma?
Melasma is a chronic skin condition characterized by symmetrical patches of darkened pigmentation, most often on the face. It is especially common in women and individuals with darker skin tones.
While the exact cause is not understood, several known factors can contribute to the development of melasma:
- Sun exposure: UV rays stimulate melanin production, deepening pigmentation
- Hormonal fluctuations: Changes during pregnancy, menopause, or the use of oral contraceptives and hormone replacement therapy can trigger the excess production of melanin
- Heat exposure: Even without direct sunlight, pigmentation can worsen simply from exposure to heat.
- Certain medications can increase the development of melasma.
Melasma is not harmful to your health, but some patients seek treatment to improve their skin tone and appearance.
Treating Melasma
Treating melasma typically involves a combination of in-office procedures and a consistent at-home skin care routine. This dual-sided approach targets pigmentation at multiple levels to achieve more even, radiant skin over time.
In Office Treatments:
- Chemical peels exfoliate the top layers of skin, encouraging the growth of new, evenly pigmented skin cells.
- Lasers use targeted energy to break down pigment cells, allowing the body to eliminate them gradually.
- Microneedling creates tiny controlled micro-injuries in the skin to stimulate collagen production and improve skin tone and texture.
At Home Care:
- Prescription creams or ointments contain ingredients such as hydroquinone, kojic acid, azelaic acid, or corticosteroids to lighten pigmentation.
- Using a broad-spectrum sunscreen (SPF of 30 or higher) daily is essential to prevent further sun-induced pigment production and to protect the treatment progress.
For optimal results, our team at Oak Dermatology will create a personalized treatment plan tailored to your skin type, the severity of your melasma, and your individual goals.

Melasma
FAQs
Melasma is a chronic condition, meaning there’s no permanent cure. However, with proper treatment, its appearance can be significantly improved.
Melasma often persists without treatment. Factors that trigger it, like sun exposure and hormonal changes, can worsen the condition.
No, melasma is not harmful or contagious. It’s primarily a cosmetic concern.
Hormonal changes during pregnancy can trigger melasma. It often fades after childbirth but may reappear.