What Is Melasma?

Melasma is a common skin condition characterized by the appearance of dark, irregular patches on the skin. These patches usually develop in areas frequently exposed to the sun, such as the face, neck and arms. The condition is particularly prevalent in women and is often linked to hormonal changes.

The pigmentation that comes with melasma can be frustrating, but it doesn’t pose any health risks. However, its aesthetic impact can significantly affect how you feel about your skin. Fortunately, several advanced treatments are available that can help reduce the appearance of melasma and restore an even skin tone.

What Causes Melasma?

Melasma occurs when the skin’s pigment-producing cells, called melanocytes, produce too much melanin. This overproduction leads to the formation of darker patches on the skin. Several factors can contribute to this condition, including:

  • Hormonal changes: Hormones play a major role in triggering melasma. Many women develop melasma during pregnancy, which is why it’s often referred to as “the mask of pregnancy.” Those taking oral contraceptives, hormone replacement therapy or certain seizure medications are also at higher risk due to the way hormone surges can interact with melanocytes.
  • Sun exposure: Sunlight is one of the biggest culprits in melasma flare-ups. Ultraviolet (UV) rays stimulate melanocytes, causing them to produce more pigment. People with melasma often notice that their symptoms worsen during the summer months when sun exposure is more frequent.
  • Genetics: Your family history can also play a role. If melasma runs in your family, you’re more likely to develop it yourself.
  • Skin type: People with darker skin tones have more active melanocytes and may be more prone to developing melasma.

While melasma isn’t harmful, treating it effectively often requires professional intervention, especially when over-the-counter products don’t provide the desired results.

Melasma Treatment Options

At AboutSkin Dermatology and Aesthetics, Dr. Cohen and his team offer several advanced treatment options to help you manage melasma effectively. Based on the severity of your condition, a personalized treatment plan will be created to target the pigmented areas and promote a more even complexion. Here’s a look at some of the available treatments:

Topical Skincare Products

For milder cases of melasma or as a complementary treatment to other procedures, topical skincare products can be very effective. Dr. Cohen may recommend a personalized skincare regimen that includes ingredients such as:

  • Hydroquinone: This skin-lightening agent works by inhibiting the production of melanin.
  • Vitamin C: Known for its brightening abilities, vitamin C can help reduce dark spots and even out your skin tone.
  • Retinol: This form of vitamin A promotes cell turnover, helping to shed pigmented cells and encourage new skin growth.

Chemical Peels

Chemical peels are highly popular treatments for melasma. The process involves applying a chemical solution to the skin that removes the outer layers and promotes new skin growth. By exfoliating the skin, chemical peels help to reduce the appearance of pigmentation and create a smoother, more even skin tone.

Microdermabrasion With Dermal-Infusions

Microdermabrasion is a gentle exfoliation technique that uses a bristle or diamond tip to remove the outer layer of dead skin cells. This treatment encourages cell turnover, allowing new skin to form and gradually diminishing the appearance of dark patches.

Our dermal-infusion microdermabrasion combines the exfoliating effects of microdermabrasion with the application of specialized serums to target specific skin concerns to enhance their absorption and effectiveness. The most effective products for microdermabrasion with dermal infusion in melasma cases typically contain brightening agents like vitamin C, arbutin and kojic acid, along with soothing and anti-inflammatory ingredients to avoid irritation. Using serums with a combination of antioxidants and skin lighteners is ideal for melasma to reduce pigmentation and help protect the skin from further damage.

IPL (Intense Pulsed Light) Therapy

IPL therapy uses light energy to target the pigment in melasma patches. Unlike lasers, which focus on a single wavelength of light, IPL uses multiple wavelengths to penetrate the skin and reduce pigmentation. This light-based treatment can be highly effective in lightening dark spots and improving the overall appearance of your skin.

Laser Treatments

Laser treatments offer a more targeted approach to treating melasma. Fractional laser treatments and pigment-specific lasers, such as the Q-switched laser, can break down excess melanin in the skin. The laser energy is absorbed by the pigmented areas, reducing discoloration and promoting a more uniform complexion.

The Palomar 1540 laser is another powerful laser option for treating melasma. This laser creates tiny channels in the skin, promoting new collagen production and enhancing the effectiveness of other treatments. For some patients, this laser treatment is paired with a physician-grade chemical peel at the same visit for optimal results.

Laser-Assisted Delivery of Tranexamic Acid

For more severe cases, a cutting-edge approach involves the laser-assisted delivery of tranexamic acid. A thulium fractional laser creates microscopic channels in the skin, allowing the tranexamic acid to penetrate deep into the epidermis. This treatment targets the melasma pigment more effectively, reducing discoloration with precision.

Melasma Treatment Recovery and Downtime

Recovery from melasma treatments varies depending on the procedure. For noninvasive treatments like topical products or microdermabrasion, you can expect little to no downtime. However, more intensive treatments like chemical peels and laser therapy may require a few days of recovery while your skin heals.

You might experience some redness, peeling or mild discomfort after a chemical peel or laser treatment, but these side effects typically resolve within a few days. Dr. Cohen will provide detailed post-treatment care instructions to help minimize any discomfort and maximize your results.

Expected Results From Melasma Treatment

When Will I See My Melasma Treatment Results?

Results from melasma treatments aren’t instantaneous. For most people, it takes several weeks to start seeing visible improvements. Topical treatments may take longer, but procedures like chemical peels, microdermabrasion and laser therapy often yield results within two to four weeks. A series of procedures is typically recommended to achieve the most effective reduction of melasma.

How Can I Make the Results of My Melasma Treatment Last?

Melasma is a chronic condition, meaning it may come and go. While melasma treatments can significantly reduce the appearance of dark patches, you may need maintenance treatments to keep your skin looking its best. Sun protection is also crucial to preventing flare-ups, as UV exposure can trigger melasma.

Take Control of Your Melasma With Expert Care in Denver

Don’t let melasma hold you back from having skin that feels fresh and clear. At AboutSkin Dermatology and Aesthetics, our expert team of Board-Certified Dermatologists is here to guide you through the process and create a personalized melasma treatment plan. Whether you’re interested in chemical peels, laser treatments or an advanced skincare regimen, we have the tools and expertise to help you achieve a more even complexion.

Schedule your consultation at AboutSkin today by calling 303-756-7546 or completing our online contact form.

Pinpoint Skin Issues From Home

With AboutSkin’s virtual consultations, you can easily highlight specific skin concerns on your face or body and connect with a dermatology professional. Receive personalized guidance and a custom care plan—all from the comfort of home. Schedule your consultation today!

Virtual Consultation

Patient Testimonials

Let Your Skin Glow

Let Your Skin Glow

Let Your Skin Glow

Let Your Skin Glow

Let Your Skin Glow

Tag us on Instagram @aboutskindermatology

Book Your Consultation Today

This field is for validation purposes and should be left unchanged.

By clicking submit you consent for us to contact you by phone, text or email using to the data provided, even if the contact info is on a state or national DNC list. You also consent to our Privacy Policy and Terms of Service.

Greenwood Village Office

5340 South Quebec ST., STE. 300 (South Entrance)
Greenwood Village, CO 80111

(303) 756-7546

Sky Ridge Medical Center

Closing effective Sept 1, 2024

10099 Ridgegate Parkway, Ste. 490 (Conifer Building)
Lone Tree, CO 80124

(303) 756-7546

Subscribe to our eblasts

This field is for validation purposes and should be left unchanged.