Melasma Quick Facts

Concern: Brown or grey-brown patches on the face

Common Areas: Cheeks, forehead, upper lip, chin

Causes: Hormonal changes, sun exposure, pregnancy, certain medications, genetics, heat exposure

Treatment Options: Topical creams, chemical peels, laser treatments, sunscreen, maintenance skincare

Downtime: Minimal, depending on treatment

Results: Gradual lightening and more even skin tone with consistent care

Understanding Melasma

Melasma is a common skin condition that causes brown or grey-brown patches to appear on the face — most often on the cheeks, forehead, upper lip, and chin. While it’s harmless, it can significantly impact confidence and is often resistant to at-home treatment.

This type of pigmentation is triggered by hormonal changes, sun exposure, and genetic predisposition, making it more common in women and those with medium to darker skin tones. It may also appear or worsen during pregnancy or when using oral contraceptives.

Because melasma is complex and easily worsened by the wrong products or procedures, it’s best treated under the guidance of a board-certified dermatologist who can create a safe, personalized plan.

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Personalized Melasma Treatments

At FACET Dermatology, our goal is to reduce pigmentation safely while protecting and strengthening your skin barrier. During your consultation, we’ll perform a detailed skin assessment to determine your triggers and melasma depth (epidermal, dermal, or mixed).

Your dermatologist may recommend a combination of treatments to achieve the best long-term results, including:

Because melasma is a chronic condition, maintenance and sun protection are key to achieving and sustaining results.

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Your Customized Treatment Plan May Include:

Cyspera (topical cream)

To safely inhibit melanin production in all skin types and tones

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Chemical Peels

To gently exfoliate and lighten discoloration

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PicoSure Pro

Laser treatment performed with melasma-safe protocols

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Medical-grade Skincare and Broad-Spectrum sunscreen

To prevent recurrence

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Products That Help Treat Melasma

SHOP DERMATOLOGIST APPROVED, CLINICAL-GRADE SKINCARE

We also provide lifestyle and skincare guidance to help you achieve and sustain clearer skin long-term.

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Frequently Asked Questions

What causes melasma?

Melasma is often caused by hormonal fluctuations, UV exposure, and genetic factors. It can be triggered by pregnancy, oral contraceptives, or even heat and visible light exposure.

Is melasma curable?

Melasma can be effectively managed but not permanently cured. With consistent treatment and sun protection, pigmentation can be significantly reduced and maintained over time.

Are lasers safe for melasma?

Yes, when performed with the right technology and settings. At FACET Dermatology, we use PicoSure Pro, a heatless (aka non-thermal) laser that minimizes the risk of rebound pigmentation.

Can skincare products make melasma worse?

Yes. Some products, especially harsh exfoliants or those that cause irritation, can worsen pigmentation. If you struggle with melasma, it’s best to follow a dermatologist-recommended skincare regimen.

How long does it take to see results?

You may notice improvement within 4–8 weeks, depending on your treatment plan and consistency with daily SPF use and home care.

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