MELASMA
Melasma is a common skin condition characterized by patches of discoloration, typically brown or grayish-brown, that appear on the face. These patches often develop gradually over time and are usually symmetrical, affecting both sides of the face. While the exact cause of melasma is not fully understood, factors such as sun exposure, hormonal changes, and genetic predisposition are believed to play a role in its development.
top 3 causes of melasma
sun exposure
Ultraviolet (UV) light from the sun stimulates the production of melanin, the pigment that gives skin its color. Melasma tends to be more prominent in individuals with sun exposure, as UV rays can worsen existing patches and stimulate the production of new ones.
hormones
Fluctuations in hormones, such as those that occur during pregnancy (often termed "the mask of pregnancy"), or hormone treatments like birth control pills, can trigger melasma. This is why it's more common in women than in men.
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genetics
genetics can play a role in predisposing individuals to melasma. If someone in your family has melasma, you may be more likely to develop it as well.
our approach
At our clinic, we believe in a holistic approach to treating melasma. Our skin experts begin by conducting a thorough assessment of your skin, including an examination of your medical history, lifestyle factors, and specific concerns related to melasma. This personalized approach allows us to develop a tailored treatment plan that addresses your individual needs and concerns.
treatments
We offer a range of treatment options for melasma, including topical therapies, procedures, and lifestyle modifications. Topical treatments may include prescription creams containing ingredients such as hydroquinone, retinoids, corticosteroids, or combination therapies to lighten the pigmented areas and promote even skin tone. Our clinic also provides in-office procedures such as chemical peels, microneedling, and led therapy, which can further improve melasma by targeting excess pigmentation and stimulating collagen production. treatment plans are developed and customized based on individual skin types, condition, and lifestyle factors.
medical management of melasma
Melasma is a common skin condition characterized by dark, irregular patches, typically on the face. It’s most prevalent in individuals with darker skin tones and often appears in areas exposed to the sun, like the cheeks, forehead, and upper lip. Hormonal changes, sun exposure, and genetics can contribute to its development, making it a persistent challenge for many. Proper medical management can help lighten these patches and prevent further darkening.
key treatments for managing melasma:
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Topical Depigmenting Agents
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Hydroquinone: Considered the gold standard in melasma treatment, hydroquinone works by inhibiting melanin production, effectively lightening dark patches over time. Available in concentrations ranging from 2% (over-the-counter) to 4% or higher (prescription), hydroquinone is often used as a first-line treatment. Â
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 Tretinoin: A type of retinoid, tretinoin helps increase skin cell turnover, allowing the skin to shed pigmented cells more quickly. It is often used in combination with hydroquinone for enhanced effects. Â
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Azelaic Acid: Azelaic acid is a natural acid that helps lighten hyperpigmented areas by targeting abnormal melanocytes. It’s a good alternative for those who may not tolerate hydroquinone. Â
Kojic Acid and Vitamin C: Both are antioxidants that help inhibit melanin production. They are gentler options and often found in combination formulations.
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Chemical Peels
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Glycolic Acid Peels: Glycolic acid is an alpha hydroxy acid (AHA) that exfoliates the skin, promoting cell turnover and reducing the appearance of pigmentation. Chemical peels with glycolic acid can be an adjunct to topical treatments. Â
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Salicylic Acid Peels: Salicylic acid peels are particularly effective for oily or acne-prone skin types. They help remove dead skin cells and improve the overall texture, which can also lighten melasma patches. Â
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Jessner’s Solution: A combination of resorcinol, lactic acid, and salicylic acid, this peel is stronger and can be used for more resistant cases of melasma.  Â
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sun protection
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Broad-Spectrum Sunscreen: Daily use of a broad-spectrum sunscreen with SPF 30 or higher is essential in managing melasma. Physical sunscreens containing zinc oxide or titanium dioxide are often preferred because they offer better protection against both UVA and UVB rays.  -
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Sun Avoidance: In addition to sunscreen, minimizing direct sun exposure, wearing wide-brimmed hats, and using protective clothing can significantly help in preventing melasma from worsening.
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Customized Treatment Plans
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Managing melasma often requires a tailored approach, as every patient’s skin type, melasma severity, and response to treatment differ. Dermatologists may combine several treatments to achieve optimal results, such as starting with topical agents and gradually incorporating chemical peels or lasers as needed.  - Regular follow-ups are important to monitor progress and adjust treatment protocols, ensuring the best outcome for each individual.
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Effective medical management of melasma requires a comprehensive approach, combining topical agents, oral medications, and possibly advanced procedures like lasers or chemical peels. With consistent care and sun protection, patients can achieve significant improvements, helping to restore a more even and radiant complexion. For those struggling with melasma, consulting with a dermatologist or aesthetic specialist is crucial to developing a treatment plan that is safe, effective, and personalized to individual needs.
in-office procedures
Our
Location
WE ARE CONVENIENTLY LOCATED SOUTH OF DOWNTOWN ORLANDO.
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5105 S ORANGE AVE, ORLANDO, FLORIDA 32809
(407)-901-1808