ABOUT 
Melasma is a complex, chronic skin condition that causes symmetrical patches of dark, discolored skin, typically on the face. Frequently referred to as the “mask of pregnancy,” it is heavily influenced by hormones and sun exposure. Because melasma is stubborn and prone to returning, the dermatologists at Preston Dermatology create multi-layered, customized treatment protocols designed to safely fade pigmentation and keep it under control.
Overview
Melasma is a complex, chronic skin condition that causes symmetrical patches of dark, discolored skin, typically on the face. Frequently referred to as the “mask of pregnancy,” it is heavily influenced by hormones and sun exposure. Because melasma is stubborn and prone to returning, the dermatologists at Preston Dermatology create multi-layered, customized treatment protocols designed to safely fade pigmentation and keep it under control.
Causes and Risk Factors
Hormonal fluctuations (pregnancy, oral contraceptive use, hormone replacement therapy), UV radiation from the sun, visible light, heat, and a genetic predisposition (more common in darker skin types).
Treatments
Prescription topical hydroquinone, topical retinoids, non-hydroquinone brighteners (azelaic acid, kojic acid, tranexamic acid), oral tranexamic acid, medical-grade chemical peels, and strict physical sunscreen regimens.
Concerns
Brown, tan, or blue-gray patches on the skin; uneven skin tone; hyperpigmentation triggered by heat or sun; and stubborn discoloration resistant to standard brighteners.
Body Areas
Cheeks, forehead, bridge of the nose, upper lip, chin, and occasionally the forearms.