Melasma
Melasma produces brown or grayish-brown patches on the face, most often on cheeks, forehead, upper lip, and chin. It disproportionately affects women and darker skin tones.
When to Book
Book a visit if a skin concern is new, spreading, painful, not improving with over-the-counter care, or changing in appearance.
Symptoms
Symmetric, irregularly bordered brown to gray-brown patches on sun-exposed facial areas. Pigmentation darkens with sun exposure and may improve in winter.
Causes & Risk Factors
UV radiation stimulates melanocyte overproduction. Hormonal factors — pregnancy, oral contraceptives — are strong triggers. Darker skin phototypes and heat also contribute.
How We Evaluate
Diagnosis is clinical. Wood lamp helps distinguish epidermal from dermal melasma. We review hormonal history and sun exposure to identify modifiable factors.
Treatment Options
Strict broad-spectrum sunscreen is the cornerstone. Topical triple combination cream (hydroquinone, tretinoin, corticosteroid) is first-line. Alternatives include azelaic acid and tranexamic acid. Our North Miami Beach team creates maintenance plans.
When It Is Urgent
Not medically urgent. Rapidly changing or asymmetric pigmentation should be evaluated to rule out other diagnoses.
Frequently Asked Questions
Can melasma be permanently cured?
Melasma is chronic and prone to relapse. Maintenance therapy with sunscreen and non-hydroquinone agents keeps it well controlled.
Is hydroquinone safe long-term?
Hydroquinone is safe in two-to-four-month cycles with breaks. We rotate agents to minimize risk of paradoxical darkening.
Does melasma go away after pregnancy?
It fades in some women after delivery but may persist with continued sun exposure. Early treatment improves outcomes.
Get a Clear Plan for Melasma
Our dermatology team provides accurate diagnosis and effective treatment tailored to your skin.