What is Melasma, Why Does it Occur?
Melasma is a skin condition that is characterized by irregular patches of pigmentation on the face. The tan or brown patches often occur symmetrically on the cheeks, upper lip, forehead or nose. It is the symmetry of the melasma that distinguishes it from other pigmented skin conditions.
Paul M. Friedman, M.D. has successfully treated hundreds of patients with melasma. It is a fairly common condition that is found more often in females and people with darker skin types.
In patches of melasma, melanocytes (pigment-producing cells) are increased in number, and each of these melanocytes produces more melanin. An increase in melanin leads to the tan or brown discoloration found in melasma.
At this time, the cause of melasma is not fully understood, but the following factors are considered to play a part in the formation of these patches:
- Genetics
- Hormonal changes
- Sun exposure
- Pregnancy
- Oral Contraceptives
Melasma has no known association with internal disease as some skin conditions do.
Our Patients’ Results
Before 
After 
Before 
After *Individual Results May Vary
Effective Melasma Treatments
- Microdermabrasion
- Clear + Brilliant® Touch Laser
- Vbeam® Laser
- Spectra™ Laser Skin Treatment
- PicoWay™
Topical Treatment Options
Melasma may be treated with various topical Hydroquinone and non-Hydroquinone based skin care products. In our practice we carry 4% hydroquinone, and a variety of skin brighteners that contain Melanyzme, antioxidants, peptides, retinol, and glycolic acid. All have been shown to be highly effective in regulating and enhancing pigmentation. Topical therapy is a great alternative for maintenance if other treatments such as laser procedures are not desired.
*Individual Results May Vary