The exact cause of melisma is not known. Melasma can happen to anyone, but it occurs most often in women who have darker skin tones. It is also more common when there is a family history of melasma.

• Sun exposure: the UV light from sun stimulates the pigment producing cells. Good suncare is an important part of managing melasma.
• Hormones: Melasma often appears or gets worse during pregnancy, and with birth control pills and hormone replacement.
• Irritation: inflammation and irritation from cosmetics or procedures can worsen melasma.

• Topical treatment: Various creams such as hydroquinone, retinoids, kojic acid and others may help lighten melasma.
• Chemical peels: can be used to exfoliate the skin in order to reduce pigmentation. Typically a series of mild peels are best for patients with melasma.
• Microdermabrasion: can be used to exfoliate skin, thereby reducing pigmentation. Generally a series of treatment are recommended.
• Lasers: Various lasers and IPL have been used to treat melasma. Sometimes a combination of lasers can be useful. It’s important not to over treat, as too intense a treatment can cause increase pigmentation, generally on a temporary basis.
• It is very important to protect your skin from the sun everyday in order to minimize the risk of melasma from returning. We offer a complimentary consultation with our aestheticians to assist you with getting on an optimal sun care regimen.

The Tri-Beam Q-Switched laser penetrates the dermis in order to target pigmentation found in dermal melasma. This unique laser reduces recovery time and may be safer than other lasers because of its short pulses that don’t damage surrounding tissues, and because it is a fractional laser.

Fotofacial and other similar devices use millisecond pulse durations that only purge excess pigment, leaving the melanocyte unaltered to continue to produce excess pigment. Only nanosecond pulses can alter the melanocyte to reduce or correct pigment production to normal or near normal levels.

There are many treatment options for melasma. In order to make a recommendation, Dr. Zimmet would need to see you for a consultation so he can assess your case. He will discuss the options with you and answer any questions you may have. To schedule a consultation, please call us at  (512) 485-7700.