Melasma Treatment

Melasma: Causes, Symptoms, and Treatment Options

Melasma is a common skin condition that causes dark patches on the face and other sun-exposed areas. While harmless, it can be frustrating to manage and may affect confidence. At Biltmore Dermatology, we offer customized melasma treatments to help restore an even skin tone and prevent further pigmentation issues.

What Is Melasma?

Melasma occurs when melanin-producing cells create excess pigment, leading to brown, tan, or grayish patches on the skin. It’s often triggered by:

• Sun exposure
• Hormonal changes (pregnancy, birth control, hormone therapy)
• Genetics
• Certain medications
• Blue light exposure (LED screens)

Melasma most commonly appears on the face, including the forehead, cheeks, nose, upper lip, and chin, but it can also develop on the neck and arms.

Symptoms of Melasma

Melasma appears as flat, discolored patches that often form on both sides of the face. The patches are not raised, scaly, or painful but may darken with sun exposure. Unlike other skin conditions, melasma is not a sign of skin cancer and does not cause itching or discomfort.

Who Is Most Likely to Develop Melasma?

• Women – Hormonal changes make melasma more common in women, especially during pregnancy. It’s often called the "mask of pregnancy."
• People with darker skin tones – Higher melanin levels make the skin more prone to pigmentation changes.
• Those with a family history – Genetics can increase the likelihood of developing melasma.
• Individuals taking certain medications – Some antibiotics, blood pressure medications, and anti-seizure drugs can trigger melasma.
• People with thyroid conditions – Hormonal imbalances from thyroid disorders can contribute to pigmentation changes.

Melasma Treatment Options

While melasma can be persistent, professional treatments can help fade discoloration and prevent it from worsening. At Biltmore Dermatology, we create personalized treatment plans that may include:

Topical Medications

• Prescription creams like hydroquinone and tretinoin to lighten dark patches
• Can improve skin tone with regular use but may cause dryness or irritation

Chemical Peels

• Removes the top layers of damaged skin to reduce pigmentation
• VI Peels are often recommended for melasma treatment

Microneedling

• Stimulates collagen and helps improve skin tone
• May require multiple sessions for the best results

Managing Melasma and Preventing Recurrence

The most important step in melasma treatment is sun protection. Even after treatment, UV exposure can trigger new pigmentation.

How to Protect Your Skin:

• Wear broad-spectrum sunscreen (SPF 30+) daily
• Avoid excessive sun exposure and tanning beds
• Use blue light filters on phones and computers
• Follow your board-certified dermatology provider's treatment plan carefully

Schedule a Consultation

Melasma can be stubborn, but the right treatment plan can help restore an even, healthy complexion. Biltmore Dermatology offers expert care to diagnose and treat melasma with the latest advancements in skincare.

Call our Terre Haute or Vincennes office,contact us online, or walk in today to get started.