What Is Melasma? Understanding Pigmentation and Treatment Options
What Is Melasma?
Melasma is a common but often frustrating skin condition that appears as brown or gray-brown patches on the face, most commonly on the cheeks, forehead, upper lip, and jawline. While melasma is medically benign, its visibility and persistence can have a significant impact on confidence.
Many patients notice that melasma develops gradually and becomes more pronounced over time, often deepening with sun exposure or hormonal changes. Because of this, melasma can feel unpredictable and difficult to control without expert guidance.
The good news is that melasma can be thoughtfully managed with a personalized approach that focuses on both correction and long-term skin health. At Ohara Dermatology, treatment is designed to protect the skin barrier, regulate pigment production, and support a clearer, more even complexion over time.
What Causes Melasma?
Melasma is influenced by multiple factors, which is why it can be persistent. Common triggers include:
Sun and ultraviolet (UV) exposure
Hormonal changes, including pregnancy and birth control use
Genetic predisposition
Certain medications
Unlike pigmentation caused by isolated sun spots, melasma involves deeper pigment activity and inflammation, making it more complex to treat. Even brief or incidental sun exposure can worsen existing patches or cause recurrence, which is why prevention plays a central role in care.
Why Is Sun Protection So Important?
Sun protection is the foundation of any effective melasma treatment plan. UV radiation stimulates pigment-producing cells, which can deepen discoloration and undo progress from in-office treatments.
Daily sunscreen use, combined with protective habits, helps stabilize pigment and preserve results. Without consistent sun protection, even the most advanced treatments may provide only temporary improvement.
How Is Melasma Treated?
Because melasma behaves differently in every patient, treatment is never one-size-fits-all. A comprehensive approach may include:
Sun protection with dermatologist-recommended sunscreen
Prescription topical medications designed to regulate pigment through different mechanisms
In-office procedures such as chemical peels and microneedling to support skin renewal and tone refinement
These treatments work together to gradually improve discoloration while supporting the overall health of the skin.
RevePeel® Enlighten Depigmentation System: Targeted Support for Pigmentation
For patients seeking targeted in-office care, one advanced option is the RevePeel® Enlighten Depigmentation System. This chemical peel is designed to address stubborn pigmentation and uneven tone using a specialized blend of brightening and exfoliating ingredients.
RevePeel helps soften the appearance of melasma and sun damage while encouraging a clearer, more luminous complexion when paired with proper aftercare and sun protection. Because melasma requires a measured approach, this treatment is often incorporated as part of a broader, customized plan rather than used in isolation.
Is Melasma Treatment Right for You?
You may be a good candidate for melasma treatment if you notice:
Persistent dark patches on the face
Pigmentation that worsens with sun exposure
Uneven skin tone that does not improve with over-the-counter products
A desire for guided, medically supervised care
During a one-on-one consultation, Dr. Ohara Aivaz carefully evaluates your skin type, triggers, and history to design a plan tailored specifically to you.
What Results Can You Expect?
With consistency and expert oversight, patients may experience:
Gradual softening of dark patches
Improved skin clarity and tone
A more balanced, even complexion
Results that are natural and sustainable over time
Because melasma is a chronic condition, maintenance and patience are key. Thoughtful care allows improvements to build while minimizing recurrence.
Final Thoughts
Melasma can be complex, but it does not have to be discouraging. With a personalized strategy that combines prevention, topical care, and in-office treatments, meaningful improvement is possible.
At Ohara Dermatology, our goal is to guide you through melasma care with precision, intention, and respect for your skin’s long-term health—helping your complexion reflect balance, clarity, and confidence.
