Melasma is a specific form of hyperpigmentation that creates symmetrical brown or gray-brown patches, typically on the face. Often called the 'mask of pregnancy,' melasma is triggered by hormones and worsened by sun exposure. It requires a different approach than general dark spots — and at PureDerm, we specialize in gentle, effective melasma management.
Melasma is primarily driven by hormonal changes — pregnancy, birth control pills, and hormone replacement therapy are common triggers. UV exposure and heat significantly worsen it. Genetic predisposition plays a role, and it's more common in people with darker skin tones (Fitzpatrick III-VI). Colorado's intense sun at altitude makes melasma particularly stubborn for local residents.
Symmetrical brown, tan, or gray-brown patches on the cheeks, forehead, bridge of the nose, upper lip, or chin. The patches have irregular borders and darken with sun exposure or heat. Melasma doesn't cause physical discomfort but can significantly affect self-confidence.
Melasma is manageable but not always permanently curable — it's a chronic condition that can recur with triggers like sun, heat, and hormonal changes. The goal is significant fading and long-term management with the right skincare routine and sun protection.
Yes, but the type and strength of peel matters enormously. Aggressive peels can actually worsen melasma by causing inflammation. We use gentle, melasma-safe peels (like lactic acid) combined with brightening serums for the best results without rebound pigmentation.
Book a consultation and let's create a personalized treatment plan for your skin.
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