Lucid Dermatology


Imagine looking in the mirror and noticing dark, discolored patches appearing on your skin. For many, this isn’t just an occasional concern—it’s a persistent condition known as melasma. Often referred to as the “mask of pregnancy,” melasma affects millions worldwide, causing cosmetic distress and impacting self-confidence. But what exactly is melasma, and why does it occur?

What is Melasma?

Melasma  is  a  prevalent  skin  condition  characterized  by  the  appearance  of  dark, discolored patches, primarily on the face. These patches often appear symmetrically on both sides of the face and are typically found on the cheeks, forehead, nose, and upper lip. Occasionally, melasma can also affect other sun-exposed areas of the body, such as the forearms and neck.

Melasma treatment at Lucid

At the heart of melasma is an overproduction of melanin, the natural pigment responsible for skin color. Melanin is produced by cells called melanocytes, which are a type of cell in the skin.When they become overactive, they create excess pigment, leading to the characteristic dark patches of melasma. While the exact cause of this overactivity isn’t fully understood, several factors are known to trigger or exacerbate the condition.

Although melasma is not harmful and does not pose any health risks, it can be challenging to treat and often requires a multifaceted approach. From topical treatments and chemical peels to laser therapies and lifestyle modifications, managing melasma involves a combination of strategies tailored to individual needs. With the right knowledge and treatment plan, it’s possible to reduce the appearance of melasma and prevent its recurrence, helping you achieve clearer, more even-toned skin.

Contributing Factors to Melasma

Multiple factors can trigger melasma, including:

1.  Sun  Exposure:  UV  rays  stimulate  melanocytes,  increasing  melanin  production  and resulting in dark patches.

2.  Hormonal Changes: Hormonal fluctuations during pregnancy, oral contraceptive use, or hormone replacement therapy can provoke this condition.

3.  Genetics: A family history of melasma heightens the risk.

4.  Medications:  Certain  drugs,  especially  those  increasing sun sensitivity, can cause or worsen pigmentation concerns.

5.  Skincare Products: Irritating products can worsen pigmentation.

6.  Thyroid Issues: There’s a possible link between thyroid disorders and melasma.

Risk Factors and Causes

Individuals more likely to develop melasma include:

  1. Women: Melasma is more prevalent in women than men.
  2. Darker Skin Types: Those with Fitzpatrick skin types III to VI are at greater risk.
  3. Ethnic  Groups:  Higher  incidence  of  Hispanic,  Asian,  Middle  Eastern,  and  African descent.
  4. Age: Commonly affects people aged 20 to 40.

Diagnosing Melasma

Dermatologists typically diagnose melasma through visual examination. In some cases, a Wood’s lamp examination (using UV light) can determine the pigmentation depth. A skin biopsy might be conducted to rule out other conditions if necessary.

Exploring Treatment Options

While there’s no cure for melasma, several treatments can help manage its appearance. The best treatment often involves a combination of the following therapies:

1.  Topical Treatments:

2.  Chemical Peels: Remove top skin layers, promoting new, evenly pigmented skin growth.

3.  Laser and Light Therapies: IPL and fractional lasers target and break down pigment.

4.  Microneedling: Promotes collagen production and improves topical treatment absorption of products on the skin. This procedure also breaks up pigment and can improve hyperpigmentation to a certain degree.

5.  Oral Medications: Tranexamic acid can help for resistant melasma cases.

Long-Term Management: Maintenance Therapy

Preventing melasma recurrence is crucial. Maintenance includes:

1.    Sun Protection: Use broad-spectrum SPF 30+ sunscreen daily, wear protective clothing, and seek shade.

2.   Continued Topical Treatments: Maintain results with ongoing use of prescribed agents.

3.   Regular Dermatologist Visits: Monitor and adjust treatments as needed.

When to See Results from Treatments

Results vary based on treatment and individual skin type. Generally, improvement is seen within weeks to months. Consistency and patience are essential for managing this persistent condition.


Though challenging, melasma is manageable with the right knowledge and approach. Understanding  its  causes,  symptoms,  and  treatments  helps  individuals  take  proactive  steps toward managing their condition and improving skin appearance. Consult our dermatologist for a personalized treatment plan tailored to your specific needs.

The Lucid Way

At Lucid, our Providers bring years of experience in treating melasma, ensuring you receive exceptional care. After evaluating your skin, we offer a range of treatment options, including chemical peels available in our office. These gentle but effective peels enhance results when performed every two weeks.

A  crucial  part  of  the  treatment  is consistent sunscreen use—reapply every two hours when outside or exposed to sunlight during the day. Without sunscreen, the benefits of the peels will diminish.

Another  treatment  option  provided  is  a  prescription  medication  specifically  designed  for melasma.  At Lucid,  your  provider  can  prescribe  a  unique cream compound that effectively diminishes unwanted hyperpigmentation .

Please note  that  all procedures take time. If you have an upcoming event or desire quicker results, our medical aesthetician can offer a more intensive peel for faster outcomes. Keep in mind that each person’s skin responds differently, and the extent of peeling varies. Most patients achieve optimal results within two sessions of these intensive peels.