Melasma & Pigmentation

Melasma, Brown Spots and Photodamaged Skin

Are you one of six million women in America suffering from melasma? Dark spots and pigmentation are visible signs of aging skin and photodamage. While these brown spots are not painful or itchy, it causes substantial emotional distress. Melasma is one of the toughest skin conditions to fix. Many treatment options can be ineffective or worse harmful and can worsen your melasma.

You can not treat melasma or any dark spots without knowing what caused it in the first place.



If your mom had melasma and you have melasma, you may feel like there is nothing you can do. But there is something about genetics, it’s called epi-genetics. Healthy life style, good sleep, good hydration, stress reduction can help minimize melasma.



If your oral contraceptive pills have triggered melasma, consider switching to an IUD. Check your hormone levels and discuss your options with your doctor.

Sun Exposure


Sun must be avoided at all cost as it is stronger than any topical cream or medication you can take. Apply and reapply sunscreen, wear a big hat and sun protective long sleeves. Know your sunscreens.

Topical creams may help with the appearance of even skin tone.


Sunscreen is probably the most important thing for patients with melasma and brown spots  

There are two types of sunscreens, chemical and physical.  

Chemical sunscreens use chemicals like oxybenzone and physical sunscreen has zinc and titanium dioxide which physically blocks the sun. Chemical sunscreen alone may not block out the harmful uv light, we recommend a physical sunscreen that are micronized so that it does not leave a greasy white film on your skin. A little tint can also help to conceal the melasma.  

Beyond Suncreen is our choice of sunscreen for melasma and brown spot prone skin. It is a physical sunscreen made from Titanium Dioxide 7.75%, Zinc Oxide 10.0% combined with plant derived stem cells and antioxidants that can be corrective to the discoloration.

Clear Skin Brightening Gel:

4-Hexylresorcinol is an organic compound, naturally derived from the bran factions of rye, boosting glutathione and minimizes glycation. Niacinamide (Vitamin B3) works synergistically to treat dark spots and encourage cellular renewal. It can be used long-term without the need to cycle off as an anti-inflammatory and non-photosensitizing agent. It is often used as anti-browning agent for shrimp and fresh cut fruits in the food industry. antiaging treatment as it boosts glutathione and minimizes glycation. Resorcinol encourages cellular turnover so slight shedding may be normal.

Melasma Rx:

Tretinoin 0.025%, Hydrocortisone 0.5%, Hydroquinolon 4% and Kojic acid 6%. Prescription strength tretinoin topical can significantly improve melasma by reducing epidermal pigmentation. Hydrocortisone reduces inflammation and Hydroquinolon beaching the darkness. You can use this topical cream safely twice a day for 12 weeks. Then your skin needs a little break. You may go on using clear skin brightening gel with your sunscreen.