Melasma is a chronic skin condition that causes symmetrical brown or gray-brown patches, most commonly on the:

• Cheeks
  
• Forehead
  
• Upper lip
  
• Nose
  
• Jawline
  
  

It is often triggered by:

• Sun exposure
  
• Heat
  
• Hormonal changes (pregnancy, birth control, hormone therapy)
  
• Genetics
  
• Irritation or inflammation
  
  

Melasma is not dangerous, but it is challenging and requires ongoing management—not a one-time treatment.

Pigmentation disorders are part of our comprehensive medical dermatology services.

Other Pigmentation Concerns We Treat

MDCS Dermatology evaluates and treats all types of skin discoloration, including:

• Sun spots (solar lentigines)
  
• Freckles
  
• Post-inflammatory hyperpigmentation (PIH)
  
• Acne-related pigmentation
  
• Dark marks after rashes
  
• Medication-induced pigmentation
  
• Hormonal pigmentation
  
• Age-related discoloration
  
  

Conditions such as acne, rashes, or eczema may leave behind pigmentation—learn more on our chemical peels or microneedling pages for treatment options.

Melasma & Pigmentation Treatments at MDCS Dermatology

Treatment plans are tailored to skin type, depth of pigmentation, and triggers. Options include:

• Prescription topical therapy

• Hydroquinone
  
• Tretinoin
  
• Azelaic acid
  
• Tranexamic acid
  
• Cysteamine
  
• Combination formulations
  
  

• Chemical Peels

Gentle and medium-depth peels (mandelic, glycolic, Jessner’s, retinol) help lift pigment safely. See our chemical peels page.

• Laser & light-based treatments

Carefully selected options for pigmentation and sun spots including:

• IPL / Lumecca (sun damage; not typically for melasma flare-ups)
  
• Laser treatments for brown spots
  Explore options on our laser treatments page.
  
  

• Oral medication (select cases)

Low-dose tranexamic acid for stubborn melasma.

• Skin-care guidance & prevention

Customized regimens to maintain even tone and prevent recurrence.

• Strict sun and heat protection

A cornerstone of melasma management.

What to Expect During Your Visit

Your dermatologist will:

1. Evaluate the pigment depth (epidermal, dermal, or mixed)
   
   
2. Identify triggers (hormones, sun, heat, irritation)
   
   
3. Determine if the pigmentation is melasma, PIH, or another condition
   
   
4. Create a personalized treatment and maintenance plan
   
   
5. Recommend safe in-office procedures based on your skin type
   
   

Pigment conditions require patience and consistency—improvement usually occurs over weeks to months.

Why Choose MDCS Dermatology?

• Dermatologists experienced in melasma and complex pigmentation
  
  
• Customized protocols for skin of all tones
  
  
• Access to medical-grade topical treatments
  
  
• Multiple safe options for pigmentation on sensitive facial areas
  
  
• Locations across Manhattan, Long Island, and New Jersey
  
  

Struggling with melasma or stubborn dark spots?
Schedule your pigmentation evaluation at MDCS Dermatology today.

 

Frequently Asked Questions


1. What causes melasma?

Melasma is triggered by sun exposure, heat, hormones, inflammation, and genetics. It is more common in women and darker skin types.

2. Is melasma permanent?

Melasma is chronic but manageable. With consistent care, pigment can significantly lighten and be maintained long-term.

3. What’s the difference between melasma and sun spots?

Melasma appears as larger, patchy areas often triggered by hormones. Sun spots are small, sharply defined brown marks from sun damage.

4. Can lasers treat melasma?

Some lasers may worsen melasma. Only specific, gentle laser or light treatments may be used depending on your skin type and severity.

5. How long does melasma treatment take?

Most patients see improvement within 8–12 weeks with consistent therapy.

6. Does melasma get worse in summer?

Yes. UV and heat exposure commonly trigger melasma flares. Daily sunscreen is essential.

7. Can chemical peels help melasma?

Yes—gentle peels such as glycolic, mandelic, or Jessner’s can lighten pigmentation when performed under dermatologic supervision.

8. Where is melasma treatment offered at MDCS?