Melasma is a common skin condition that causes dark, discolored patches to appear on the skin—most often on the face. Though it’s not dangerous or contagious, melasma can be emotionally distressing and hard to treat without professional help.
If you’re noticing uneven pigmentation that doesn’t fade on its own, a qualified dermatologist in LaPlace can help you understand the cause and guide you through effective treatment options.
What Is Melasma?
Melasma is a form of hyperpigmentation that usually appears as brown, gray-brown, or tan patches on the cheeks, forehead, upper lip, or chin. It’s more common in women—especially during pregnancy or while taking birth control—but it can affect anyone, including men and people with darker skin tones.
The condition often worsens with sun exposure and heat, which is why it’s especially common in warm, sunny regions like South Louisiana.
What Causes Melasma?
Melasma is a complex condition triggered by a combination of internal and external factors, such as hormones, sun exposure, and skin irritation. Understanding these common causes is the first step toward effective treatment.
1. Hormonal Changes
Fluctuations in estrogen and progesterone—like those that occur during pregnancy, with birth control use, or hormone therapy—are leading contributors to melasma. In fact, it’s often referred to as the “mask of pregnancy.”
2. Sun Exposure
UV radiation from the sun stimulates melanocytes (the pigment-producing cells in the skin), which can worsen existing patches or trigger new ones. Even a few minutes of sun exposure without protection can undo weeks of treatment progress.
3. Heat and Light
Aside from UV rays, exposure to heat and visible light (like from screens or overhead lights) can aggravate melasma by increasing inflammation and pigment production.
4. Genetics
You’re more likely to develop melasma if it runs in your family or if you have a naturally darker skin tone, which contains more active melanocytes.
5. Skin Irritation
Some skincare products, waxing, or treatments that irritate the skin may trigger melasma or make existing pigmentation worse—especially if the skin barrier is compromised.
Can Melasma Go Away on Its Own?
Melasma that’s triggered by pregnancy or birth control may fade gradually once hormone levels stabilize. However, in many cases, melasma persists or worsens without treatment. Because of its stubborn nature, many patients turn to a dermatologist in LaPlace for help managing it long-term.
How Is Melasma Treated?
There is no one-size-fits-all cure for melasma, but a combination of treatments and careful maintenance can lead to noticeable improvement. At LaPlace Dermatology, we take a customized approach based on your skin type, melasma severity, and lifestyle.
1. Sun Protection
The cornerstone of melasma treatment is daily sun protection. Even the most effective treatments can be undone without it. A mineral-based sunscreen (with zinc oxide or titanium dioxide) of SPF 30 or higher should be applied every morning and reapplied throughout the day, especially when outdoors.
Wearing a wide-brimmed hat and avoiding direct sunlight during peak hours also helps prevent worsening pigmentation.
2. Topical Medications
Prescription creams are often the first line of defense. These may include:
- Hydroquinone: A skin-lightening agent that reduces dark spots
- Tretinoin and corticosteroids: Often combined with hydroquinone for stronger results
- Azelaic acid or kojic acid: Gentle alternatives for sensitive skin
Your dermatologist in LaPlace will recommend the right combination based on your skin tone and sensitivity.
3. In-Office Treatments
For stubborn melasma, in-office procedures can provide faster results:
- Chemical Peels: Help exfoliate the skin and reduce pigmentation
- Laser Treatments: Target deep pigmentation, though not suitable for everyone
- Microneedling: Can improve skin texture and tone over time
It’s important that these treatments are performed by a skilled professional, as improper use can lead to more pigmentation, especially for darker skin tones.
4. Gentle Skincare Routine
Avoid harsh scrubs, strong acids, or products with alcohol. Instead, use gentle cleansers and fragrance-free moisturizers to support your skin barrier. Your dermatologist may recommend medical-grade skincare designed to prevent melanin buildup.
Managing Expectations
Melasma requires patience. Improvement is usually gradual, and maintenance is lifelong. Even with successful treatment, flare-ups can occur—especially during summer or hormonal changes. But with the support of an experienced dermatologist in LaPlace, you can keep melasma under control and feel more confident in your skin.
Partner With a Dermatologist in LaPlace for Melasma Care
At LaPlace Dermatology, we understand how frustrating melasma can be. That’s why we offer individualized care plans that go beyond surface-level solutions. Whether you’re dealing with new patches or a long-term condition, we’re here to help you find the best path forward.
Contact our office today to schedule your consultation and take the first step toward clearer, more even-toned skin.
