Overview
About melasma
Melasma typically appears as symmetrical patches of darker pigmentation on the cheeks, forehead, upper lip, or nose. It is more common in women and in skin that tans easily, though anyone can be affected.
Several factors can contribute to melasma, including sun exposure, hormonal influences such as pregnancy or contraception, and genetic predisposition. Because melasma can resemble other pigmentation conditions, a dermatological diagnosis is the essential first step. The wrong treatment can make pigmentation worse.
Dr. Kashmar assesses the depth and pattern of pigmentation, your skin type, and contributing factors before recommending a management plan. Treatment options are determined following an individual assessment.
Focus
What melasma care focuses on
Accurate diagnosis of facial pigmentation
Reducing the appearance of existing patches
Strict, practical sun-protection strategy
Managing hormonal and environmental triggers
Long-term maintenance to limit recurrence
Approach
How the treatment works
Melasma management usually combines protection, topical treatment, and in-clinic procedures where appropriate. Sun protection is central: ultraviolet and visible light are major triggers, and without daily protection other treatments are far less effective.
Depending on the assessment, treatment may include medical-grade topical therapy and carefully selected procedures. Melasma is managed, not simply removed. Maintenance is a normal part of keeping results.
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Process
What to expect
Consultation
Your pigmentation history, triggers, and previous treatments are reviewed.
Assessment
The type, depth, and pattern of pigmentation are examined.
Treatment planning
A combined protection and treatment plan is tailored to your skin.
Treatment
Topical therapy and in-clinic care where clinically appropriate.
Maintenance
Ongoing protection and follow-up to keep pigmentation controlled.
Candidacy
Who may benefit
Patients with brown or grey-brown facial patches
Those whose pigmentation worsens with sun exposure
Patients who have tried products without a diagnosis or a plan
Anyone seeking a realistic long-term management approach
Dr. Kashmar will determine whether this treatment is appropriate following a consultation.
Results
What results look like
Melasma usually improves gradually with consistent treatment and protection. Because it is a chronic, recurrence-prone condition, results vary and maintenance matters, Dr. Kashmar will set realistic expectations during your consultation.
Safety
Safety & considerations
Some pigmentation treatments can worsen melasma if used on the wrong skin type or condition. This is why assessment comes first, and why your treatment plan is personalized to your skin and history.
FAQ
Frequently asked questions
What is melasma?
Melasma is a pigmentation condition that causes brown or grey-brown patches, usually on the face. It is common and benign, but often persistent.
What causes melasma?
Sun exposure, hormonal influences, and genetic predisposition are the main contributing factors. Often several factors act together.
Can melasma return?
Yes. Melasma is prone to recurrence, especially with sun exposure. A maintenance and protection plan is part of good melasma care.
How is melasma treated?
Management typically combines daily sun protection, topical treatment, and in-clinic procedures where appropriate. The right combination is determined after assessment.
Does sun exposure affect melasma?
Strongly. Ultraviolet and visible light are major triggers, and daily broad-spectrum protection is central to every melasma plan.
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Ready to discuss your skin?
Book a consultation with Dr. Kashmar to discuss your concerns and explore the most appropriate treatment options for your skin.