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Dermatology

Melasma

Melasma is a common pigmentation condition that appears as brown or grey-brown patches, most often on the face. It can be managed effectively, but it requires an accurate diagnosis and a realistic, long-term plan.

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

01

Consultation

Your pigmentation history, triggers, and previous treatments are reviewed.

02

Assessment

The type, depth, and pattern of pigmentation are examined.

03

Treatment planning

A combined protection and treatment plan is tailored to your skin.

04

Treatment

Topical therapy and in-clinic care where clinically appropriate.

05

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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