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Stubborn pigment that just wont go away


What is Melasma?

Melasma is a common skin problem. It causes brown to gray-brown patches or freckle-like spots, usually on the face. Most people get it on the cheeks, bridge of their nose, forehead, chin and above their upper lip.

Women are far more likely than men to get melasma. It is so common in pregnancy that melasma is sometimes called “the mask of pregnancy”. Hormones seem to trigger melasma. Too

Melasma appears on women’s skin much more often than men's skin. People with darker skin, such as those of Latin/Hispanic, North African, African-American, Asian, Indian, Middle Eastern or Mediterranean descent are more likely to get melasma. People who have blood relatives who have a melasma also are much more likely to get melasma.


What causes Melasma?

What causes melasma is not yet clear. It likely occurs when the color making cells in the skin called melanocytes produce too much color. People with skin of color are more prone to melasma because they have more active melanocytes then people with light skin.

It is important to know what triggers Melasma:

-Sun exposure: UV light from the sun stimulates the melanocytes. In fact, just a small amount of sun exposure can make melasma return after fading. Sun exposure is why melasma often is worse in summer. It also is the main reason why many people with melasma get it again and again.


-A change in hormones: pregnant women often get melasma. Melasma appears in pregnancy, it is called chloasma. Birth control pills and hormone replacement medicines can also trigger melasma.


-Skin care products: if a product irritates your skin, Melasma can worsen. Sone cosmetics can cause what’s called a phototoxic reaction.


Treatments offered at Ethereal Rejuvenation Clinic-

Melasma can fade on its own. This can happen after delivery , or after stopping birth control pills. 

However, some people have melasma for years, or even a lifetime. 


  1. Dr. Bhogal uses Prescription triple lightening creams for maximum benefits.

  2. We also use nonprescription creams with tranexamic acid and kojic acid to lighten the skin and it works great in combination with prescription creams. 

  3. Procedures such as chemical peels and microneedling with or without PRP can also help lighten melasma.

  4. Light based procedures like intense pulsed light, non- ablative fractional laser treatments can benefit selective patients. 

  5. We highly recommend wearing a broad spectrum mineral sunscreen every day-rain or shine.


Under doctor’s care, many people with melasma have a good outcome. Dr. Bhogal will work with you to design your individualized treatment for best results. We understand that melasma can be stubborn, and it is important to know that it may take a few months of treatment to see any improvement.

After your melasma clears, you may need to keep treating your skin. We call this maintenance therapy. Maintenance therapy can prevent melasma from returning.

Below you can read some more on our blog!

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