Understanding Melasma: Causes, Triggers & Treatment Options

If you’ve noticed dark, uneven patches on your skin that won’t fade with over-the-counter products, you might be dealing with melasma. This common skin condition affects millions of people, particularly women, and often shows up on the face, cheeks, forehead, and upper lip. While it isn’t harmful, melasma can impact your confidence. The good news is that effective treatments are available.

At Couture Dermatology & Plastic Surgery, we take a personalized, medically advanced approach to helping patients achieve a clearer, more even complexion. Led by board-certified dermatologist Dr. Candace Spann, our team is experienced in treating even the most stubborn melasma cases.

What Is Melasma?

Melasma is a form of hyperpigmentation caused by an overproduction of melanin in the skin. It appears as symmetrical, blotchy brown or gray-brown patches, most commonly on areas exposed to the sun like the face and neck. Although melasma can affect anyone, it is most common in women with medium to dark skin tones and those experiencing hormonal shifts.

Common Causes and Triggers

Understanding what causes melasma can help with prevention and long-term management. Some of the most common triggers include:

• Sun Exposure: Ultraviolet (UV) rays stimulate the melanocytes, or pigment-producing cells, making melasma worse.
  
• Hormonal Changes: Pregnancy, birth control pills, and hormone therapy can trigger melasma, which is why it’s often called the "mask of pregnancy."
  
• Genetics: A family history of melasma may increase your risk.
  
• Skin Irritants: Harsh skincare products or treatments can sometimes cause flare-ups.

Skincare Tips for Prevention

While melasma cannot always be prevented, you can take steps to reduce flare-ups:

• Apply Sunscreen Daily: Choose a broad-spectrum SPF of 30 or higher and reapply every two hours if outdoors.
  
• Avoid Peak Sun Hours: Stay in the shade between 10 a.m. and 4 p.m. when UV rays are strongest.
  
• Wear Protective Clothing: Hats and sunglasses can reduce direct sun exposure.
  
• Use Gentle Skincare: Avoid products with alcohol, fragrance, or other harsh ingredients that may irritate the skin.

Melasma Treatment Options at Couture Medical

Dr. Candace Spann offers a range of treatment options tailored to your skin type and the severity of your melasma. A personalized treatment plan may include:

• Topical Medications: Prescription creams such as hydroquinone, retinoids, and corticosteroids can help lighten dark patches gradually.
  
• Chemical Peels: These exfoliating treatments remove the top layers of skin to encourage fresh, evenly pigmented skin cells to rise to the surface.
  
• Laser Therapy: Low-energy lasers can target and break up excess pigment without damaging surrounding skin, often used for deeper or more resistant patches.

The average treatment timeline varies, but most patients begin seeing results within a few weeks to a few months. Follow-up appointments every 4–6 weeks help track progress, and maintenance treatments may be needed to prevent recurrence.

Real Patient Experiences

Patients trust Dr. Spann and the Couture team for their expertise and personalized care. Debbie B. shared her experience:
“Love! Love! Love! Dr. Candace Spann, Kate, and the staff. Regardless of what dermatology issue you have, they always make you feel amazing. Customer service is the best in town.”

Why Choose Dr. Candace Spann for Melasma Treatment?

Dr. Candace Spann is a board-certified dermatologist with a deep understanding of melanin-rich skin and the complexities of hyperpigmentation. Her holistic, results-driven approach ensures your treatment plan supports both cosmetic results and long-term skin health.

As a leader in medical and aesthetic dermatology, she uses the most up-to-date technologies and evidence-based techniques to treat melasma safely and effectively. Learn more about her background and approach here.

Take the First Step Toward Radiant Skin

Melasma can be frustrating, but you don’t have to live with it. With expert care from Couture Medical, you can restore balance to your complexion and feel confident in your skin again.

Schedule your consultation with Dr. Candace Spann today to explore your personalized melasma treatment options. Visit our Melasma Treatment page to learn more or contact us to book an appointment.