The Algorithm of Melasma

The Algorithm of Melasma

Managing Melasma Through Protection & Treatment

As fall approaches, managing melasma becomes more achievable, as summer months often pose greater challenges due to UV exposure and frequent relapses. Instead of feeling discouraged, focus on protection and management to maintain results year-round.

Key Factors in Treating Melasma

1. Pretreatment Evaluation

• Assessment of melasma severity and duration through a virtual consultation.

• Identifying triggers such as hormonal factors and sun exposure.

• Evaluating past treatment responses to tailor an individualized approach.

• Personalized recommendations regarding hormone therapy considerations.

2. Patient Education

• Understanding risk factors and triggers for melasma.

• Emphasizing daily broad-spectrum sunscreen for UV, visible, and infrared light protection.

• Commitment to maintenance therapy to prevent relapses.

Approach to Treatment

Currently, no standardized cure for melasma exists, but through lifestyle adjustments and expert guidance, it can be effectively managed. A multimodal approach is often necessary, including:

• Photoprotection

• Skin lighteners (hydroquinone & non-HQ options)

• Exfoliants & antioxidants

• Resurfacing procedures

• Nutraceuticals

3. Chemical Peels for Melasma

• Superficial chemical peels (glycolic acid, salicylic acid, Jessner's peel, trichloroacetic acid) help temporarily remove epidermal melanin.

• Priming the skin with skin-lightening agents (hydroquinone, retinol, or alternatives) for 2-4 weeks enhances results and reduces post-inflammatory hyperpigmentation risks.

• Discontinue tretinoin 7-10 days before treatment to prevent excessive penetration.

4. Photoprotection & Relapse Prevention

• Strict sun protection with broad-spectrum sunscreen, protective clothing, and sun avoidance is essential.

• Maintenance therapy includes non-hydroquinone lighteners (azelaic acid, kojic acid, niacinamide, and retinoids).

• Intermittent treatments every 3-6 months can help sustain results.

Despite proper treatment, melasma relapses are common, requiring ongoing expert guidance and adjusted treatment plans at FACES SkinGym.

Ready to Take Control of Melasma?

If you’re ready to tackle melasma this fall, schedule a virtual consult today to create a personalized treatment plan tailored to your skin’s needs.

✨ Let’s Get Skin Fit! ✨