Condition

Melasma

Melasma and other pigmentation disorders occur when the skin produces excess melanin, leading to darkened patches or uneven tone.

Melasma is one of the most common forms of hyperpigmentation. It is often triggered by hormones, sun exposure, heat, and genetics, and typically appears as symmetrical patches of discoloration on the cheeks, forehead, upper lip, and jawline.

Other pigmentation concerns we treat include sun spots, post-inflammatory dark marks from acne or irritation, uneven skin tone, age spots, and discoloration related to inflammation or previous skin injury.

At wellwell, we focus on identifying the cause because treating pigment without understanding why it is there is why most treatments fail.

Symptoms

Common Symptoms

We focus on identifying the cause because treating pigment without understanding why it is there is why most treatments fail.

Brown, gray brown, or tan patches on the face

Symmetrical discoloration often on the cheeks, forehead, and upper lip

Dark marks left behind after acne or irritation

Worsening with sun exposure or heat

Pigment that comes and goes or never fully fades

Medical Grade Topical Therapy

These may include hydroquinone (when appropriate), retinoids, azelaic acid, and tranexamic acid topical.

Oral Therapies

Oral tranexamic acid for stubborn melasma.

Strict Pigment Control and Prevention

Mineral sunscreen, barrier repair, and anti-inflammatory skincare are core parts of our approach to healthier skin.

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Long Term Maintenance Plans

Because pigment loves to come back we stay ahead of it

FAQ

Frequently Asked Questions

Two blonde women lying on a beige surface facing up with heads close together.
Why is my melasma not going away?

Because most treatments do not address the root triggers like UV exposure, heat, hormones, and inflammation. Consistency and the right combination of therapies are key.

Does sunscreen really matter that much?

Yes. It is the most important step. Without daily sunscreen, no treatment will work long term.

Can hormones make melasma worse?

Yes. Hormonal changes from pregnancy, birth control, or hormone fluctuations can trigger or worsen melasma in some individuals.

Can melasma be cured?

Not permanently, but it can be significantly improved and controlled with the right plan.

Why does melasma keep coming back?

Melasma is a chronic pigmentation condition that can flare with sun exposure, heat, hormones, and inflammation, even after improvement.

Will treatments make my skin worse?

If done incorrectly, yes. That is why we avoid overly aggressive lasers or peels in patients prone to pigmentation.

How long does it take to see results?

Most patients start to see improvement in 6 to 12 weeks, with continued progress over several months.