Melasma is a common skin condition that causes dark patches of pigmentation, most often on the face. While melasma is usually harmless and does not cause physical symptoms, the contrast between darker patches and surrounding skin can make it a frustrating or noticeable cosmetic concern.
The dermatology team at Northstar Dermatology evaluates and treats melasma for patients throughout Fort Worth with personalized plans designed to improve uneven pigmentation and help reduce future flare-ups.
Melasma is more common in women, particularly during the reproductive years, and is also more common in people with darker skin tones. Genetics may play a role, although the exact cause is not fully understood.
Common triggers include:
For Fort Worth patients, regular exposure to strong Texas sunlight can be an important factor in melasma management, especially when pigmentation tends to worsen during sunnier months or after extended time outdoors.
Melasma may persist for years or improve once an underlying trigger is reduced or removed. Treatment may include topical medications such as hydroquinone, azelaic acid, kojic acid, mild corticosteroids, and tretinoin. Your dermatologist can determine which combination is most appropriate based on your skin type and the severity of the pigmentation.
Procedural treatments may include microneedling, chemical peels, and certain laser treatments. These options must be selected carefully because overly aggressive treatment may cause post-inflammatory hyperpigmentation, particularly in darker skin tones.
Sun and light protection are also an important part of melasma management. Broad-spectrum sunscreen, protective clothing, and minimizing prolonged sun exposure may help reduce recurrence or worsening of pigmentation.
Northstar Dermatology also provides a full range of medical dermatology services for other pigmentation and inflammatory skin concerns.
