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Melasma
Treatment
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What Is Melasma?

Melasma is a common skin condition that causes brown or gray-brown patches on the face—most often on the cheeks, forehead, nose, or upper lip. It’s more common in women, especially during pregnancy or while taking hormonal medications, and it’s often triggered or worsened by sun exposure.

Melasma isn’t dangerous, but it can be stubborn and emotionally frustrating. Fortunately, it is treatable—with the right guidance and consistency.

Do I need treatment?

You might want to seek treatment if:

  • You’ve noticed dark patches that aren’t fading on their own
  • You’ve tried over-the-counter products with little success
  • Your pigmentation darkens after sun exposure or heat
  • Melasma is affecting your confidence or daily life
  • You’re unsure whether it’s melasma or something else

A professional diagnosis is key—what looks like melasma could be something else, and using the wrong products can actually make it worse.

Why Summit?

At Summit, we don’t believe in one-size-fits-all skin care. Our dermatology team takes the time to confirm your diagnosis, identify contributing factors, and create a plan that’s safe and effective for your skin type.

We treat melasma with medical-grade topical therapies, lifestyle coaching, and, when appropriate, in-office procedures like chemical peels or laser treatments—all based on your goals and comfort level.

 

Melasma takes time—but you don’t have to figure it out alone.

Our PA-Cs specialize in thoughtful, long-term treatment that respects your skin and your goals.
Schedule an Evaluation

Our Dermatology PA-Cs

Melasma can be a long-term skin journey—and our PA-Cs walk that road with their patients. Known for their thoughtful, patient-first care, our dermatology PA-Cs specialize in managing pigment disorders with evidence-based treatments and realistic expectations.

They take time to explain how melasma works, what makes it worse, and how to gently improve skin tone over time. Patients appreciate their honest approach, supportive attitude, and ability to balance science with empathy.

Learn more about our dermatology providers below.

Lana Haynes, PA-C

Lana Haynes, PA-C

Dermatology Physician Assistant

Margene Tranter, PA-C

Margene Tranter, PA-C

Dermatology Physician Assistant

Lynn Baker, PA-C

Lynn Baker, PA-C

Dermatology Physician Assistant

Kaitlin Wilson, PA-C

Kaitlin Wilson, PA-C

Dermatology Physician Assistant

Hilary Thompson, PA-C

Hilary Thompson, PA-C

Dermatology Physician Assistant

Susan Sobel, NP

Susan Sobel, NP

Nurse Practitioner

Samantha Byrd, PA-C

Samantha Byrd, PA-C

Dermatology Physician Assistant

Sara Prager, FNP-C

Sara Prager, FNP-C

Certified Family Nurse Practitioner

What to Expect

Your visit will start with a skin assessment to confirm the diagnosis and understand your history, lifestyle, and product use. Based on your specific type of melasma, we may recommend:

  • Prescription topicals like hydroquinone or tretinoin
  • Non-hydroquinone lightening agents (for sensitive skin or long-term use)
  • Sun protection strategies and product education
  • Chemical peels or laser therapy (as appropriate)
  • Hormonal or environmental trigger management

Melasma doesn’t disappear overnight—but with the right care, many patients see gradual improvement and more even skin tone over time.

Frequently Asked Questions

What causes melasma?
Melasma is a complex skin condition influenced by multiple factors. Hormonal changes, such as those occurring during pregnancy or with the use of birth control pills, are significant contributors. Sun exposure is another major trigger, as ultraviolet (UV) light stimulates melanocytes, the pigment-producing cells in the skin. Genetic predisposition also plays a role; individuals with a family history of melasma are more likely to develop the condition. Additionally, certain medications and cosmetics can exacerbate melasma.
Is melasma permanent?
Melasma is a chronic condition, but with appropriate treatment and diligent sun protection, its appearance can be significantly reduced. However, it’s important to note that melasma can recur, especially with continued exposure to triggering factors like sunlight and hormonal changes. Consistent management is key to maintaining results.
Can I use over-the-counter products?
Some over-the-counter (OTC) products may help lighten melasma, particularly those containing ingredients like niacinamide, vitamin C, or kojic acid. However, OTC products are generally less potent than prescription treatments. It’s advisable to consult with a healthcare provider to determine the most effective and safe treatment plan for your specific skin type and condition.
What’s the fastest way to get rid of it?
While there’s no instant cure for melasma, a combination of treatments often yields the best results. This may include prescription topical agents like hydroquinone, tretinoin, or corticosteroids, as well as procedures such as chemical peels or laser therapy. Importantly, strict sun protection is crucial to prevent worsening of the condition.
Is treatment covered by insurance?
Insurance coverage for melasma treatments varies. Many insurance plans do not cover treatments deemed cosmetic, which can include certain topical agents and procedures like chemical peels or laser therapy. However, some prescription medications may be covered if considered medically necessary. It’s best to check with your insurance provider to understand your specific coverage.
Can melasma affect people with darker skin tones?
Yes, melasma is more prevalent in individuals with darker skin types, particularly those of Hispanic, Asian, African, or Middle Eastern descent. The increased melanin in darker skin can make melasma more noticeable and sometimes more challenging to treat. Tailored treatment approaches are essential for effective management in these populations.
What role does sun protection play in managing melasma?
Sun protection is a cornerstone of melasma management. UV exposure can trigger or worsen melasma, so daily use of broad-spectrum sunscreen with an SPF of 30 or higher is recommended. Additionally, wearing protective clothing and seeking shade can help minimize sun exposure and prevent flare-ups.
Are there any lifestyle changes that can help manage melasma?
Yes, certain lifestyle modifications can aid in managing melasma. These include avoiding known triggers such as excessive sun exposure, heat, and stress. Maintaining a consistent skincare routine with gentle products and avoiding irritating cosmetics can also be beneficial. In some cases, reviewing and adjusting hormonal medications with a healthcare provider may be necessary.

Real Stories From Real Patients

⭐⭐⭐⭐⭐

Start to finish, I felt respected and like family. Everyone is great and kind. The care was exceptional and so far, I am extremely pleased!

Jackie Walker

⭐⭐⭐⭐⭐

I am a long time patient of Summit Dermatology. I had an annual exam yesterday with Maura Jones and her assistant, Jane. They were both professional, thorough, friendly, and caring. I continue to recommend Summit to friends, neighbors and newcomers to our area.

Petey

⭐⭐⭐⭐⭐

I absolutely loved coming here! Mikaela at the call center went above and beyond to ensure I got an appointment scheduled and felt comfortable. She is both friendly and helpful. I also loved Dr. Maura she was fantastic.

Chris Tsonis

Melasma takes time—but you don’t have to figure it out alone.

Our PA-Cs specialize in thoughtful, long-term treatment that respects your skin and your goals.
Schedule an Evaluation