A profile portrait of a woman in soft window light at Crave Med Spa in Humble, TX
Conditions We Treat

Melasma dark patches, lightened

A common condition of hyper-pigmentation of the skin, predominantly occurring in women. These dark spots may sit superficially within the skin, or deep beneath it — and the difference changes how we treat them.

  • Two types Dermal and epidermal, each treated differently
  • Mostly women Predominantly occurring in women
  • Hormone-linked Connected to estrogen and progesterone sensitivity
  • Manageable Lightened with peels and laser, then kept away

Not all melasma sits at the same depth

Melasma is a common condition of hyper-pigmentation of the skin, predominantly occurring in women. These dark spots may occur superficially within the skin, or deep beneath the skin.

That depth matters more than anything else on this page. Dermal and epidermal melasma have different types of treatments, so it is important to seek the advice of Crave Med Spa skincare clinicians to determine the best and most safe route of treatment that will produce the best results.

Epidermal

Nearer the surface

Pigment sitting in the upper layers of the skin. Generally the more responsive of the two to resurfacing treatments.

Dermal

Deeper down

Pigment held in the deeper layer. It calls for a different approach, and is the reason a surface treatment alone may disappoint.

We recommend a chemical peel or laser treatment to help lighten the dark patches. Schedule a consultation to explore your treatment options.

A skincare clinician examining a client's skin during a consultation at Crave Med Spa
Working out which type you have is the first thing we do.

Four things that set it off

What causes melasma is not completely evident. These are the factors most often connected with it — and the two you can act on are sun and, to a degree, stress.

  • A pregnant woman resting a hand on her bump in soft window light
    01

    Hormones

    Pills for birth control, pregnancy, and hormone therapy can all cause melasma. The condition is connected with sensitivity to estrogen and progesterone.

  • A woman in a wide-brimmed straw hat shielding her face from bright daylight
    02

    Sun exposure

    Sun exposure can trigger melasma, because ultraviolet rays affect the melanocytes that control pigment. This is the trigger most within your control.

  • A woman sitting quietly by a window with her eyes closed
    03

    Stress & thyroid

    It is believed that stress-induced overproduction of certain hormones can trigger outbreaks. Thyroid disease is also thought to play a part.

  • A portrait of a woman with deep brown skin in soft warm light
    04

    Skin tone

    Darker-skinned people are at greater risk than fair-skinned people. It is not something you can change — but it does shape which treatments are safe for you.

Melasma, answered plainly

Still unsure? Bring the question to your consultation — there is no obligation to book a treatment.

How can melasma be treated?

There are creams that can be administered by our professionals in order to lighten the skin. We might also prescribe topical steroids to assist in lightening the affected areas. If these do not work, chemical peels, dermabrasion and microdermabrasion are alternative options. These treatments remove the top layers of skin, and might help lighten dark patches.

Can melasma be cured?

These procedures are not a 100% guarantee that melasma will not return at some point in the future, though some cases will lighten completely. It is better thought of as a condition that is managed rather than cured.

You may have to return to our facility for follow-up visits, and stick to certain skin treatment practices in order to decrease the risk of the melasma coming back. These include limiting sun exposure and wearing sunscreen daily.

What is the main cause of melasma?

What causes melasma is not completely evident. Darker-skinned people are at greater risk than fair-skinned people, and the condition is connected with sensitivity to estrogen and progesterone.

The factors most often linked to it — hormones, sun, stress and skin tone — are set out in what triggers it above.

Does stress cause melasma?

It is believed that stress-induced overproduction of certain hormones can trigger outbreaks of this disorder. Other rare causes of melasma include drug and cosmetic allergic reactions.

Ready to talk about lightening those patches?

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  • Visit 17903 W. Lake Houston Pkwy, Suite 201
    Humble, TX 77346
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