Melasma in Skin of Color - What Works and What Doesn't

Melasma is a common skin condition in people with skin of color, causing uneven, patchy pigmentation, primarily on the face. It occurs when the skin produces excess melanin, often triggered by hormonal changes, sun exposure, or certain medications. While melasma is not harmful, it can be challenging to treat due to its combination of pigment-based and inflammatory factors.

Can a Dermatologist Help With Skin Tone?

Can a dermatologist help with skin tone? Yes, treating melasma, which causes patchy brown pigment and is especially common in skin of color, requires a targeted approach. Melasma is tricky because it's both pigment-based and inflammatory. Effective treatment involves strict sun protection with tinted sunscreen, and combining hydroquinone, tretinoin, and a mild steroid in short courses. Long-term maintenance includes azelaic or kojic acid, with tranexamic acid for resistant cases. Heat-based treatments should be approached cautiously, with pretreating and test-spotting first. Results are gradual, taking a few months to show improvement, and maintenance involves ongoing sun protection, breaks from treatment, and occasional touch-ups.

What Is the Best Treatment for Hyperpigmentation on Dark Skin?

My Approach:

• Always start with strict sun protection (tinted sunscreen)

• Combine hydroquinone with tretinoin and a mild steroid in short courses

• Add azelaic or kojic acid for long-term maintenance

• Consider oral or topical tranexamic acid for resistant cases

• Avoid heat-based devices unless pretreating and test-spotting first

Can a Dermatologist Help to Brighten Skin?

What to Expect:

• Results are gradual, not overnight

• Improvement takes a few months

• Maintenance is lifelong with sunscreen, breaks, and seasonal touch-ups

Take Control of Your Skin's Health with Dr. Susan Binder

Achieve even, glowing skin with a personalized skincare plan tailored to your needs. Schedule a consultation with Dr. Susan Binder, a board-certified dermatologist who specializes in treating skin of color. Whether you're dealing with melasma, hyperpigmentation, or general skin concerns, Dr. Binder offers expert advice to help you address pigmentation issues, improve your skin tone, and maintain long-term skin health.

Book your consultation today and get started on your journey to brighter, healthier skin with confidence.