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Complex Pigmentation · Melasma

Melasma treatment,
built for your skin tone.

Melasma is stubborn, and aggressive treatment often makes it worse. Our approach is steady and careful: calm the pigment, protect the skin, then add in-office treatment only when your skin is ready for it.

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I–VI
Fitzpatrick types treated
Topical-first
approach to every plan
Daily
sun protection built in
In Short

Melasma is a chronic skin condition that causes patchy brown or gray-brown areas, usually on the cheeks, forehead and upper lip. Hormones, heat and sun trigger it, and it's more common in darker skin. PSRx starts with topical suppression and sun protection, adds in-office treatment carefully, and plans for maintenance because melasma can return.

Know What You Have

Melasma,
or something else?

Melasma has look-alikes, and each one is treated differently. Knowing which you have is the first step.

Melasma
Symmetrical brown patches on both cheeks, the forehead, upper lip or jawline. It often darkens in summer, during pregnancy or with hormonal birth control, and tends to return.
Post-inflammatory hyperpigmentation
Dark marks where a pimple, scratch, burn or irritation used to be. Usually spotty rather than patchy, and tied to a specific injury or breakout.
About dark marks →
Sun spots
Small, defined brown spots on sun-exposed areas that often appear with age. More common in lighter skin, but they can show up in every skin tone.
Other causes
Some medications, skin conditions and hormonal or medical issues can darken skin. These need a different approach, so we screen carefully before treating anything on your skin.

Melasma can look like other pigment problems, so we confirm what you have before recommending treatment.

Is It Right For You?

Who it's for —
and who it isn’t.

A good fit if you…
✓You have patchy brown areas on your face that keep coming back
✓You're ready to wear sunscreen daily and follow a home routine
✓You want a plan that's careful with heat on darker skin
✓You've tried creams on your own and want clinical guidance
Not the right fit if you…
—You want a one-time fix (melasma needs ongoing maintenance)
—You're pregnant or nursing and want in-office treatment now (we'll plan around it)
—A spot is changing, bleeding or growing (see a physician first)

Your provider confirms what's right for you at your consultation.

Screening First

We look closely
before we treat.

Melasma has look-alikes, so we confirm the type and the triggers before any treatment.

What we check
✦Pattern and location of the patches
✦Hormonal history, including pregnancy and birth control
✦Medications that can cause darkening
✦Sun and heat exposure, including cooking and workouts
✦Past treatments and how your skin responded
When we refer you to a physician
→A spot that's changing in size, shape or color, or bleeding
→Pigment that appeared suddenly or alongside other symptoms
→Signs of an underlying hormonal or medical condition
Melanin-Safe Protocols

Melasma on darker skin
needs a lighter touch.

Melasma is more common in skin of color, and darker skin reacts to heat by making more pigment. That's why PSRx avoids aggressive approaches and builds every plan around your Fitzpatrick type. Other providers train with us to learn exactly this.

  • ✦Topical suppression and sun protection come before any heat-based treatment.
  • ✦Precise Peels are custom-blended for melanin-rich skin.
  • ✦In-office treatments are chosen and paced to avoid rebound darkening.
  • ✦Our team trains other providers in pigment-safe care for Fitzpatrick IV–VI.
How We Treat It

A steady plan
that protects your progress.

Most plans combine daily home care with in-office treatment, adjusted as your skin responds.

Topical suppression
Clinical-grade skincare that slows pigment production. It's the foundation of every melasma plan and continues between and after in-office visits. Precise M.D. products are part of many PSRx melasma routines we build.
Precise Peels
Custom-blended chemical peels made for melanin-rich skin. They help lift surface pigment and even out tone with a lower risk of irritation than one-size-fits-all peels, and they're paced around your skin's response.
Microneedling
Creates controlled micro-channels that support skin renewal and can help topical treatment absorb and work better. Used selectively for melasma, only when your skin is calm and ready, and never during a flare.
Laser, used with caution
Some lasers can help melasma when they're chosen and paced carefully for your skin. Heat can also trigger flares, so on darker skin, laser is never the first step and is only added once your skin is stable.
Daily sun protection
Sunscreen every day, including indoors near windows and on cloudy days. UV and visible light restart melasma, so protection is part of the treatment itself, not an extra step you can skip.
PSRx Skin Portal
A personalized home routine with Skin Score tracking that helps you stay consistent between visits, which matters a lot with melasma. You can try it free for 14 days with no card required.
Explore the Skin Portal →
What To Expect

From consultation
to lasting results.

01
Consultation and screening
We confirm it's melasma, review triggers and hormonal history, check your skin type and set realistic expectations for your plan.
02
Calm and suppress
You start daily topical suppression and sun protection to slow pigment production and settle your skin before any in-office work.
03
Add treatment carefully
Precise Peels and other in-office treatments are added when your skin is ready, paced to avoid flares and rebound darkening.
04
Maintain
Because melasma can return, you keep a simple routine and daily sun protection, with check-ins when the seasons or your hormones change.
Common Questions

Melasma FAQ.

Can melasma be removed forever?

No, melasma can't be removed forever, but it can be greatly improved and kept under control. It's a chronic condition that can return with sun, heat or hormonal changes. Most people do best with a maintenance routine of sunscreen and home care after their in-office plan.

What causes melasma?

Melasma is caused by a mix of hormones, sun and visible light, heat and genetics. Pregnancy and hormonal birth control are common triggers, which is why it's sometimes called the mask of pregnancy. It's also more common in women and in darker skin types.

Is laser safe for melasma on dark skin?

Laser can be used for melasma on darker skin, but only with great care, because heat can make melasma worse. At PSRx, laser is never the first step. We start with topical suppression and sun protection, then decide whether a carefully chosen laser makes sense for your skin.

Can I treat melasma while pregnant?

In-office melasma treatment is usually postponed during pregnancy and nursing, and some skincare ingredients should be avoided. Gentle care and daily sun protection still matter a lot. Your provider will tell you what's safe now and plan in-office treatment for later, once you're ready. We'll go over what applies to you at consultation.

How long does melasma treatment take?

Most people see gradual improvement over a few months of consistent treatment. Melasma responds slowly, and pushing it with aggressive treatment often backfires. We set realistic expectations at consultation and adjust your plan as your skin responds. Most plans also include a maintenance phase to keep results.

Why does my melasma come back every summer?

Melasma often returns in summer because UV, visible light and heat all stimulate pigment. Even short daily exposure can undo months of progress. Daily broad-spectrum sunscreen, reapplied through the day, plus a hat outdoors, is the most effective way to keep summer flares down.

Keep Reading
Complex Pigmentation→Post-Inflammatory Hyperpigmentation→Skin of Color Laser Treatments→
Start with the
right diagnosis.

Book a consultation at our South Loop clinic, or take the free 60-second Skin Assessment and our clinical team will build your personalized skin summary.

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