Melasma is a common form of hyperpigmentation that appears as blotchy patches of light to dark brown discoloration on the face. While medically harmless, melasma can be cosmetically distressing and often impacts self-esteem and confidence.
Melasma most often affects women between the ages of 20 and 40, particularly those with naturally tan or darker skin tones. Many patients report a family history of melasma and a connection to hormonal changes such as pregnancy, oral birth control, hormonal IUDs or implants, or hormone replacement therapy. In some cases, medications or personal care products may trigger pigment production.
Americans are affected by melasma, with women making up 90% of cases
Sunlight is the #1 trigger for melasma flares and recurrence
Melasma is so common during pregnancy that it’s sometimes called “the mask of pregnancy.”
Combination therapy (topicals + laser + sun protection) delivers the best long-term results
Melasma is diagnosed with a careful skin examination. Occasionally, a special device called a dermatoscope is used to determine the depth of pigment in your skin.
Sun protection is the foundation of successful melasma management. Long-term, year-round protection, including daily broad-spectrum sunscreen, wide-brimmed hats, and sun-safe habits, is essential.
With consistent care, melasma can be significantly improved using carefully selected topical treatments such as retinoids, hydroquinone, azelaic acid, kojic acid, and other pigment-correcting agents. More advanced treatments, including oral medications, chemical peels, and laser treatments, must be considered with expert guidance, as some options can worsen melasma or lead to only temporary improvement.
At Capital Skin and Laser in Columbia, South Carolina, we understand how frustrating and persistent melasma can be. Our team offers expert, individualized care for patients throughout the Midlands. Following her dermatology residency, Dr. Leah Spring completed advanced fellowship training in cosmetic dermatology, with expertise in pigment disorders, skin treatments, and laser technologies.
During your consultation, we will take the time to understand your history, skin type, and goals before creating a customized treatment plan. Whether your care includes topical therapies, oral medications, or chemical peels, we prioritize safety, education, and long-term results. Our team is always happy to answer your questions and guide you with clarity and care.
“Dr. Spring was just fabulous to deal with. She listened intently and had a great personality to boot. I’m almost 82 years old, and my initial visit with her was one of the best experiences I have EVER had with any physician. I feel privileged to have her as my doctor, and I highly recommend her!!!”
“Dr. Spring was amazing. She explained everything thoroughly and respected my concerns.”
“Dr. Spring and her staff were upbeat, attentive, and caring. They saw my anxiety prior to my procedure and took an extra moment to talk through it with me, which made me feel like they care about me as a whole person. I’ve never felt anxious prior to treatment before so this extra step really hit home.”
“Kudos to Dr. Spring. She has the Eye of an Eagle, the Heart of a Lion, yet the Hand of a Woman! Best surgeon ever!”
If you are experiencing persistent discoloration, schedule a consultation at Capital Skin and Laser. During your visit, we will evaluate your skin, review contributing factors, and develop a personalized treatment plan designed to improve tone while minimizing the risk of recurrence. Our goal is to provide a measured, effective approach that supports clearer and more even skin over time.
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