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Skin · 5 min · Sep 2026

Melasma comes back. Here is how we keep it quiet

Melasma is a chronic condition, not a stain to remove. The goal is control, and control is very achievable.

Melasma comes back. Here is how we keep it quiet
Dr. Marta QuilesWritten byDr. Marta QuilesLaser and pigment

Melasma is driven by hormones, heat and light, and it lives deeper than ordinary sun spots. That is why aggressive treatments that erase a freckle can make melasma darker.

What works

Daily mineral sunscreen with iron oxides, a prescription routine, gentle peels and, for some, low-energy laser. Most of the work happens at home.

What to expect

A visible improvement in three months and a maintenance plan for the long term. Summer flare-ups are normal; we plan around them.

General information, not medical advice. Ask your doctor about your own skin.

Keep reading

Start with
a conversation.

Forty-five minutes with a doctor, in clinic or by video. You leave with a written plan and prices, whether or not you go ahead.

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