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Melasma is caused by overactive pigment-producing cells called melanocytes. Common triggers include ultraviolet sun exposure, hormonal changes from pregnancy or oral contraceptives, and certain medications. Genetics also play a role, as melasma tends to run in families.

Melasma is a chronic condition that can be managed but not permanently cured in most people. Treatments can significantly lighten patches, but pigmentation may return with sun exposure or hormonal changes. Consistent sun protection is essential to maintaining results.

Most topical treatments for melasma require at least 8 to 12 weeks of consistent use before noticeable lightening occurs. Some patients see gradual improvement over several months. Results depend on the severity of pigmentation, skin type, and adherence to sun protection.

Yes. Broad-spectrum sunscreen with SPF 30 or higher applied every day is one of the most critical parts of melasma management. UV exposure stimulates melanocytes and can rapidly reverse the progress made with topical treatments. Physical sunscreens containing zinc oxide or titanium dioxide are particularly effective.

Topical retinoids like tretinoin and tazarotene are generally considered safe for long-term use under physician guidance. They can cause initial dryness, redness, or peeling, particularly at the start of therapy. These effects typically diminish as the skin adjusts. They should be avoided during pregnancy.

Yes. Estrogen-containing oral contraceptives and hormone therapies can trigger or worsen melasma in susceptible individuals. If your melasma appears related to hormonal contraceptive use, your physician may discuss alternative contraceptive options as part of your overall management plan.

Doctronic uses an AI-guided evaluation to gather detailed information about your symptoms and health history. A licensed physician then reviews your information, confirms your diagnosis, and builds a personalized treatment plan. You receive expert medical care quickly and conveniently from any location.

Yes. Doctronic connects you with fully licensed physicians whose work is doctor-reviewed and regularly audited for quality. The platform is HIPAA-compliant, meaning your health information is kept private and secure. Care is available to adults 18 and older in any U.S. state.