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    Skin ConditionsM

    Melasma

    /muh-LAZ-muh/

    Definition

    A common skin condition that causes brown or gray-brown patches on the face, typically triggered by hormones (pregnancy, birth control) and worsened by sun exposure.

    Melasma is a chronic pigmentation condition that produces symmetrical brown or gray-brown patches — most often on the cheeks, forehead, upper lip, and chin. It's driven by a combination of hormones (estrogen and progesterone), UV exposure, and even heat, which is why it's sometimes called the 'mask of pregnancy.'

    Why It's Tricky to Treat

    Aggressive treatments like high-energy lasers or strong peels can actually make melasma worse by triggering more inflammation and pigment production. The best approach is a gentle, layered protocol: daily broad-spectrum SPF, pigment-fading topicals, and low-energy treatments like PiQo4 toning or carefully chosen chemical peels.

    ⚠️ ImportantStrict daily SPF 30+ is non-negotiable for anyone with melasma — without it, no treatment will hold.

    Related Terms

    PiQo4 Laser

    A dual-wavelength picosecond laser that delivers ultra-short energy pulses for tattoo removal and skin toning across all ink colors and skin types.

    Hyperpigmentation

    A condition where patches of skin become darker than surrounding areas due to excess melanin production. Caused by sun exposure, hormones, or inflammation.

    Melanin

    The natural pigment produced by melanocytes that determines skin, hair, and eye color. Also the target for laser hair removal and pigmentation treatments.

    PIH (Post-Inflammatory Hyperpigmentation)

    Dark spots left behind after a pimple, rash, or skin injury heals — caused by excess melanin produced during the body's inflammation response. Not the same as a scar.

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