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Melasma&HormonalPigmentationinAurora

Melasma is a common skin condition characterized by the development of brown or gray-brown patches, typically on the face. Exposure to ultraviolet (UV) rays from the sun is a major trigger. Hormones play a significant role-it is commonly associated with pregnancy, contraceptives or hormone replacement therapy.

Medically Reviewed by Dr. Amber Bocknek, MD, CCFP

There is NO cure for melasma, only management. A good place to start is with your family doctor and/or medical dermatologist.

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Melasma Versus Sun Damage

The distinction matters because the two behave differently. Sun spots are discrete brown marks in sun-exposed areas. Melasma is a symmetrical patterning across the cheeks, forehead, upper lip or jawline that involves both pigment-producing cells and the blood vessels beneath. Some light and heat-based treatments that suit sun damage are not appropriate for active melasma.

Management Rather Than Cure

There is no cure for melasma - the goal is management. That generally centres on consistent broad-spectrum sun protection, pigment-focused skincare, and gentle in-clinic treatment such as superficial peels or hydrabrasion facials, with heat and aggressive resurfacing avoided during active phases.

Hormonal Triggers

Melasma is commonly associated with pregnancy, hormonal contraception and hormone replacement therapy, and it can fluctuate with sun exposure, heat and seasonal change. Where a hormonal driver is involved, coordinating with your prescribing physician is part of the picture.

Solutions

Recommended Treatments

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Medical-Grade Chemical Peels

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IPL Photofacial

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Q-Switched Nd:YAG Laser

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Daily Broad-Spectrum Sunscreen

The foundation of ongoing melasma management

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Pricing varies by treatment area and complexity.

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Frequently Asked Questions

Melasma is primarily triggered by UV exposure and hormonal changes. Pregnancy, birth control pills, and hormone replacement therapy are common triggers. Genetics also play a role.
There is no cure for melasma-only management. With consistent use of sunscreen, medical-grade skincare, and professional treatments, melasma can be significantly improved and managed long-term.
Melasma is specifically hormone-driven and presents as symmetrical brown/gray-brown patches, typically on the face. Regular hyperpigmentation can be from sun damage, inflammation, or injury.
Broad-spectrum SPF 30+ is essential daily, even on cloudy days. Mineral sunscreens with zinc oxide or titanium dioxide are often recommended. We carry medical-grade options at our clinic.

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