What Is Melasma?
Melasma, also known as chloasma, occurs when irregular patches of dark skin appear on the face or forearms. These tan or brown patches often occur symmetrically over the forehead, nose, cheeks, or upper lip. The appearance of melasma sets it apart from other conditions that cause darkening of the skin. Melasma is not at all uncommon and is found more often in women. It can be caused by sun damage or from hormonal fluctuations, such as with pregnancy and menopause. People with darker skin types are far more vulnerable to melasma than those with lighter complexions. At Sandhu Dermatology & Med Spa, we proudly treat melasma regularly at our West Palmdale, Ridgecrest, and Tehachapi, CA practices where we provide numerous treatments that can lessen the appearance of the cosmetic condition.
How Is Melasma Treated?
There are several possibilities for treating melasma. First, there are several topical ointments, lotions, or gels that can be given to help promote skin lightening. Second, there are skin care procedures, such as Dermapen®, microdermabrasion, chemical peels, or fractional lasers. Another alternative is intense pulsed light therapy or IPL. Unlike lasers, which utilize intense focused light, IPL is intense BroadBand Light™ so the recovery time is short. Results generally last when the individual implements good sun protection and upkeep.
What Are the Symptoms of Melasma?
Melasma is recognized by discoloration or hyperpigmentation, typically on the face. Three kinds of common facial patterns are recognized in those with melasma:
- Centrofacial (center of the face) – hyperpigmentation amid the upper lip, nose, chin, forehead, and cheeks
- Malar (cheekbones) – melasma patterns around the upper cheekbone
- Mandibular (jawbone) – hyperpigmentation along the jaw
Sandhu Dermatology & Med Spa Reviews
I am so happy that I went to Shandu Dermatology!Dr Harika Shandu is an excellent surgeon with outstanding attention to detail. Her stitchwork is so beautiful that it reminds me of fine embroidery on a silk cloth. She's that good!I had what looked like two pimples on my back, but they were just the tip of the iceberg. I heard a "snip snip" , it felt like a haircut, and when she was done, a non-cancerous cyst - the size of my thumb! - was removed from my back and placed in a medical jar. I was shocked! I had no idea!The second cyst was the size of a marble, and a third cyst, located on my left forearm, which I thought was a weird looking mole, but no, no, no - it was a cyst the size of a 1-inch ball bearing! My jaw dropped in disbelief.Because Dr Hakita Shandu did such an excellent job sewing me up, my wounds have closed completely now and there is no scarring. There is still some discoloration around the wounds, but I plan on buying the Post Care Silicone Gel when I go back next week for a follow-up appointment.I’m also seriously considering the monthly subscription for a hydro facial. It sounds wonderful and very relaxing.Dr Hakita Shandu is a very nice person with a gentle touch. I would strongly recommend Shandu Dermatology for any skin care needs. The entire staff is very nice, and they made me feel very much at ease. It’s like the tv show Cheers! - “where everyone knows your name”Thank you very much, Dr Hakita Shandu! You're the best!Morris Lee FeasterPalmdale, CA
Everyone is nice and welcoming and understanding. Michelle is so awesome, I been going to her for years. Honestly they are all amazing people
Doctors and Staff and Products are the Best in the Valley! Been a Patient well over 25yrs ! Highly recommend Dr Sandhu Dermatologist
The girls are terrified, very professional
I had my procedure today with Ashley and Dr. Sandhu, I felt NOTHING. Not even the syringe that Ashley used to numb me before the full removal of my mole. Ashley made sure I was comfortable and was able to talk me through the prep process. Dr. Sandhu was so quick with the procedure I couldn’t even think to feel anything. I am still going to get a biopsy and 6 week follow up. But I am highly satisfied with the progress. I did peak under my bandaid and I’m glad to no longer see an abnormal mole! Thank you Dr. Sandhu and team!_______________________________________________I had my first mole check-up with Dr. Sandhu and Amanda, and I was truly impressed by the entire experience. From start to finish, the appointment process was smooth and easy. Both Dr. Sandhu and Amanda were professional, kind, and extremely knowledgeable, which helped put me at ease right away.Unfortunately, the mole in question appeared abnormal, so I have a follow-up appointment scheduled for a shave and biopsy. While I’m definitely hoping and praying for a benign result, I feel confident knowing I’m in such capable hands.As a cash patient, I also really appreciated the clear and reasonable pricing—no surprises, just honest care. I’m very grateful for their support and would absolutely recommend them to anyone looking for attentive and thorough dermatologic care.
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Total Reviews
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What Causes Melasma?
The exact source of melasma remains unidentified, but specialists agree that several internal and external factors can influence how this pigmentation condition develops. Uncontrolled sunlight exposure is still considered the leading contributor, especially for individuals with a genetic tendency toward uneven pigmentation. Many people experience darker patches during the summer months when UV intensity is highest, while the discoloration often lightens in the winter. Understanding these influences can make it easier to manage melasma and explore effective skin discoloration treatment options tailored to your needs.
Common melasma triggers include:
- Hormone fluctuations
- Family history of melasma
- Certain racial and ethnic backgrounds
- Anti-seizure medications
- Medications that increase UV sensitivity
- Heat exposure
- Stress-related skin responses
- Inflammatory skin conditions
Will melasma go away on its own after pregnancy?
Melasma often fades gradually after pregnancy as hormone levels normalize, but in some cases, pigmentation lingers. Consistent sun protection and medical-grade skincare can speed improvement. Our team can also suggest advanced treatments like IPL if discoloration persists.
Can I have IPL for melasma during pregnancy?
No, IPL and other light-based treatments should be postponed until after pregnancy. Hormonal changes make skin more reactive, increasing the risk of pigmentation changes. Our team can recommend safe topical options until you’re cleared for cosmetic care.
Will melasma come back after IPL treatment?
Melasma can recur, especially with sun exposure or hormonal fluctuations. While IPL can significantly improve discoloration, maintaining results requires daily sunscreen, gentle skincare, and periodic touch-ups. Our team will help create a long-term plan to keep your complexion even.
Get A Professional Diagnosis
If you suffer from melasma and are tired of trying to conceal it with makeup, or you are tired of spending extra money on over-the-counter treatments that do not give you the results you would like, we invite you to contact Sandhu Dermatology & Med Spa to schedule a consultation. Melasma requires a special diagnosis so that the perfect treatment can be provided. If the incorrect treatment is applied, the skin might become worse. With convenient locations in West Palmdale, Ridgecrest, and Tehachapi, CA, we are here to provide you with a proper diagnosis and treatment plan.