Unveiling the Best Medspa Treatments for Melasma and Hyperpigmentation


As the fall season approaches, it's not uncommon for patients to walk into our office with concerns about dark spots or hyperpigmentation appearing on their faces. They look at us with puzzled eyes, wondering why this is happening and how we can make it disappear. Welcome to your teaching moment!

Melasma and hyperpigmentation are two common skin conditions that can cause significant distress. These conditions are characterized by dark, discolored patches on the skin, often triggered by hormonal changes, sun exposure, or inflammation. Fortunately, several effective medspa treatments can help reduce these skin concerns.  Hyperpigmentation, put simply, is the darkening of an area of skin caused by increased melanin production. But why does it appear? Is it a magic trick that can be reversed? Let's dive into the science behind it - in a way that's easy to understand.

Does hyperpigmentation truly ever fade?

Hyperpigmentation can be caused by various factors, including sun exposure, hormonal changes, acne, and injury to the skin.


The Science of Hyperpigmentation

Hyperpigmentation can be caused by various factors, including sun exposure, hormonal changes, acne, and injury to the skin. While it may seem like a pain to deal with, the truth is, that hyperpigmentation is your body's defense mechanism against inflammation or damage.

Hyperpigmentation is a common skin condition that causes patches of skin to darken. This darkening occurs when an excess of melanin, the brown pigment that produces normal skin color, forms deposits in the skin. But why does this happen? The answer lies in our skin cells, specifically the melanocytes.

What are Melanocytes?

Melanocytes are specialized cells in our skin responsible for producing melanin - the pigment that gives our skin, hair, and eyes their color. Each person has roughly the same number of melanocytes, but the amount and type of melanin produced by these cells can vary, causing differences in skin color.

The Role of Melanocytes in Hyperpigmentation

In hyperpigmentation, the melanocytes are in a state of overactivity, producing more melanin than needed. This overproduction can be triggered by various factors, including sun exposure, hormonal changes, inflammation, or injury to the skin.

When our skin is exposed to the sun, melanocytes produce more melanin in an attempt to protect the skin from harmful UV rays.

Sun Exposure

When our skin is exposed to the sun, melanocytes produce more melanin in an attempt to protect the skin from harmful UV rays. This is what gives us a tan. However, excessive sun exposure can cause the melanocytes to overproduce melanin, leading to dark spots or patches on the skin - a condition known as solar lentigines or age spots.


Hormonal Changes

Certain hormones can stimulate melanocytes. During pregnancy or when using hormonal contraceptives, increased levels of estrogen can trigger melanocytes to produce more melanin, leading to a condition called melasma.

Inflammation or Injury

When the skin is inflamed or injured (due to conditions like acne, eczema, or psoriasis, or procedures like laser treatment), it can stimulate melanocytes to produce more melanin as part of the skin's healing process. This can result in post-inflammatory hyperpigmentation.

The Damaged Melanocyte

In some cases, the melanocyte itself may be damaged, causing it to overproduce melanin. This damage can be caused by oxidative stress, a condition where there is an imbalance between the production of free radicals and the body's ability to counteract their harmful effects.

In some cases, the melanocyte itself may be damaged, causing it to overproduce melanin. This damage can be caused by oxidative stress, a condition where there is an imbalance between the production of free radicals and the body's ability to counteract their harmful effects. Oxidative stress can damage cells, proteins, and DNA, and has been linked to various health problems, including hyperpigmentation.

Treating Hyperpigmentation: A Journey, Not a Magic Trick

While we'd love to wave a magic wand and make hyperpigmentation disappear, the reality is a bit more complicated. It's a process, a journey if you will, that requires patience, a customized treatment plan with in-office procedures and the right medical grade skincare regimen.

This is where we can help you. As we transition into the fall season, it's the perfect time to start addressing hyperpigmentation. Why? Because less exposure to the sun makes it an ideal time to do treatments and use products that can make your skin more sensitive to sunlight.

Here are a few medspa treatments we recommend: 

Pico Laser

Pico is an innovative laser treatment that uses picosecond and nanosecond pulses to target and eliminate pigmentation issues. The bursts of energy break down the pigment into tiny particles, which the body naturally eliminates.

Pros: Piqo is a safe and effective treatment for all skin types and tones. It requires fewer sessions compared to other laser treatments.

Expected Results: Most patients see significant improvement in their skin's color and texture after 3-4 sessions.

Best Candidates: Individuals with stubborn hyperpigmentation or melasma who haven't responded well to other treatments.

Microneedling with Hydroquinone

Microneedling combined with Hydroquinone is a powerful treatment that targets hyperpigmentation at its root. Microneedling creates tiny channels in the skin, allowing the Hydroquinone to penetrate deeper and work more effectively.

Pros: This treatment not only lightens hyperpigmentation but also stimulates collagen production, improving skin texture and elasticity.

Expected Results: Noticeable reduction in hyperpigmentation and improved skin appearance can be seen after a few sessions.

Best Candidates: Those with moderate to severe melasma or hyperpigmentation and individuals looking for anti-aging benefits alongside pigment correction.

Chemical Peels

Chemical peels use a blend of acids to exfoliate the skin, removing the top layer of dead skin cells and revealing a brighter, more even complexion underneath.

Pros: Chemical peels can treat a range of skin issues, from hyperpigmentation and melasma to acne and wrinkles.

Expected Results: A clearer, more radiant complexion after one session, with further improvements with additional treatments.

Best Candidates: Individuals with mild to moderate hyperpigmentation. It's also ideal for those looking to improve overall skin health and appearance. We also combine this with our Pico laser for faster and better results

Vi Peel

Vi Peel is a type of chemical peel specifically designed to treat hyperpigmentation and melasma. It contains a blend of powerful ingredients, including TCA, Retin-A, Salicylic Acid, Phenol, and Vitamin C.

Pros: Vi Peel is effective and relatively gentle on the skin, making it suitable for all skin types.

Expected Results: Most patients experience a significant reduction in hyperpigmentation and melasma after one to two treatments.

Best Candidates: Those with stubborn melasma or hyperpigmentation that hasn't responded well to other treatments.

Here are a few medical-grade skincare products we carry and recommend:

1. Vitamin CE & Ferulic Acid Serum:

Enriched with potent active ingredients, diminishes fine lines and wrinkles, brightens skin tone, and provides strong antioxidant properties to visibly reduce signs of aging. It's particularly beneficial for hyperpigmentation. This formulation contains powerful ingredients:

  • Ascorbic Acid or Vitamin C safeguards skin cells from harmful free radicals caused by UV exposure. It prevents excess melanin production, lightens hyperpigmentation or brown spots, evens out skin tone, and boosts skin radiance.
  • Tocopherol or Vitamin E, a powerful antioxidant, protects your skin by absorbing UV rays and preventing UV-induced free radical damage.
  • Ferulic Acid is another antioxidant that amplifies the effects of other antioxidants. It helps protect the skin and reduces fine lines, spots, and wrinkles.

These ingredients work together to target hyperpigmentation. By inhibiting melanin production, accelerating cell turnover, and protecting against UV damage, they help to lighten dark spots and even out skin tone.

  1. Retinol: Retinol Cream offers multiple benefits for the skin, leading to a smoother, softer, and more radiant appearance. Its advanced encapsulated retinol formula ensures effective action, and its time-release delivery system enhances results. This cream aims to rejuvenate the skin for a more youthful look.

It's particularly beneficial for those dealing with hyperpigmentation. Retinol, a derivative of Vitamin A, can help lighten the skin and reduce the appearance of hyperpigmentation by enhancing skin cell turnover. However, it's important to note that while retinol can significantly improve hyperpigmentation, it may not completely cure all types.

  1. Glow Peel Pads with TCA: are designed to tackle hyperpigmentation. These peel pads not only diminish the appearance of fine lines, blemishes, and scars but also stimulate collagen production by boosting ceramide and free fatty acid levels in the skin. They protect against cell damage and expedite cellular turnover, resulting in brighter and rejuvenated skin. These pads are formulated with:
  • Glycolic Acid: Tackle hyperpigmentation, dullness, and signs of skin aging, such as lines and wrinkles
  • Lactic Acid: Improves signs of aging. Stimulates collagen renewal and firms skin. Hyperpigmentation (sunspots or age spots) fade and fine lines and wrinkles soften and smooth out.
  • Mandelic Acid: Accelerates cell turnover by dissolving the tiny bonds that hold skin cells together, helping to remove dead skin on the surface that can lead to dull complexions, as well as fine lines.
  • Salicylic Acid: Accelerate cell turnover. Helps remove dead skin on the surface that can lead to dull complexions, as well as fine lines.
  • Phytic Acid: Helps to clear out and shrink pores while also helping to brighten the skin following post-inflammatory lesions.
  • Azelaic Acid: Helps fight acne, treats rosacea, lightens pigmentation, and removes dead skin cells.
  1. Advanced Lightening Cream: This cream targets skin issues like uneven tone and age-related discoloration, combating signs of aging for firmer, brighter skin. This cream contains powerful active ingredients such as:
  • Kojic Acid brightens the skin, fades dark spots, and offers antioxidant and anti-inflammatory benefits by inhibiting melanin-production enzymes.
  • Biomimetic Peptides, encapsulated in phospholipids liposomes, reduce skin pigmentation by decreasing melanin synthesis and tyrosinase activity.
  • Bellis Perennis (Daisy) Flower Extract & Glycyrrhiza Glabra (Licorice) Root Extract serve as safe alternatives to hydroquinone, offering skin brightening, anti-inflammatory, and antioxidant properties.
  • Alpha-Arbutin & Arctostaphylos-Uva-Ursi-Leaf (Bearberry) Extract lightens dark spots, reduces acne scars, evens out skin tone, and prevents discoloration and hyperpigmentation.
  1. Mineral SPF 50+: Moisturizing and hydrating sunscreen was formulated to replenish moisture loss while providing superior UVA & UVB protection. Offers mineral protection without clogging the pores.
  • Zinc Oxide 7.0%: Protects against UVA/UVB rays, zinc oxide prevents acne through sebum reduction and anti-inflammatory qualities.
  • Titanium Dioxide 5.0%: Protects against UVA/UVB rays
  • Hyaluronic Acid: Hydration, humectant, lipid barrier enhancement, increased resilience, tighter skin tone, smoother texture, less visible fine lines and wrinkles, stimulates cell regeneration, increased cellular turnover helps improve pigment, and clarity - The hyaluronic acid molecule can hold up to 1000 times its weight in water.

Skin Protection and Prevention Tips

Preventing melasma and hyperpigmentation is just as important as treating it. Here are some tips:

  1. Sun Protection: Wear sunscreen with an SPF of 30 or higher every day, even when it’s cloudy. Sun exposure can exacerbate hyperpigmentation and melasma.

  2. Healthy Lifestyle: Maintain a healthy diet and stay hydrated. Certain foods rich in antioxidants can aid in preventing skin damage.

  3. Skin Care Routine: Use products containing ingredients like Vitamin C, retinoids, or azelaic acid, which can help prevent and treat hyperpigmentation.

  4. Post-Treatment Care: After undergoing any treatment, follow your clinician's advice on skincare. This might include avoiding sun exposure, using specific skincare products, or maintaining a regular treatment schedule.

Wrapping Up

Does hyperpigmentation truly ever fade?

Hyperpigmentation might be a complex issue to treat, but with the right knowledge, treatments and products, it's entirely possible to manage it effectively. Understanding the science behind hyperpigmentation and the role of melanocytes can help inform effective treatment strategies. While managing hyperpigmentation can be a complex process, advances in dermatological research continue to provide new insights and therapies. Remember, this isn't a magic trick, but a journey to healthier, more radiant skin.

We're here to help you find the right solution for all your skin concerns! Remember, each person’s skin is unique, and what works for one might not work for another. It's crucial to consult with a skincare professional to determine the best treatment plan for your specific needs and goals. Interested in learning more about our treatments? Call us for a complimentary consultation to address all your skincare needs. 

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