Melasma Discolored Patches of Skin

Melasma is a skin condition that is very bothersome to a lot of women. Brown, tan or blue-grey patches may be visible year-round, however, generally darkness increase over the summer months.   There are many triggers that can exasperate the discoloration.


overhead work lights                   overhead desk lamps

heating lamps                               hair dryers

hormones                                     birth control

genetics                                        laser treatments

waxing                                          excessive heat outdoors

sluggish liver                                the metal rims on your sunglasses!

cosmetics                                     thyroid, adrenal conditions

extensive cooking over an oven or a grill

lamps used to treat seasonal affective disorder


At Odette’s, we understand that with the many causes and triggers for melasma, treatment is not simple.


Diet, liver function and lifestyle play an important part in your skin’s and hormones’ function.

Studies have found that women on progesterone hormone replacement therapy are at a higher risk of developing melasma. Postmenopausal women taking estrogen alone may be less likely to develop melasma conditions.


There are four types of melasma, each with their own pigmentation patterns: dermal, epidermal, mixed, and an unnamed type found in darker-complexioned individuals.

  • Epidermal melasma is distinguished by the presence of excess melanin in the superficial layers (upper) of skin. This is the easiest to treat as it is not deep in the dermis. It is brown with well defines borders.


  • Dermal melasma is identified by the presence of melanophores (cells that ingest melanin) throughout the dermis. This type of melasma tends to be of blue-grey colour. As it is deeper in the skin, it is more difficult to keep at bay.


  • The mixed type includes both the epidermal and dermal type. The discoloration is also mixed, brown and blue-grey.


  • In the fourth type, excess melanocytes are present in the skin of dark-skinned individuals.


Melasma is often difficult to treat and often relapses after treatment is discontinued. This recurrence can happen immediately or gradually, over the course of a year. It is important that all patients with melasma be counselled about the natural course of the disease’s actions and the necessity for long-term, year round management.

Treatments for melasma are the suppression of melanin production and the removal of visible melanin present in the layers of the skin. The use of an actual sun block is imperative to melasma sufferers to help prevent further pigment stimulation.

Professional topicals modify various stages of melanin production, with the most common being inhibition of the enzyme tyrosinase.  Lightening agents such as hydroquinone, tretinoin, azelaic acid and corticosteroids can be used alone but better in combination with ingredients to inhibit the production of melanin for synergistic efficacy on stubborn hyperpigmentation.

We have a Melsma plan

We have carefully put together a plan that takes all of this into consideration and has proven itself time and time again. Melasma is a condition that may never completely disappear and for that reason, home care is an absolute must.

Suncreen without hormone disruptors is also imperative.


Trust our 25 years experience to help you love the best skin you’ve ever had!


Our treatments include:

AFA peel – medium depth peel with no flaking or peeling

LumiFacials – LED light

Allumera – photo-cosmeceutical

Melanin inhibitors – RGR Pharma

SkinPen – microneedling


A combination of services is recommended for best results. A consultation will allow us to properly create a program that’s right for you!

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