Melasma, also referred to as chloasma, happens when uneven patches of darkened skin show up on the face or forearms. These tan or brownish spots generally occur evenly around the brow, cheeks, nose, or upper lip. Melasma is not at all uncommon and is found more frequently in females. It may be due to sun damage or from hormonal fluctuations such as with menopause and pregnancy. Individuals with darker skin types are far more inclined to melasma compared to individuals who have lighter complexions. Dr. Phillip Dauwe treats melasma regularly at Phillip Dauwe, M.D. Plastic Surgery in Dallas, TX, where he provides state-of-the-art PiQo4 laser technology, which may lessen the appearance of the condition. Call our office today to learn more.
"Dr. Dauwe and his staff are like a dream team! I legit leave wanting to be friends with his staff they are all so adorable. Seriously though, any type of surgery is so scary and they make the experience so comfortable. I felt like he listened to what I wanted and was honest with what was going to be realistic with my body type. I was referred by Dr.Dauwe by a few of my clients and am so thankful I chose him to do my procedure. If you’re in the Dallas area I wouldn’t recommend anyone else. Truly grateful to have had such an amazing experience! Thank you Dr. Dauwe for everything!"- T.C. / Google / Apr 30, 2019
"Phenomenal experience from consultation to post-op. Dr. Dauwe did a thorough job explaining the procedure in great detail, discussing my different options and the outcomes, and really made feel comfortable with my decision. His work is absolutely beautiful, and he is a true artist. You can tell Dr. Dauwe really goes the extra mile for his patients, and has a caring bedside manner. Julie- his cosmetic coordinator, is simply amazing. She checked on me several times before and after the procedure, and was always there to answer questions. Highly recommend! One of the best decisions I've ever made! I'm very grateful."- D.K. / Google / Oct 13, 2020
"It finally happened!!! - After many years of thinking about getting a breast augmentation, I finally took the leap! My surgery was today with Dr. Dauwe in Dallas, Tx!! I am feeling excited and nervous, but I wouldn't have done it without all the reviews and support on here! I plan on documenting my journey in hopes it will help someone else! :)"- T. / RealSelf / Oct 09, 2020
"I cannot say enough wonderful things about Dr. Dauwe and his staff! Sara and Julie are so sweet and do a fantastic job preparing patients for their surgery day. Catherine Kinney called me the night before to make sure I was prepared for anesthesia. Her voice was so calming and she really made me feel at ease for my upcoming procedure. The morning of my surgery, I was greeted with many friendly smiles, including Karen and CRNA Kinney. Before my procedure, Dr. Dauwe came in and measured and marked me up. He once again went over his plan for my procedure and what I could expect after surgery. I had my breast implants removed with a lift. The most surprising thing to me was that HE CALLED THURSDAY EVENING TO CHECK ON ME!! I thought that was so thoughtful of him. After five days, I can honestly say my results are above and beyond what I ever expected. Dr. Dauwe did a wonderful job! I’ve had minimal pain and my breasts are looking great! He is very knowledgeable in his field, he is professional and kind. I highly recommend him for any plastic surgery needs!"- S.R. / Google / Oct 07, 2020
"Dr. Dauwe and His team are Phenomenal!!! - Tummy Tuck with LipoI had an extremely long journey to Dr. Dauwe, but I'm so thankful that I found him! I couldn't figure out the source of my GI problems after seeing MULTIPLE specialists, GI doctor, Colorectal Surgeon, multiple diagnostic tests with no answers. I have known Julie for years, and thankfully after talking with her one day she suggested I come see Dr. Dauwe. One look at my abdomen, he said "has anyone told you that you have a pretty significant umbilical hernia?" I had no idea, but Dr. Dauwe was able to figure out the source of my problems and knew how to get it corrected. We decided that a Tummy Tuck due to Diastasis Recti and lipo because why not, along with a hernia repair would fix my problem, and he was right!! I had surgery 7/17/20 and my problems are GONE! I also have an amazing looking tummy again! My recovery was way easier than I had imagined! I took 2 weeks off work and enjoyed having time to relax. I had pain, but it was controlled pretty easily. During my recovery some concerns arose, Dr. Dauwe called and talked to me numerous times, I even bothered him while he was on vacation. He's an amazing surgeon, but he's also a caring, fun person to talk to. He will make you feel completely comfortable. Plus his office manager, Julie, is the sweetest person you will ever meet! I love Dr. Dauwe, Julie ad the whole team and Lemmon Avenue Plastic Surgery Center. I can't wait for my next procedure!!"- J. / RealSelf / Sep 30, 2020
The specific source of melasma remains unidentified. Specialists think that the dark spots in melasma might be caused by various factors such as olive-toned complexion, hormone fluctuations, family history of the condition, anti-seizure drugs, along with other medicines, which make skin more susceptible to discoloration following exposure to UV rays. Excess sunlight exposure is regarded as the chief cause of melasma, particularly in those with a hereditary predisposition to the condition. Studies have demonstrated that people generally develop melasma in the summertime when the sunlight is the most intense. In winter months, the hyperpigmentation will become less visible or milder.
Melasma is recognized by discoloration or hyperpigmentation mainly in the facial areas. Three kinds of ordinary facial patterns are recognized in individuals with melasma:
- Centrofacial – (center of your face) hyperpigmentation around the cheeks, upper lip, nose, chin, and forehead
- Malar – (cheekbones) melasma patterns amid the top of the cheekbone
- Mandibular – (jawbone) hyperpigmentation parallel with the jawline
Dr. Dauwe uses the PiQo4 laser to treat hyperpigmentation associated with Melasma. The PiQo4 laser is the most powerful picosecond and nanosecond laser on the aesthetic market, which uses four wavelengths to target brown spots. This advanced technology allows for fast and comfortable treatments. It is especially ideal for addressing larger areas. During your session, you will be seated in our private treatment room as the handheld laser device is glided over the target area(s). Once your treatment is done, you will be free to go home. Typically, most patients receive 3 – 5 sessions spaced one month apart for optimal results.
Frequently Asked Questions about Melasma
How much does it cost?
Our practice accepts many forms of payment and sometimes offer discounts or promos on cosmetic packages. During your first visit, Dr. Dauwe or a member of our team can go over all your out-of-pocket costs and discuss all your options to help make your treatment affordable.
Will it come back?
Unfortunately, melasma is a condition that requires maintenance, which means multiple treatments may be needed over time to maintain optimal results. This varies from patient to patient, as some may experience lengthier periods of clearer skin than others. Dr. Dauwe also recommends seeing a highly trained dermatologist.
Can I go into the sun?
Individuals with melasma should do their best to practice preventive measures such as wearing a mineral-based sunscreen, medical-grade topicals, and wearing hats when in direct sunlight.
In addition to PiQo4 laser treatments, Dr. Dauwe may also recommend intense pulsed light therapy (IPL). This is typically performed after the initial laser treatment once the skin has healed. IPL uses many different wavelengths to target hyperpigmentation and sun damaged skin.
Plan Your Procedure
- Average Cost
- From $250
- Recovery Time
- 4 – 5 Days
- Average Procedure Time
- 1 1/2 Hours
- Post-op Follow-up
- Day 1, Week 2 & 6
- Procedure Recovery Location
Get a Professional Diagnosis
In the event that you are affected by melasma and are fed up with attempting to conceal it with cosmetics, or if you spend extra money on store-bought remedies which don't give you the outcome that you would like, we welcome you to contact Phillip Dauwe, M.D. Plastic Surgery to schedule an appointment. Melasma needs a special diagnosis so the ideal treatment can be provided. If the incorrect remedy is implemented, the skin might become worse. Dr. Dauwe can correctly diagnose and address melasma to supply you with a fantastic outcome.