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
"Dr. Dauwe is a truly an exceptional surgeon and pays very close attention to details...he developed a customized treatment plan for my scars, performed a complex breast / scar revision and three months later, they look amazing! Recovery was great thanks to excellent pain management provided by Dr. Dauwe. Julie and Sarah (Dr. Dauwe’s staff) are also amazing and respond promptly to any concerns that I may have! Would highly recommend!!"- T.I. / Google / Feb 04, 2020
"Dr. Dauwe did an awesome job! He explains procedures well, compassionate and sets expectations to help you get the best results. He also called me the same night of my surgery, which definitely was not expected. His staff is very friendly and welcoming! I would highly recommend Dr. Dauwe!"- L.G. / Google / Feb 04, 2020
"The Best Experience Possible - Dr. Dauwe and his staff have been more than this 5 star rating! They show kindness and consideration to their patients and go way above and beyond what a Dr/Patient relationship requires of them! Dr. Dauwe's surgical skills are top notch, and I am very VERY pleased with the results."- C. / RealSelf / Feb 03, 2020
"Dr. Dauwe and his staff have been more than this 5 star rating! They show kindness and consideration to their patients and go way above and beyond what a Dr/Patient relationship requires of them! Dr. Dauwe's surgical skills are top notch, and I am very VERY pleased with the results."- C.A. / Google / Feb 03, 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
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.