Treating Melasma at Newton Medical Aesthetics
Melasma can be a frustrating skin condition, often showing up as uneven patches of brown or grayish pigment across the cheeks, forehead, upper lip, and jawline. It's incredibly common, especially among women, and while it's not dangerous, it can be difficult to manage without the right tools.
At Newton Medical Aesthetics, we understand that melasma isn't just a cosmetic concern. It affects how people feel about their appearance and often resists over-the-counter treatments. Our personalized approach combines science-backed skincare with advanced options like laser skin resurfacing to gently reduce pigmentation while supporting long-term skin health.
Melasma is a complex form of hyperpigmentation that occurs when melanocytes—the pigment-producing cells in your skin—become overstimulated and overproduce melanin. This overactivity can be triggered by a combination of UV exposure, hormonal changes, heat, and even inflammation.
What sets melasma apart from other pigmentation issues like sun spots or freckles is how deep and diffuse the discoloration can be. It typically presents in symmetrical patterns on the cheeks, forehead, upper lip, and jawline, and the pigment often sits in both the epidermis (top layer) and dermis (deeper layer) of the skin, making it more resistant to treatment.
Common triggers include:
Melasma can also fluctuate seasonally, worsening in summer and calming in cooler months, and may respond to emotional or physical stress through the skin’s inflammatory pathways.
Melasma requires a patient, multi-pronged approach. Because the condition is closely linked to inflammation, hormones, and UV exposure, aggressive treatments can backfire. At Newton Medical Aesthetics, we prioritize gentle, science-backed methods that calm the skin, gradually fade pigment, and prevent future flare-ups.
This treatment uses fractional laser technology to target pigmented areas in the dermis and epidermis without damaging the surrounding skin. It delivers heat in a controlled, pixelated pattern, breaking up clusters of melanin while stimulating collagen production. Our non-ablative lasers are safe for melasma-prone skin because they minimize inflammation and downtime. Most patients benefit from a series of 3–5 sessions spaced several weeks apart.
Peels using ingredients like glycolic acid or trichloroacetic acid (TCA) help exfoliate the top layers of skin, reducing visible pigment over time. These peels are carefully selected to avoid triggering post-inflammatory pigmentation. A light chemical peel can improve tone, texture, and allow for better absorption of brightening skincare.
Microneedling creates controlled micro-injuries in the skin, stimulating collagen and aiding in cellular turnover. When combined with PRF (Platelet-Rich Fibrin), this approach enhances healing and minimizes inflammation. PRF releases growth factors slowly, supporting skin regeneration without the risk of worsening pigmentation.
This prescription skin-lightening agent works by inhibiting tyrosinase, an enzyme involved in melanin production. Used under medical supervision, hydroquinone can fade stubborn patches of melasma—but only as part of a larger, time-limited plan.
These antioxidant-rich ingredients fight oxidative stress and reduce melanin synthesis. Azelaic acid also has anti-inflammatory properties, making it a good choice for long-term maintenance in sensitive or reactive skin.
Sun exposure is melasma’s biggest trigger. A high-quality SPF 30 or higher—preferably physical (mineral-based) with zinc oxide or titanium dioxide—should be worn every single day, even in winter or indoors. Without consistent sun protection, other treatments won’t be effective.
Melasma often affects people during major life transitions—pregnancy, hormonal shifts, or high-stress periods. Treating it isn’t just about aesthetics; it’s about helping patients feel confident and in control of their skin again.
Physically, patients often see a clearer, more even tone and smoother skin texture.
Psychologically, reducing melasma can alleviate self-consciousness and improve quality of life.
Clinically, ongoing care prevents worsening and helps track any new or changing pigmentation.
Your provider will take time to understand your skin history, lifestyle, and goals. We’ll assess the depth and type of pigmentation before customizing a plan. You’ll leave with realistic expectations and a strategy that actually works for your skin’s biology.
Melasma treatments are gradual by design. Most options require a series of sessions with consistent maintenance for lasting results. Here’s a breakdown of what to expect from each approach:
| Treatment Option | Expected Onset of Results | Typical Protocol | Notes |
| Peels & Skincare | 4–6 weeks | Weekly to biweekly, 3–6 sessions | Improves tone and texture; works best when paired with at-home care. |
| Laser Resurfacing | 2–3 months | 3–5 sessions, spaced 4–6 weeks apart | Safe non-ablative settings are used to prevent rebound pigmentation. |
| Microneedling + PRF | 4–6 weeks | Monthly for 3+ sessions | Subtle brightening with low inflammation risk. |
| Hydroquinone | 4–8 weeks | Short-term use (up to 3 months) | Effective for stubborn spots; should be paused periodically. |
| Topical Maintenance | Ongoing | Daily use | Vitamin C, azelaic acid, and SPF help prevent recurrence. |
Because melasma often responds best to a layered, low-inflammatory protocol, results tend to build slowly but meaningfully. Your provider will walk you through a personalized timeline and make adjustments as needed based on your skin’s progress.
Melasma treatment is ideal for patients who:
We tailor every approach to your skin tone, type, and sensitivity. Patients with deeper skin tones may need more cautious protocols to avoid rebound pigmentation.
We approach melasma with both clinical insight and aesthetic finesse. Our team prioritizes skin health, long-term results, and a patient experience rooted in trust. From personalized care plans to gentle technology and luxury-grade skincare, we focus on what works, without overdoing it.
Take the first step toward clearer, more balanced skin. Contact Newton Medical Aesthetics to schedule your consultation today.
Call (617) 213-0955 or use our contact form to get started.
Most treatments are well tolerated. You might feel mild warmth or tingling during laser sessions or light stinging with chemical peels, but nothing that requires significant downtime. We use gentle techniques and topical numbing when needed.
Melasma fades gradually. Some patients notice brighter skin after a few weeks, but full improvement typically takes several sessions over a few months. Consistency is key.
Results can last indefinitely with proper maintenance. That means avoiding triggers like sun exposure, using skincare daily, and scheduling touch-up treatments as needed. Melasma isn’t “cured,” but it can be controlled beautifully.
Yes—with care. Melasma-prone skin needs a thoughtful approach, so we may delay or adjust other treatments (like lasers or microneedling) to prevent irritation or flare-ups. Your provider will customize your plan.
When done correctly, yes. We use non-ablative lasers with parameters tailored to melasma, minimizing the risk of rebound pigmentation. Your provider will assess if laser is right for your skin tone and depth of pigmentation.
