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Ocean Drive Dermatology

Where do these dark spots on my face come from?

Melasma is a skin condition that causes darkening the skin, usually on the face. There could be one little area of brown on the upper lip, or the entire forehead, cheeks, and chin are affected to varying degrees. The color tends to be light to dark brown and usually worsens with excess sun exposure. Although most patients with melasma are female; it is possible for a man to have it. Sometimes these brown spots appear during pregnancy, after starting birth control pills, and even with certain medications. The exact cause of melasma is not known. Hormones may cause a role in Melasma, but it is more complex than that. Melasma tends to be chronic. This means treatment is ongoing and I can’t offer a “cure” for it.


Treatment Options

Treatment for melasma usually starts with topical therapies. Most patients start with over the counter bleaching or fade creams. I typically have a treatment protocol that starts with prescription medications. For some of our Vero Beach Melasma patients, I will work with a compounding pharmacy to create a specialized prescription that includes multiple medicines that can help treat it.

If topical therapy does not work then the next step tends to be laser therapy. Laser can include either non-ablative treatments such as Broadband Light (BBL) or ablative treatments such a Fractional or Halo Laser. Studies show that laser can be beneficial to melasma, neutral to melasma, and in some cases may make it worse.


All Melasma patients must adhere to a strict sun protection routine. This includes sunscreen, hats, and finding shade. Makeup that has sunscreen in it typically is not enough. I have seen numerous times where a patient will have their melasma well controlled and then come back from a beach vacation and notice a few weeks later it is flaring up.

Discover Elevated Care at Ocean Drive Dermatology

Say goodbye to the standard nine-minute dermatology appointments and hello to personalized and welcoming care at Ocean Drive Dermatology. With a wide range of services, including advanced injection techniques, laser treatments, and on-site plastic surgery for advanced cases, we are dedicated to providing exceptional care to every patient. Book your appointment today and experience the best of both worlds with our medical-minded approach to aesthetics and partnership with plastic surgeons. Join the ranks of our satisfied patients at Ocean Drive Dermatology in Vero Beach, Florida.

Conveniently located next to the CVS Pharmacy on A1A in Indian River Shores.