Patient Portal


I. Definition:

Melasma or chloasma

Melasma or chloasma is a brownish discoloration of the face that occurs most often in women. Men can also develop this problem. The brown color often fades in winter and gets worse in the summer

II. Cause of Melasma:

Pregnancy (mask of pregnancy) is the most common cause of melasma.
Women who are taking oral contraceptives are at risk of developing melasma. Sunlight is a major factor in the development of melasma but there is also probably a genetic predisposition

III. Chicago Melasma Treatment:

Do not use skin lighteners or bleaching creams containing steroids. These can cause permanent skin damage including permanent redness, thinning and blood vessel streaks. Also avoid skin lighteners or bleaching creams containing mercury as this is a poison.
A strong sun screen with SPF 45 should be applied to the face each morning.

Hydroquinone 4% cream (available by prescription or in several skin care products) applied to the face twice a day (in the morning before applying sun screen and later in the day) is the main melasma treatment. Retin-A cream applied to the entire face each night before bed has been shown to be an effective melasma treatment.

The best, quickest and most effective melasma treatment is now non ablative no down-time laser treatments (Fotofacial).  However, maintenance with skin care products is essential to maintain a good result.  Please check our laser tab to find more information on this safe, no down-time approach.

23 Things To Do While Recovering From Your Surgery


When I first published The 7 Critical Questions to Ask Before Letting Any Surgeon Touch You, I had no idea that it would be so popularly received. Since its publication, this brief guide has helped thousands like you to more safely navigate the world of cosmetic surgery. The 7 Questions have been updated and a bonus section, Applying the 7 Questions, has just been added. Be my guest to read, learn and share.