Melasma Treatment in Jacksonville

Melasma is one of the most stubborn pigment conditions to treat, and one of the easiest to make worse.

At Aesha Medical Aesthetics in Jacksonville, melasma is treated by a physician, with a plan built around your skin and your skin tone rather than a single setting on a machine.

Melasma Is Not the Same as Sun Damage

Sun spots sit on the surface and respond quickly to most treatments. Melasma is different. It is driven by hormones, heat and visible light as well as sun exposure, it reaches deeper into the skin, and it has a strong tendency to come back.

Treating melasma as though it were sun damage is the single most common reason patients end up darker than when they started.

Melasma usually appears as symmetrical brown or grey-brown patches across the cheeks, forehead, upper lip or jawline. It is far more common in women, and more common in medium and deeper skin tones.

Why Melasma Should Be Treated by a Physician

Three reasons.

The most effective topicals are prescription only, and they need to be cycled correctly.
Used continuously without breaks, some of them cause a permanent discolouration that is far harder to treat than the melasma was.
Laser settings that clear sun damage will often worsen melasma. The energy, the wavelength and the density all have to be chosen for pigment that behaves this way, and for your skin tone specifically.
Melasma needs managing over time, not clearing once. A plan that does not include maintenance is a plan for it to return.

How We Treat Melasma at Aesha

Treatment runs in three phases.

Skipping the first phase is what causes most melasma treatments to fail.

1
Phase One
Preparation

Four to six weeks of prescription topical therapy before any laser.
This calms the pigment-producing cells so that the treatment settles rather than rebounds.
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Depending on your skin this may include topical tranexamic acid, prescription-strength brightening agents, and a tinted mineral sunscreen that also blocks visible light.
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Ordinary clear sunscreen does not block visible light, and visible light drives melasma.

2
Phase two
In-office Treatment

A gentle non-ablative laser resurfacing treatment, usually a series spaced around six weeks apart.

Settings are chosen conservatively and adjusted for your skin tone.

With melasma, the goal is steady improvement rather than a dramatic single result, because aggressive treatment is what triggers rebound.

3
Phase three
Maintenance

Melasma is a chronic condition.

Once it has cleared, a maintenance routine keeps it that way.

This is the phase most practices leave out, and it is the reason patients so often say their pigment came back within a year.

Ready to take the next step?

Start with a personalized consultation built around your skin.

Safe for Deeper Skin Tones

Melasma is most common in medium to deep skin tones, and those are exactly the patients most often turned away or treated with the wrong settings.

Post-inflammatory hyperpigmentation, where the skin darkens in response to the treatment itself, is a real risk when the plan is not built for the skin in front of it.

Every plan here is built around your skin type from the first consultation, including the preparation phase, the choice of topicals, the laser settings, and the aftercare.

Seamless pattern of stylized brown and beige flower petals with fine vein details overlapping each other.

Your first visit

Your consultation includes a VISIA skin analysis, which photographs the skin under different light sources and shows the pigment sitting beneath the surface that is not yet visible in the mirror.

That baseline tells us how deep the pigment sits and lets us track real change rather than guessing.
You will leave with a written plan, the topicals you need to start, and a clear picture of the timeline and cost before you commit to anything.

What to expect

Most patients see meaningful change over three to four months, not three to four weeks.
A typical course is three to four in-office treatments spaced around six weeks apart, with topical therapy running throughout.
Melasma is managed rather than cured. Realistic goals are significant lightening and long stretches of control.
Sun and heat exposure, pregnancy and some hormonal medications can bring it back. That is the condition, not a failure of treatment.
FAQ

Any Questions?

Can melasma be cured?

No, and be cautious of anyone who says otherwise. Melasma is a chronic condition that is managed rather than cured. With the right plan, most patients get substantial lightening and keep it under control with maintenance.

Do I need a prescription?

Most melasma plans include prescription topicals. These are prescribed and monitored by Dr. Azam as part of your treatment, and cycled correctly to avoid the complications that come from long-term continuous use.

How long before I see results?

Expect three to four months for meaningful change. Anything faster usually means the treatment was too aggressive, which is what causes melasma to rebound darker.

What does it cost?

Cost depends on how deep the pigment sits and how many treatments you need. You will have a written plan with clear pricing at your consultation before committing to anything.

Will laser make my melasma worse?

It can, if the wrong laser or the wrong settings are used, or if the skin has not been prepared first. That is why we spend four to six weeks on topical therapy before any in-office treatment.

Does melasma come back?

It can, particularly with sun and heat exposure, pregnancy or hormonal changes. Maintenance is what keeps it controlled, and it is built into every plan here.

Is this safe for darker skin?

Yes. Melasma is most common in medium and deeper skin tones, and plans here are built around skin type from the start, including preparation, settings and aftercare.

Your Skin, Your Plan

Start Your Melasma Treatment Journey

Melasma can look different on everyone.

Start with a consultation at Aesha Medical Aesthetics to understand your pigmentation and get a plan for your skin, goals, and needs.

Seamless pattern of stylized brown and beige flower petals with fine vein details overlapping each other.