My Melasma Didn't Go Away After Pregnancy. How Can I Treat It?

Pregnancy transforms your body in many beautiful ways, but some are more challenging than others. For example, hormonal shifts, skin changes, and, for many women, the appearance of melasma are all part of the experience. 

Nicknamed the “mask of pregnancy,” melasma is a skin condition that causes dark patches on your face. While it fades postpartum for some women, others find that the brown or gray-brown blotches remain, presenting a persistent cosmetic concern.

In the Salt Lake City area, Holladay Dermatology & Aesthetics, Dr. Robert Topham, and our expert team are here to help you better understand and treat melasma, giving you clearer, more radiant skin.

What causes postpartum melasma?

Melasma begins when your skin’s melanocytes, the pigment-producing cells, become overactive. The hormonal surges of pregnancy, especially increased levels of estrogen and progesterone, trigger this heightened activity. These hormones also stimulate melanin production, leading to noticeable patches. 

Melasma is even more likely to appear in women with medium-to-darker skin tones, as their melanocytes are naturally more active.

Beyond hormonal shifts, sun exposure can exacerbate melasma. Ultraviolet (UV) rays intensify the pigmentation, darkening the affected areas. That’s why postpartum melasma often worsens if you don’t protect your skin against the sun.

Skin irritation and harsh skincare products or certain cosmetics can further aggravate this condition. While pregnancy-related melasma (chloasma) may fade for some after giving birth, other women find it remains a long-term issue without proper intervention.

Treatment options for stubborn melasma

If you’re struggling with melasma that has lingered beyond pregnancy, know that effective treatment options are available, and at Holladay Dermatology & Aesthetics, we tailor these treatments to your unique skin type and lifestyle. 

Topical medications

Topical treatments are often the first line of defense against lingering melasma. They inhibit melanin production and reduce visible discoloration over time.

Hydroquinone

Hydroquinone, a widely used skin-lightening agent, can fade melasma patches when applied regularly. However, it’s essential to pair this with a great sunscreen since sun exposure can re-darken treated areas.

Tretinoin and retinoids

These products accelerate cell turnover, helping your skin shed the pigmented surface layers more quickly. Patience is key here, as tretinoin typically takes several weeks or even months to show results.

Azelaic acid and glycolic acid

Known for their brightening properties, these acids are gentler options for reducing discoloration and improving overall skin tone.

Advanced aesthetic procedures

For those with persistent or severe melasma, we offer state-of-the-art procedures that target pigmentation more deeply.

The PICO Genesis laser

This advanced technology safely breaks apart pigment clusters under the skin using highly targeted laser pulses. The fragments are naturally eliminated by your body, revealing a more even-toned complexion. PICO Genesis is notable for being precise and gentle, making it a preferred choice for melasma patients with various skin tones.

Chemical peels

By applying a controlled chemical solution, this popular cosmetic treatment exfoliates the top layer of skin, reducing discoloration while promoting smoother, brighter skin.

Microneedling with radiofrequency

Combining the collagen-stimulating benefits of microneedling with the precision of radiofrequency energy, this minimally invasive procedure can address melasma and improve skin texture.

Sun protection and prevention

While treatments help manage current discoloration, preventing future melasma flare-ups is equally important. Sun exposure is one of the most significant triggers of melasma, so daily sun protection is non-negotiable. We recommend:

• Using a broad-spectrum sunscreen with SPF 30 or higher every day, even when indoors
• Wearing wide-brimmed hats and protective clothing to shield your face from sunlight
• Opting for mineral sunscreens containing zinc oxide or titanium dioxide

Your skincare regimen also matters when dealing with melasma. To avoid worsening discoloration:

• Use gentle, fragrance-free cleansers and moisturizers to minimize irritation
• Avoid harsh exfoliants or skin treatments unless recommended by a dermatologist
• Stick to prescribed treatments and be consistent with their application

Take the first step toward achieving clearer, more confident skin. Call Holladay Dermatology & Aesthetics in Holladay, Utah, today to learn more about how we can help you manage your melasma.