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Request An AppointmentDr. Debra Jaliman, board-certified dermatologist and pigmentation specialist on Manhattan’s Upper East Side, offers advanced melasma treatments to help restore a clearer, more even complexion.
Expert Melasma Treatment in NYC for Even Skin Tone
Melasma Treatment in NYC – Restore Clear, Even Skin Tone with Expert Care
Melasma is a common but stubborn skin condition that causes brown or grayish patches on the face—most often on the cheeks, forehead, nose, and upper lip. At Dr. Debra Jaliman’s Upper East Side dermatology office in NYC, we provide advanced, personalized melasma treatments designed to fade discoloration, even out skin tone, and restore your confidence.
As a board-certified dermatologist in New York City with decades of experience in medical and cosmetic dermatology, Dr. Jaliman tailors every melasma treatment to your unique skin type, pigmentation depth, and lifestyle. Her approach blends medical precision with aesthetic expertise to deliver safe, visible, and lasting results.
What Causes Melasma—and Why It Happens
Melasma can be triggered by sun exposure, hormonal changes (such as pregnancy or birth control), genetics, and occasionally thyroid or inflammatory factors. While persistent, melasma can be significantly improved with the right combination of professional treatments, sun protection, and medical-grade skincare.
Customized Melasma Treatments in NYC
Each treatment plan at our Manhattan dermatology practice is fully personalized to target the root causes of your pigmentation.
We use dermatologist-formulated products that are effective yet gentle, making them suitable for sensitive skin.
Advanced Procedures for Stubborn Melasma
For deeper or more resistant pigmentation, Dr. Jaliman offers laser treatments such as the Revlite Laser—a gentle, procedure that breaks up excess pigment with no downtime. In select cases, fractional or combination therapies may be used to achieve a brighter, more even complexion.
Why Choose Dr. Debra Jaliman for Melasma Treatment in NYC
Dr. Jaliman is a nationally recognized expert in pigmentation and skin tone correction, known for her results-driven, patient-centered care. Every treatment journey includes expert guidance, progress tracking with before-and-after photos, and ongoing support to maintain clear, radiant skin.
Book Your Melasma Consultation in NYC
or request a consultation online with Dr. Debra Jaliman, one of New York City’s top dermatologists for melasma and hyperpigmentation treatment.
Melasma Treatment Results by Dr. Debra Jaliman in NYC
See before-and-after results from patients who received customized melasma treatments at our Upper East Side dermatology office.
Table of Contents
What is melasma?
Melasma is a common skin condition that causes brown or grayish patches to appear on the face, typically on the cheeks, forehead, nose, and upper lip. Often triggered by sun exposure, hormonal changes (such as pregnancy or birth control), and genetics, melasma can be persistent and challenging to treat.
While it is not harmful, melasma can affect your confidence due to uneven skin tone and facial discoloration.
At Dr. Debra Jaliman's NYC dermatology office, we specialize in personalized melasma treatments, combining medical-grade Skin care, prescription, creams, chemical peels, and laser therapy to restore a clear even complexion safely and effectively. Early treatment and daily sun protection is essential to prevent melasma from worsening or recurring.
What locations on the face does melasma occur?
Melasma most commonly appears as brown or gray patches on the cheeks, forehead, nose, upper lip, and chin. It is often symmetrical, and early detection in these areas can make treatment more effective.
Are there different types of melasma?
Yes. Melasma can be epidermal (surface layer), dermal (deeper skin layer), or mixed (both layers). Knowing your melasma type helps determine the most effective treatment, from topical creams to lasers or chemical peels.
Factors That Trigger Melasma
Sun exposure
Sun exposure is the number-one trigger for melasma, as ultraviolet (UV) and visible light stimulate excess melanin production. This leads to brown patches, darkening of existing pigmentation, and frequent flare-ups-especially on the cheeks, forehead, upper lip, and nose. Even small amounts of incidental sun (like walking to work or sitting near a window) can worsen melasma. Daily broad-spectrum SPF 30+, protective hats, and seeking shade are essential to prevent recurrence and maintain long-term clarity.
Hormonal fluctuations
Hormonal changes are one of the most powerful triggers of melasma. Shifts in estrogen and progesterone–such as during pregnancy, birth control use, fertility treatments, or hormonal imbalances-can overstimulate melanocytes and lead to dark patches on the facé. This form of melasma, often called "pregnancy mask" or chloasma, can deepen with even minimal sun exposure. Stabilizing hormones when possible and following a strict daily sun-protection routine are key to controlling hormonally driven melasma.
Thyroid disease
Thyroid disorders, including both hypothyroidism and hyperthyroidism, have been linked to stubborn, treatment-resistant melasma. Hormonal disruptions in thyroid disease can increase melanocyte activity, making pigmentation darker and more persistent.
Proper diagnosis and thyroid management-combined with targeted melasma treatments-helps improve overall skin clarity. Patients with thyroid-related melasma must be especiall. diligent with sun protection, as UV exposure can intensify discoloration.
Causes & Risk Factors of Melasma
What triggers melasma?
Melasma develops when melanocytes–the pigment-producing cells in the skin–create excess melanin, leading to brown or grayish patches.
The main triggers include sun exposure, hormonal changes, genetics, and inflammation.
Ultraviolet (UV) rays and blue light from screens stimulate pigment production, while heat and certain medications can make discoloration worse.
People with darker skin tones or a family history of melasma are at higher risk because their skin naturally contains more active melanocytes.
Can Hormonal Birth Control or an IUD Cause Melasma?
Yes. Hormonal birth control, including the pill, hormonal IUDs, implants, and patches-can trigger or worsen melasma. This happens because increased estrogen and progesterone stimulate the skin's melanocytes, causing them to produce more pigment when exposed to sunlight or heat.
Can LED Screens or Blue Light Worsen Melasma?
Yes, LED screens emit blue light (HEV light), which can worsen melasma and hyperpigmentation over time.
Frequent exposure to phones, tablets, or computer screens without proper skin protection may increase melanin production.
Applying broad-spectrum sunscreen with blue light protection, antioxidants, and vitamin C serum can help reduce oxidative stress and prevent worsening pigmentation.
Can Melasma Get Worse Indoors or From Sunlight Through Windows?
Absolutely. UV rays and visible light can pass through glass, meaning your skin is still exposed even indoors or in your car.
Over time, this exposure can reactivate dormant melasma or cause dark spots to deepen.
Dr. Jaliman recommends wearing broad-spectrum SPF 30–50 daily, even inside, and reapplying every two hours if you sit near a window or drive frequently.
Melasma Symptoms and Diagnosis
What are the symptoms of melasma?
Melasma typically presents as flat brown or grayish-brown patches on the skin. These areas are not raised and do not cause pain, itching, burning, or stinging. The discoloration is purely cosmetic and does not affect the skin's texture or health.
Because melasma symptoms are limited to changes in skin pigmentation, many patients first notice it after sun exposure or during hormonal changes such as pregnancy or birth control use.
How is melasma diagnosed?
Melasma can be diagnosed by a board-certified dermatologist through a simple visual examination, without the need for any specialized tests.
Prevention and Precautions for Melasma
Preventing melasma flare-ups is just as important as treating existing pigmentation. Daily sun protection helps reduce hyperpigmentation, prevent recurrence, and maintain a more even, radiant complexion.
Sunscreen for Melasma
Sun exposure is the primary trigger for melasma. Daily use of broad-spectrum sunscreen protects against UVA, UVB, and visible light, each of which can stimulate excess melanin production.
Dr. Debra Jaliman recommends:
- Apply a mineral sunscreen (zinc oxide or titanium dioxide) to block surface-level UV rays.
- Reapply sunscreen every 1.5 to 2 hours, especially when outdoors or sitting near windows.
- Use tinted mineral sunscreen for added protection against visible and blue light.
- Avoid shiny or oily skin layers that reflect UV rays and intensify pigmentation.
Consistent sun protection is the single most effective way to prevent melasma from worsening.
Protective Clothing & Accessories
Physical protection amplifies the effectiveness of sunscreen and reduces UV exposure by up to 90%.
Highly recommended for melasma-prone skin:
- Wide-brimmed hats to shield the forehead, cheeks, and upper lip.
- UV-blocking sunglasses to protect the eye area.
- UPF-rated clothing and light, long sleeves during peak sun hours.
- Use umbrellas or top-down shade when walking
These barriers help prevent recurrent darkening and allow professional melasma treatments to work more effectively.
Daily Sun Safety Habits
Small, consistent lifestyle habits make a dramatic difference in preventing melasma flare-ups.
- Limit direct sun exposure between 10 a.m. and 4 p.m.
- Seek shade whenever possible.
- Avoid tanning beds, hot yoga directly in sunlight, and unnecessary heat exposure.
- Be consistent with sunscreen even indoors, as UVA and visible light penetrate windows.
- Combine professional treatments with strict at-home sun protection for optimal results.
Can melasma be prevented?
While melasma cannot always be completely prevented, daily sun protection and early treatment significantly reduce flare-ups and worsening pigmentation.
Treatment Options for Melasma
Melasma can be treated with a combination of topical creams, chemical peels, laser therapies, and other in-office procedures. The most effective treatment plan depends on your skin type, pigmentation severity, and lifestyle. Below, Dr. Debra Jaliman answers the most common questions about melasma treatments, what to expect, and how to maintain results.
Topical and Prescription Treatments for Melasma
Is melasma treatable?
Yes. While melasma can be persistent, it is treatable with a combination of topical medications, in-office procedures, and consistent sun protection. Early intervention and a customized treatment plan can significantly reduce pigmentation and improve skin tone.
Which ingredients help fade melasma?
Key ingredients include:
- Hydroquinone – a gold-standard depigmenting agent
- Tretinoin (retinoids) – boosts skin cell turnover
- Azelaic acid – reduces pigmentation and inflammation
- Kojic acid & arbutin – brightening agents
- Vitamin C – antioxidant that supports even skin tone
Are prescription topical medications effective for fading melasma?
Yes. Prescription creams can be highly effective, especially when tailored to your skin type. They work by inhibiting melanin production and promoting skin cell turnover. Results are gradual and require consistent use.
In-Office Processes for Melasma
Are chemical peels effective for melasma?
Yes. Superficial or medium-depth chemical peels (like glycolic acid, salicylic acid, or TCA) help remove pigmented skin layers and promote cell turnover. They are most effective when combined with topical therapy and strict sun protection.
Can melasma be treated with lasers?
Yes, but lasers must be used carefully. Targeted laser treatments (like Q-switched or fractional lasers) can reduce pigmentation, especially in stubborn or deeper melasma. Treatment should always be performed by an experienced dermatologist, as some lasers can worsen pigmentation if misused.
Results & Prognosis
Can melasma be cured?
Melasma cannot always be permanently cured. It is a chronic condition that can be managed effectively with treatment, sun protection, and lifestyle adjustments. Many patients achieve significant improvement but may require ongoing maintenance.
How long does it take to see results from melasma treatment?
Results vary depending on the treatment type, skin type, and severity. Topical treatments may show improvement in 6–12 weeks, while lasers or chemical peels can accelerate results. Consistency and sun protection are key.
Are there things that should be avoided with melasma?
Yes. To prevent worsening or recurrence:
- Avoid excessive sun exposure and tanning beds
- Avoid harsh exfoliants or irritating skincare
- Limit triggers like certain hormonal medications if possible
- Maintain consistent sun protection and topical treatments
Top Melasma Treatment Tips in NYC
If you’re struggling with melasma, here are the most effective dermatologist-recommended strategies to help fade dark patches and improve your skin tone:
- Topical Treatments:Use prescription or medical-grade creams with ingredients likehydroquinone, tretinoin, azelaic acid, kojic acid, or vitamin C. These can lighten pigmentation safely when used consistently.
- Chemical Peels:Professional peels with glycolic acid, salicylic acid, or TCA help exfoliate pigmented skin and enhance the results of topical treatments.
- Laser Therapy:Treatments like Revlite, Fraxel, or IPL target stubborn pigment. A board-certified dermatologist can determine the best option for your skin type and pigmentation.
- Sun Protection:Daily use of broad-spectrum sunscreen (SPF 30–50), wide-brimmed hats, sunglasses, and sun-protective clothing is essential to prevent melasma from worsening.
Tip: Because melasma is chronic and triggered by multiple factors, a personalized treatment plan from an experienced dermatologist like Dr. Debra Jaliman ensures safe, effective, and lasting results.
At-Home Skincare for Melasma
To support in-office treatments and maintain results, Dr. Jaliman recommends medical-grade skincare products designed to fade pigmentation and even out skin tone:
- Prescription-strength creams: Combine hydroquinone and tretinoin to lighten dark patches and improve texture.
- Azelaic acid creams (AzaSmooth 12%): Calms inflammation and reduce pigmentation, suitable for sensitive skin.
- Kojic acid with Arbutin pigment pads: Targets stubborn dark spots for a brighter, more even complexion.
- Vitamin C serums (20%): Provide antioxidant protection, brighten the skin, and improve overall tone.
Dr. Jaliman will personalize the combination of these products to your skin type, pigmentation, and treatment plan, ensuring safe and effective results.
FAQs
Here are some of the frequently asked questions.
Understanding Melasma
Q: What’s the difference between melasma and other types of pigmentation?
Melasma is hormone and sun-related, usually appearing as symmetrical patches. Other pigmentation, like sunspots or acne marks, is caused by damage or inflammation and is often easier to treat.
Consultation
Q: How can I find the best dermatologist for melasma in NYC?
Research and choose a board-certified dermatologist experienced in treating melasma. Read reviews and testimonials, ask for recommendations, and schedule a consultation to discuss your needs and concerns. If you need a specialist for your melasma treatment, you can trust our state-of-the-art office at Debra Jaliman MD.
Safety
Q: What are the possible side effects of melasma treatment?
Potential side effects include redness, irritation, and temporary darkening; however, these are usually temporary and can be managed by your dermatologist.
Cost
Q: How much does melasma treatment cost in NYC?
The cost of melasma treatment in New York City varies widely, depending on factors such as the type of procedure and the number of sessions required. Sometimes it can be treated with custom formulated products. It is best to consult with Dr.Debra Jaliman, a melasma specialist.
Expert Melasma Treatment in NYC by Dr. Debra Jaliman
Dr. Debra Jaliman, board-certified NYC dermatologist, provides personalized melasma treatments that fade pigmentation and restore a smoother, more even complexion-even for patients who have not improved with other therapies.
Many patients who have struggled with melasma for years finally see real improvement through Dr. Jaliman’s personalized melasma treatment approach, designed for their specific skin tone, type, and sensitivity.
Why Choose Dr. Jaliman:
- Customized skin care formulations created by Dr. Jaliman
- Non-laser melasma treatments for sensitive or laser-resistant skin
- Combination therapies targeting hyperpigmentation
- Decades of expertise in melasma and hyperpigmentation
Advanced laser treatments for all skin types
Dr. Jaliman offers advanced laser treatments tailored to your skin type and melasma depth, ensuring safe effective results with minimal downtime. Laser melasma treatment is combined with specific products for maximum improvement.
Personalized At-Home Skincare
Patients also receive customized at-home regimens to enhance in-office results and prevent recurrence. These products help even skin tone, reduce inflammation, and strengthen the skin barrier for a radiant, healthy glow.
Schedule Your Consultation in NYC
Take the first step toward a clearer, more even complexion. Call or request an appointment online with Dr. Jaliman, a leading NYC dermatologist for melasma, hyperpigmentation, and advanced laser treatments.
Content reviewed by:
Debra Jaliman, M.D., Board-Certified Dermatologist, New York City
Last updated: November 2025
Expert Melasma Treatment & Skin Brightening Solutions | Upper East Side, NYC
