A woman with long dark hair smiles by the water on a sunny day.

Melasma

Get control over stubborn pigment. At Refresh MedSpa, we help fade melasma safely with customized skincare, pigment-fighting lasers, and chemical peels, always tailored to your skin tone and lifestyle.

Medically reviewed by Vanessa Levine, APRN, NP-C · Last reviewed

Fast Facts

Main causes

Hormones • Sun exposure • Heat • Genetics • Pregnancy • Certain medications

Common patterns

Butterfly-shaped patches on cheeks, forehead, upper lip, jawline

Best first step

Pigment analysis + lifestyle and skincare review

Most-requested treatments

Moxi™ laser • Chemical peels • BBL® HEROic • Skin-brightening topicals

Downtime range

None – 5 days (depending on treatment strength)

Results timeline

Brighter tone in 2 – 4 weeks; significant fading in 8 – 16 weeks

Good to know

Melasma is chronic—but highly manageable with consistent treatment and SPF discipline

Why Does Melasma Happen?

Melasma is a chronic skin condition that causes patchy brown or gray pigmentation, often on the face. It’s triggered by:

UV and visible light exposure
Hormonal fluctuations (pregnancy, birth control, menopause)
Heat (yes, even without sun)
Genetics
Inflammation or friction

Melasma develops when pigment cells (melanocytes) become overactive, producing too much melanin in response to these triggers.

What we solve

Symmetrical dark patches on cheeks or forehead
Mustache-like pigment on upper lip
Recurring dark spots that don’t fade with time
Uneven skin tone that worsens with sun, heat, or stress
A woman with long brown hair and melasma stands in sunlight, her hand on her shoulder.

Brightening Toolkit

Melasma requires a layered, slow-and-steady approach—aggressive laser can worsen it if not customized.

Treatment Journey

Skin Imaging & Pigment Mapping – identify type (epidermal vs. dermal), depth, and triggers

Gentle Start – home brighteners + SPF to stabilize skin barrier and prep for in-clinic treatments

Laser & Peel Sessions – spaced every 3–4 weeks for safe, gradual lightening

Ongoing Maintenance – pigment suppressors + quarterly laser/peel to prevent relapse

A woman in a white tank top gently touches her face.
A woman with light makeup and brown hair touches her face, with subtle melasma visible.

Results & Expectations

Initial brightening in 2 – 4 weeks of topical treatment

Visible fading after 2 – 3 Moxi™ or peel sessions

Ongoing control with sunscreen, antioxidants, and lifestyle support

Long-term maintenance is key: melasma can return if triggers aren’t managed

Frequently Asked Questions

Can melasma be cured?

Melasma is chronic and doesn’t have a permanent cure—but it can be safely managed and lightened with the right treatments and daily care.

Is it safe to treat melasma with lasers?

Melasma requires a layered, slow-and-steady approach—aggressive laser can worsen it if not customized.

Will it come back?

It can if you skip SPF or don’t address triggers like heat or hormones. That’s why we provide a long-term maintenance plan.

What skin tones can be treated?

We always tailor settings and products to your skin tone and sensitivity.

What’s the downtime like?

Most treatments have light flaking or mild pinkness. No peeling? No problem—results still occur.

What’s the investment?

Chemical peels start at $225, and Moxi™ sessions at $700. We build a full plan based on pigment depth, skin tone, and severity.

Explore Other Conditions

Locations We Serve

Cape Coral Clinic

Cape Coral Clinic, 407 Cape Coral Parkway W

• Free parking

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Refresh MedSpa

407 Cape Coral Parkway W, STE B
Cape Coral, FL 33914

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Ready to Fade the Spots—Safely & Confidently?

Book your pigment consultation today and get a personalized plan for clearer, brighter skin that lasts.
Have Questions Before You Book?

Get Answers Fast—Then Book When You’re Ready

Refresh MedSpa offers comprehensive aesthetic care in Cape Coral, specializing in Botox, dermal fillers, BBL Photofacial treatments, HydraFacial, Moxi laser, and laser hair removal. All treatments are personalized for natural, long-lasting results. Have questions? Reach out or book a consultation anytime.
Refresh MedSpa
Cape Coral
Clinic Hours

Mon – Thu: 09:00am – 04:00pm
Fri – Sun: Closed