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Melasma

Melasma is not simply a cosmetic pigmentation issue — it’s a biological response to hormonal disruption, inflammation, and environmental triggers. Appearing as symmetrical brown or greyish patches across the face, melasma is often worsened by UV exposure, stress, and hormonal fluctuations.

At Eternal Vitality, we don’t just treat the pigment. We explore what your skin, hormones, and nervous system are communicating. Our goal is to calm, correct, and rebalance melasma from the inside out.

Area(s)

  • Cheeks
  • Forehead
  • Upper lip (“melasma moustache”)
  • Jawline and temples

Duration

Each session lasts between 45–75 minutes, depending on your personalized protocol (e.g., microneedling, exosomes, laser).

Frequency

  • Active phase: every 2–4 weeks for 4–6 sessions
  • Stabilization & maintenance: once every 6–8 weeks
  • Hormonal and lifestyle support: reviewed every 3–6 months
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What to Expect

How it Works

Melasma involves overactive melanocytes, chronic inflammation, vascular instability, and hormonal sensitivity. We address it by:

  • Calming inflammatory and vascular triggers
  • Correcting hormonal dysregulation (e.g., estrogen, cortisol, insulin)
  • Repairing the skin barrier and restoring its natural defense system
  • Inhibiting melanocyte overactivity with regenerative actives
  • Supporting long-term skin–endocrine balance

How We Do It

  1. Functional Diagnosis & Screening
    • In-depth skin analysis for pigment depth and vascular involvement
    • Hormonal lab panels: Estrogen, Progesterone, ACTH, Cortisol, DHEA, Thyroid, Insulin
    • Gut–hormone–skin axis evaluation
  2. Targeted In-Clinic Treatments
    • Microneedling with Dermapen 4™ + MG-BL™, Brite Lite™, EXO-SKIN™
    • Tranexamic Acid Therapy (Melan Tran3x™)
    • Exosome Regenerative Therapy – for inflammation and pigment control
    • LED Light Therapy – reduces vascular and neurogenic inflammation
    • Low-fluence Fotona Er:YAG laser – only in selected cases
  3. Advanced Homecare Protocol
    • Vitamin C, Niacinamide, Tranexamic Acid
    • Retinol (as tolerated) for gentle resurfacing
    • Daily SPF 50+, year-round (indoors and out)
    • Skin-barrier restoring moisturizers and calming actives
  4. Internal Support & Lifestyle Integration
    • Adaptogenic and hormonal supplements (DHEA, DIM, Omega-3s, Inositol, Rhodiola)
    • Gut health and detoxification support
    • Stress reduction and sleep regulation protocols
    • Nutritional education for skin and endocrine health

Side Effects

  • Mild redness or peeling after microneedling
  • Temporary dryness or light sensitivity
  • Rare pigment fluctuation (post-laser, if skin is sun-exposed too early)

All treatments are barrier-safe, non-invasive, and tailored to your Fitzpatrick type.

Time to Full Effect

  • Initial stabilization: 4–6 weeks
  • Visible fading: 6–12 weeks
  • Long-term control: 3–6 months, depending on severity and internal factors

Questions? We’ve got answers.

What exactly is melasma?

Melasma is a chronic form of hormonally influenced pigmentation that appears as symmetrical brown patches on the face. It is most common in women and is often triggered by hormonal fluctuations, UV exposure, and inflammation.

Why is melasma more common in women?

Female skin is more responsive to hormonal signals. Pregnancy, oral contraceptives, menopause, PCOS, and stress-related cortisol fluctuations can all dysregulate melanocytes and worsen pigmentation.

Can melasma be permanently removed?

Melasma is chronic and recurrent, but it can be significantly lightened, stabilized, and prevented from progressing. Ongoing internal balance and photoprotection are key.

What treatments do you offer for melasma?

Our integrative strategy includes microneedling with brightening actives, exosome therapy, Melan Tran3x™, LED,and low-fluence laser, combined with hormonal testing, antioxidant homecare, and internal support.

Does lifestyle affect melasma?

Absolutely. Sleep, nutrition, stress, gut health, and hormones all play a role in pigment activity. That’s why we take a whole-person approach to treatment — not just what’s visible on the skin.