Skip to content Melasma is one of the most common and most frustrating types of facial pigmentation. At Laser Esthetica, Dr. Shiree Fatch and Dr. Nalini Prasad provide advanced, physician-supervised solutions to safely reduce melasma and restore an even, radiant complexion.
We proudly serve patients from Roseville, Granite Bay, Rocklin, Lincoln, Sacramento, Folsom, Citrus Heights, and the greater Placer County region.
Melasma appears as symmetric brown or grayish patches, most commonly on the cheeks, forehead, upper lip, and chin.
What Causes Melasma? While the exact cause is not fully understood, melasma is linked to a combination of hormonal changes, sun exposure, darker skin tones, and genetic factors. It often worsens after summer sun exposure and may fade during winter.
Melasma can be:
Our approach focuses on conservative, physician-directed treatment that prevents worsening while safely improving discoloration.
Daily Sun Protection: Consistent use of broad-spectrum SPF 50+ is essential.
Prescription & Medical-Grade Topicals: Customized regimens may include Hydroquinone, Retinoids, Azelaic acid, or Kojic acid.
Professional Chemical Peels: A series of lactic acid or glycolic peels can help lighten superficial pigmentation. We also offer the Melanage™ Peel, a physician-grade system designed specifically for melasma.
Light-Based Therapies: For select cases, IPL (Intense Pulsed Light) or Photofacial treatments can target excess pigmentation.
You may be an ideal candidate if you are experiencing:
Symmetric brown or grayish patches most commonly on the cheeks, forehead, upper lip, and chin.
Pigmentation linked to hormonal changes (pregnancy or birth control).
Melasma that worsens after sun exposure.
During your consultation, Dr. Fatch or Dr. Prasad will evaluate:
Skin type
Pigmentation depth
Sun exposure habits
Hormonal influences
Prior treatments
The key to successful melasma treatment is a customized, physician-directed plan.
Evaluation: Dr. Nalini Prasad will carefully evaluate your skin type, pigmentation depth, and lifestyle factors.
Plan Creation: Together, you’ll create a customized plan that may combine topical therapy, in-office treatments, and sun protection for optimal, long-lasting results.
Melasma requires consistent care for effective management.
While melasma can’t be “cured,” it can be effectively managed. With the right care plan, many patients maintain clear, even-toned skin long-term.
The Melanage™ Peel often shows noticeable results after one treatment with minimal downtime.
Treatment cost varies depending on your skin type, pigmentation severity, and the customized plan created by Dr. Prasad or Dr. Fatch.
You’ll receive a transparent quote during your consultation.
Laser Esthetica is a trusted medical spa in Roseville with a proven approach to complex pigmentation.
Every treatment is supervised or performed by Dr. Fatch or Dr. Prasad.
20+ years of aesthetic experience in treating complex pigmentation.
Treatments are performed in a comfortable, spa-like setting.
Consistent sun protection is key apply broad-spectrum sunscreen daily and reapply every two hours outdoors.
While melasma can’t be “cured,” it can be effectively managed. With the right care plan, many patients maintain clear, even-toned skin long-term.
Some gentle light therapies like IPL can help, but not all lasers are appropriate. At Laser Esthetica, treatments are physician-supervised to ensure safety and prevent worsening pigmentation.
Experience the difference of physician-led skin care at Laser Esthetica, the region’s trusted destination for advanced aesthetic medicine.
Call (916) 783-0580 or visit our office at 1650 Lead Hill Blvd #400, Roseville, CA 95661, near The Fountains at Roseville and Westfield Galleria, to schedule your personalized consultation. We proudly serve Roseville, Granite Bay, Rocklin, Lincoln, Folsom, Fair Oaks, Citrus Heights, and the greater Sacramento area.
We would love to hear from you.
