Understanding Melasma and the Need for Long-Term Skincare
Melasma is a chronic skin condition that causes brown or grayish patches, commonly on the cheeks, forehead, upper lip, and nose. While treatment can significantly lighten hyperpigmentation, maintaining those results requires ongoing care, sun protection, and expert dermatological support.
Board-certified NYC dermatologist Dr. Debra Jaliman emphasizes that melasma is not a one-time fix. “Consistent care is critical,” she explains. “You can lighten melasma—but only commitment and the right skincare routine will keep it from returning.”
Dr. Debra Jaliman’s Comprehensive Melasma Treatment Strategy
A Personalized Approach to Every Skin Type
Effective melasma treatment isn’t one-size-fits-all. Dr. Jaliman’s personalized protocols take into account:
- Skin type and sensitivity
- Hormonal triggers (e.g., birth control, pregnancy)
- Sun and heat exposure
- Previous treatments
After a full consultation, she customizes a targeted skincare plan and may integrate topical products, procedures, and lifestyle modifications for long-lasting results.
The Triple Action Cream: A Potent Prescription for Melasma
One of Dr. Jaliman’s most recommended formulations is her Triple Action Cream, which includes:
- Hydroquinone (5%) – Reduces melanin production
- Tretinoin – A retinoid that increases cell turnover
- Hydrocortisone – Minimizes inflammation and irritation
Clinical Benefits:
Lightens dark spots and patches
Stimulates skin renewal
Reduces redness and irritation
Important: This product is not safe during pregnancy. Always consult your dermatologist before use.
“Success lies in achieving the right balance between potency and patient comfort,” says Dr. Jaliman.
Melasma Maintenance: Daily Skincare Must-Haves
Long-term melasma control hinges on using the right dermatologist-recommended skincare products at home.
Product | Key Ingredient(S) | Benefits |
---|---|---|
AzaSmooth | 12% Azelaic Acid | Anti-inflammatory, fades pigmentation |
Vitamin C Serum (20%) | L-ascorbic acid | Brightens skin, neutralizes free radicals |
Pigment Pads | Kojic acid, Arbutin | Decreases melanin production |
EltaMD UV Clear SPF 46 | Zinc Oxide | Broad-spectrum UVA/UVB protection |
Tip: Apply pigment-fading products at night and EltaMD sunscreen every morning, even on cloudy days.
Sunscreen: Your #1 Defense Against Melasma Recurrence
Sun exposure is the primary trigger for melasma flare-ups—even after treatment.
Consistent sun protection is your best defense against melasma recurrence. Always limit UV exposure to both UVB rays and UVA rays. They cause sun damage and also the side effects of pigment darkening. Sunscreens are essential to use every day, rain or shine.
Dr. Jaliman’s Sun Protection Rules:
- Use a broad-spectrum SPF 50+ sunscreen (zinc oxide or titanium dioxide)
- Reapply every 2 hours if outside
- Wear wide-brimmed hats, UV-blocking sunglasses, and protective clothing
- Seek shade and avoid peak sun hours (10 AM – 4 PM)
Hormonal & Environmental Triggers to Watch
Melasma is often hormonally driven. Fluctuations due to birth control pills or pregnancy can cause flare-ups. Dr. Jaliman helps patients assess and manage these risks with alternative options when necessary.
Additional Triggers:
- Blue light exposure (from phones, laptops, LED lights)
- Heat and friction (excessive exfoliation, steam rooms)
- Mitigating these factors helps prevent melasma from worsening
Weekly Treatments with skincare products
Incorporate at-home maintenance with:
- Glycolic acid toners: Promotes cell turnover
- Lactic acid exfoliants: Gently polishes skin
- At-home chemical peels: For deeper exfoliation and skin brightening
These products can complement professional treatments and maintain a healthy glow.
Beyond Creams: Advanced In-Office Melasma Treatments
When topical products aren’t enough, Dr. Jaliman may recommend professional melasma treatments, including:
1. Chemical Peels for Melasma
- Mandelic Acid – Mild yet effective for sensitive skin
- Kojic Acid – Naturally brightens and suppresses melanin
- Glycolic Acid – Promotes exfoliation and skin renewal
2. Laser Treatments for Stubborn Pigmentation
- Revlite® Laser – Breaks down deep pigment with minimal discomfort
- Intense Pulsed Light (IPL) – Reduces discoloration and evens tone
These in-office treatments are particularly effective for resistant or recurring melasma, offering faster and deeper pigment correction with minimal downtime.
“Laser treatments offer precision and fast results with minimal downtime,” notes Dr. Jaliman.
Real Patient Success Stories
Sarah’s Transformation
"After years of battling stubborn melasma, Dr. Jaliman’s customized approach finally gave me clear skin. Her Triple Action Cream and skincare regimen worked wonders!"
Mark’s Journey
With stubborn melasma, Mark was skeptical. But after incorporating lifestyle adjustments and lasers, his results were visible in a few months.
These stories highlight how personalized treatment + consistency = success in fighting melasma.
Expert Tips for Long-Term Melasma Management
Dr. Jaliman recommends the following expert skincare tips:
Vitamin C serums (AM) – Protect against oxidative damage and even tone
Lactic acid exfoliants (weekly) – Enhances texture and product absorption
Hydrating moisturizers – Keeps skin barrier strong
Regular dermatology follow-ups – Adjusts treatment as your skin improves
Daily physical sunblock - ultraviolet light protection and prevention of sunburn
Prevention of additional sun damage and changes in darkening of skin color
Expert Tips for Long-Term Melasma Control
Dr. Jaliman’s proven melasma management advice includes:
AM vitamin C serums – Shields from environmental stressors
Weekly exfoliants – Boosts skin clarity and absorption
Barrier-repair moisturizers – Prevents dryness and irritation
Retinol products for gentle exfoliation and texture improvement
Balancing of hormones
Using the correct laser technology
Regular dermatology follow-ups – Monitors progress and adjusts treatment
Final Thoughts: Partner with an Expert for Clearer, Brighter Skin
Melasma is a manageable condition—but only with consistent care, proper sun protection, and expert guidance.
With decades of experience and a personalized approach, Dr. Debra Jaliman is one of NYC’s leading experts in melasma care. Her advanced treatments, custom skincare protocols, and ongoing patient support help you achieve real, lasting results.
Ready to Take Control of Your Melasma?
Call Dr. Jaliman’s NYC office today at to schedule your personalized melasma consultation. She will discuss your skin concerns, treatment options, including products, medications, and laser therapy.
Let Dr. Debra Jaliman design a custom facial treatment plan that helps you fade brown spots, even out skin tone, and maintain a healthy, radiant complexion.