Get spot-on prescription treatment for melasma without leaving home

Question 1

What is melasma?

Answer

Melasma is a skin condition that includes dark blotches or smooth, freckly patches of skin, usually on the face. It is much more common for women to develop melasma—especially those with darker skin. Many people with melasma first notice symptoms during pregnancy or after starting birth control pills. It can last anywhere from a few months or years to a lifetime.

Question 2

What causes melasma?

Answer

Melasma occurs when skin cells (melanocytes) produce more melanin—a substance responsible for skin, eye and hair pigmentation. An increase of estrogen and progesterone hormones often triggers melasma. These occur so often during pregnancy that it’s frequently called the “mask of pregnancy.” Birth control pills that contain estrogen or progesterone and menopause hormone replacement therapy can also trigger melasma.

Question 3

Is melasma dangerous?

Answer

Melasma is not dangerous, and it is not a sign of cancer. While not dangerous, symptoms can make some people self-conscious. Melasma treatments like tretinoin, retinol or hydroquinone can help improve the appearance of brown or gray-brown patches on the face.

Question 4

How long does melasma last?

Answer

Melasma sometimes gets better on its own, especially if it’s related to a temporary condition like pregnancy or medication use. Sun damage can make symptoms worse, so protect your skin from the sun.

Some people experience more permanent skin changes lasting for years—or even a lifetime. Several topical creams and procedures can reduce hyperpigmentation and even skin tone.

Question 5

How can you prevent melasma from occuring?

Answer

Researchers believe there is a genetic component. This means those with a family history of melasma may be unable to prevent it from developing. Pregnancy or increased sun exposure can also trigger melasma. (But symptoms may clear up after that event passes.)

To reduce risk, use a high-SPF sunscreen and avoid direct sunlight. If taking birth control, you can ask your provider about options that don’t contain estrogen or progesterone.

Question 6

Do I have melasma or…?

Answer

Skin discoloration can occur with other skin conditions. If your medical provider isn’t sure what’s causing your discoloration, they may take a small skin sample (a skin biopsy) to rule out more serious issues like skin cancer. Other possible causes of skin discoloration include lupus erythematosus, dermatitis or lichen planus.

A medical provider may also use a Wood’s lamp or dermatoscope to closely examine your skin. This can help them understand how deep the pigmentation goes.

Question 7

What are the prescription treatments available for melasma?

Answer

Medicated creams can help reduce uneven skin tone related to melasma. Two common topical medications for melasma include Hydroquinone and a combination medication that includes Fluocinolone, Hydroquinone and Tretinoin. Hydroquinone lightens skin pigment by blocking melanin production. Tretinoin is a retinoid—a chemical formed from vitamin A—that encourages cell turnover. Fluocinolone is a corticosteroid that reduces swelling, itching and redness.

Question 8

How are melasma creams applied?

Answer

Medicated creams are typically applied 1 or 2 times daily or as your provider directs. You should apply creams on clean skin before sunscreen or makeup. Some melasma creams can make your skin more sensitive to the sun. So it’s vital to increase sun protection while using these medications.

Question 9

What are common melasma treatment side effects?

Answer

Some medications can cause skin dryness, stinging, redness or blue-black skin discoloration—especially for people with darker skin. They can also make your skin more sensitive to the sun and increase sunburn risk. Talk to your medical provider about how long you should use your medication or if you notice any worsening of skin discoloration while taking these medications.

Question 10

How can I get a melasma prescription online?

Answer

You can get prescription treatment like Hydroquinone topical cream online through a Dr. B medical consultation. Start our health assessment for melasma treatment online. A medical provider will review your health history and symptoms. If they recommend a prescription treatment, you can choose from several brand and generic options. (Or your provider can make a recommendation.) Then they’ll send your prescription to the pharmacy of your choice.

Question 11

How much does melasma treatment cost?

Answer

Consultation: A virtual medical consultation for melasma costs $15, which is lower than most doctor copays. Currently, we don’t submit medical consultation claims to insurance companies. But you can use insurance for any resulting prescription at your pharmacy.

Medication: Dr. B only charges for the medical consultation. When medications are prescribed, we let you choose the most affordable or convenient pharmacy to fill the prescription. Your medication prices will vary depending on your insurance coverage and whether the drug is a brand or generic.

Question 12

Do you accept insurance?

Answer

Right now, we don’t submit medical consultation claims to health insurance companies. But you can use insurance for any resulting prescriptions at your pharmacy.