Melasma is a condition characterized by tan or brown patches (hyperpigmentation) on the cheeks, nose, forehead or upper lip. Although melasma most often occurs in pregnant women due to the hormones of pregnancy, it is also seen in women with darker skin types and in those taking birth control pills or hormone replacement therapy. Sun exposure is also a strong risk factor for melasma and likely worsens the condition.

Dr. Koger prescribes a number of treatments available for melasma. Topical therapies such as retinoids and hydroquinone creams or pads are often tried first in addition to stringent sun protection. Laser therapies can also be used in conjunction with topical therapies. Often multiple treatments are needed and topical therapies are continued as maintenance therapy over time.


30301 Woodward Ave, Suite 120
Royal Oak , MI 48073
Tel : 248-435-6622