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Melasma Treatment Calgary | Dermatologist for Dark Spots
Melasma, Dark Spots & Treatment in Calgary
Struggling with melasma or dark spots in Calgary? Our dermatologist-led team treats all skin tones (Fitzpatrick I-VI) with evidence-based options—topicals, peels, Sylfirm X RF microneedling, and lasers like 1064 nm Nd:YAG and ResurFX 1565 nm—using Health Canada-approved devices. Calgary-specific protocols address altitude, snow glare, and heat triggers. Get a personalized plan and clear, safe results with measured imaging.
Book your melasma consultation today.
Understanding Melasma
What Is Melasma vs Other Hyperpigmentation?
Differentiating Between Hormonal and Sun-Induced Dark Spots
Melasma is a specific type of hyperpigmentation that appears as symmetrical, brown or gray patches on the face. Unlike other forms of hyperpigmentation that result from sun damage or acne scars, melasma is primarily triggered by hormonal changes, making it a distinct condition requiring a specialized approach.
Types: Melasma (epidermal, dermal, mixed), Sun Spots (Lentigines), PIH
Pigmentation problems come in many forms. Melasma appears as brown or gray-brown patches, usually on the face. It can be epidermal (surface level), dermal (deeper), or mixed. Sun spots, also called lentigines or age spots, are flat brown marks from UV damage. Post-inflammatory hyperpigmentation (PIH) shows up as dark marks after acne, injuries, or skin treatments.
How They Differ: Patterns, Triggers, and Response to Treatment
While they all cause dark patches, each type needs different treatment. Melasma often has a butterfly pattern on the cheeks and forehead. It's triggered by hormones and worsens with heat. Sun damage creates scattered spots on exposed areas. PIH follows inflammation and can happen anywhere you've had skin trauma.
Diagnosis: History, Wood's Lamp, Dermoscopy, VISIA Imaging
Proper diagnosis is key to successful treatment. We start with your medical history and skin exam. Our Wood's lamp shows pigment depth. Dermoscopy magnifies your skin for detailed analysis. VISIA imaging captures layers of your skin to track progress over time.
The Root Causes
Causes & Triggers of Melasma
Hormones, UV Light, and Other Contributing Factors
The primary triggers for melasma include hormonal fluctuations from pregnancy or oral contraceptives, and genetic predisposition. Exposure to ultraviolet (UV) radiation and even visible light significantly worsens the condition, making daily sun protection a critical part of management.
Sun/UV and Visible Light (HEV/Blue Light)
Calgary's high altitude means stronger UV rays year-round. Snow reflection doubles your exposure in winter. Even short walks can trigger melasma flare-ups without proper protection. New research shows visible light and HEV blue light from screens and indoor lighting can darken melasma. Regular sunscreen doesn't block this.
Hormones
Hormonal changes during pregnancy, from birth control pills, or hormone therapy often trigger melasma. That’s why it’s sometimes called the “mask of pregnancy.” Birth control and thyroid issues can affect pigmentation. We consider your whole health picture when planning treatment.
Genetics & Fitzpatrick
Your Fitzpatrick skin type (I-VI) affects your pigmentation risk. Darker skin types produce more melanin and are more prone to PIH. Family history also plays a role.
Heat and Inflammation
Heat from saunas, hot yoga, or even cooking can worsen melasma. Calgary’s Chinook winds can trigger flares. Inflammation from harsh products or treatments can trigger PIH. Some medications and cosmetics make your skin more sensitive to sun damage. We’ll review your products during consultation.
Your Treatment Solutions
Melasma Treatment Options in Calgary
A Comprehensive Range of Solutions for Hyperpigmentation
We offer a variety of effective treatments to manage melasma, including specialized topical creams, gentle chemical peels, and advanced laser therapies. Our goal is to create a multi-faceted plan that targets the pigment while protecting your skin.
Medical Topicals (Hydroquinone Cycles, Azelaic, Retinoids incl. Tretinoin/Adapalene, Vitamin C, Cysteamine, Kojic, Arbutin, Glycolic Acid)
We start with powerful topical treatments. Hydroquinone cycles lighten dark spots. Azelaic acid calms inflammation. Retinoids like tretinoin speed cell turnover, while adapalene offers an OTC retinoid alternative for sensitive or acne-prone skin. Kojic acid, arbutin, vitamin C (ascorbic acid), and cysteamine offer gentler options for sensitive skin. Low-strength glycolic acid serves as a leave-on AHA for gentle exfoliation between peels.
Tranexamic Acid (Topical/Oral): Candidacy & Safety
Tranexamic acid is a game-changer for stubborn melasma. Available as a cream or pill, it blocks pigment production from inside out. We screen for clotting risks before prescribing oral forms. Oral TXA is avoided in patients with VTE history, clotting disorders, or on certain estrogen therapies, and may be unsuitable for migraines with aura.
Chemical Peels (Glycolic, Salicylic, Lactic, Jessner's, TCA; Cosmelan/Dermamelan)
Our medical-grade peels (glycolic, salicylic, lactic, Jessner's, TCA) remove damaged skin layers. Cosmelan and Dermamelan depigmenting masks offer intensive treatment for severe cases.
Laser & Light (1064 nm Q-Switched Nd:YAG, Picosecond, ResurFX 1565 nm; IPL Used Cautiously)
Low-fluence 1064 nm Q-switched Nd:YAG and picosecond lasers target deep pigment safely. ResurFX 1565 nm non-ablative fractional laser resurfaces without extended downtime. IPL is generally not recommended for active melasma; if used, it's for non-melasma lentigines with conservative settings.
RF Microneedling (Sylfirm X) and Microneedling with Drug Delivery
Sylfirm X pulsed wave radiofrequency microneedling treats melasma while building collagen and elastin using bipolar RF microneedling technology. We combine microneedling with tranexamic acid or other brightening serums for deeper penetration.
PRP as an Adjunct and Combination Protocols
PRP uses your own growth factors to support healing. It's an adjunct treatment for select cases. Most patients need staged, series-based treatments combining multiple approaches for best results.
Maintenance: Tinted Iron-Oxide SPF and Antioxidants
Long-term success requires daily tinted mineral SPF with iron oxides and antioxidant serums to prevent recurrence.
Suitability for All Skin Tones
Safe and Effective Care for Every Complexion
Is Treatment Right for My Skin Type? (Fitzpatrick I-VI)
Melasma treatments must be carefully chosen based on your Fitzpatrick skin type to ensure safety and prevent post-inflammatory hyperpigmentation. Our protocols are specifically designed to treat all skin tones, from the fairest to the darkest, with minimal risk.
Skin of Color Considerations
We safely treat all skin types, from very fair (Type I) to very dark (Type VI). Darker skin needs extra care to avoid worsening pigmentation. We use melanin-safe settings and always do test spots for skin of color. We pre-treat high-risk patients to minimize PIH with gentle approaches and proper preparation.
Contraindications
Pregnancy, breastfeeding, and active infections require waiting or alternative treatments. Recent isotretinoin use requires a 6-12 month washout period before energy devices/peels, individualized per risk. We screen thoroughly for safety.
Pigment Depth Expectations
Surface pigment responds faster than deep pigment. We set realistic expectations based on your specific condition.
Your Treatment Journey
What to Expect: Consultation, Sessions, and Downtime
A Step-by-Step Guide to Your Melasma Care
Your treatment journey begins with a thorough skin assessment by our dermatology team. We will then outline a plan, including the number of sessions and expected downtime, to ensure you feel prepared and informed at every step.
Consultation & Imaging; Test Spots/Patch Tests
Your journey starts with a thorough consultation. We review your history, examine your skin, and may use imaging to document your baseline. For higher-risk treatments, we do small test areas first to ensure safety.
Priming (4-6 Weeks) and Treatment Day
Most patients need 4-6 weeks of pigment suppressors plus SPF before procedures. This prepares your skin and improves results. Treatments range from quick 15-minute peels to hour-long laser sessions. We explain each step and ensure your comfort.
Downtime by Modality and Session Intervals
Recovery varies by treatment. Topicals have no downtime. Low-fluence 1064: social downtime 0-2 days. ResurFX: 2-4 days. Medium-depth peels: 5-7 days. Most patients need 3-6 treatments spaced 2-4 weeks apart, followed by maintenance every few months.
Post-Care and Follow-Up
Proper aftercare includes cooling, anti-inflammatory care, and continuing pigment-suppressing maintenance.
The Treatment Process Steps:
- Consultation + imaging
- 4-6 weeks of priming
- Test spots
- Treatment day
- Aftercare + follow-up
Anticipated Outcomes
Benefits & Expected Results
Gaining a Brighter, More Even Complexion
Following a consistent treatment plan, you can expect to see a significant reduction in the appearance of dark patches, resulting in a clearer, more uniform skin tone. While melasma is a chronic condition, our approach is designed to provide long-lasting results.
Clearer, of Laxity
Treatments gradually fade dark patches and create uniform coloring across your face.
Improved
Many patients report feeling more confident without heavy makeup to cover spots. Hundreds of melasma cases treated annually with proven results.
Gradual timelines
Results appear over weeks to months. Patience is key for lasting improvement.
Long-term recurrence
With proper maintenance, you can keep melasma under control long-term.
Texture, Refinement
Many treatments also improve overall skin quality through collagen and elastin support.
Safety and Risks
Risks, Side Effects & Safety (Health Canada-Approved Devices)
Prioritizing Your Well-Being with Expert Care
All treatments carry some risk, but our use of Health Canada-approved devices and our expertise in melasma care significantly minimize them. We will openly discuss any potential side effects, such as temporary redness or irritation, to ensure your safety and comfort.
Common effects
Expect temporary redness, swelling, and dryness after most treatments. These resolve within days.
PIH, hypopigmentation, and rare complications
Improper treatment can worsen pigmentation or cause light spots. Our protocols minimize these risks.
Recurrence and how to minimize it
Melasma often returns without maintenance. We teach you prevention strategies.
Hydroquinone cycling and ochronosis avoidance
Long-term hydroquinone use can cause blue-gray discoloration. We cycle treatments to prevent this.
Device-specific risks
Each laser or device has specific considerations. Our devices are licensed medical devices under Health Canada regulations and used within labeled indications with informed consent.
Maintaining Your Results
Aftercare & Long-Term Prevention in Calgary's Climate
A Long-Term Strategy for Melasma Management
Aftercare is paramount to success in melasma treatment. We will provide detailed instructions on daily sun protection, including the use of high-SPF, broad-spectrum sunscreen and hats, to prevent recurrence in Calgary’s high-altitude climate.
Daily
Sun protection is non-negotiable. Apply every morning and reapply every 2 hours outdoors.
Tinted mineral Iron Oxides
These block visible light that regular sunscreen misses. Essential for melasma management.
Sun and heat
Calgary's altitude and snow glare require extra care. Wear hats, seek shade, and avoid peak sun hours.
Aftercare essentials:
- Daily SPF 30-50; reapply every 2 hours outdoors
- Use tinted mineral SPF with iron oxides for visible light
- Avoid heat exposures (saunas, hot yoga); manage Chinook flares
- Gentle actives: vitamin C AM; azelaic/retinoid PM as tolerated
- Schedule maintenance treatments as recommended
Gentle
Continue using gentle retinoids, vitamin C, and azelaic acid to maintain results.
Heat
Limit saunas and hot yoga. Use cool water for face washing. Manage Chinook-related flares.
Cost and Pricing
Cost in Calgary, Pricing & Packages
Transparent Pricing for Accessible Treatment
The cost of your treatment will be determined by the specific modalities and number of sessions included in your personalized plan. We offer clear pricing and convenient packages to help make your journey to clearer skin more manageable.
Per-session ranges and package considerations
We offer flexible per-session rates and comprehensive packages that provide added value for your treatment series. Individual treatments range from $150-800 depending on the modality. Packages offer savings for multiple sessions.
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Concern severity and area size
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Modality (topicals vs peels vs lasers/RF)
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Number of sessions and maintenance needs
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Consultation fees, packages, HSA/METC eligibility (Canada)
Expected number of sessions
The best and most lasting results are often achieved through a series of 2-5 sessions, with a personalized plan created for your specific concerns.
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Plan for 3-6 initial treatments plus quarterly maintenance.
Consultation fees and financing
Your initial consultation fee is a small investment in a professional assessment and treatment plan, with flexible financing options available to suit your budget.
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Consultations start at $150 (applied to treatment). We offer payment plans for larger packages.
Insurance and medical expense eligibility
As cosmetic treatments are not covered by provincial health insurance plans, you may be able to use your Health Spending Account for medically-necessary procedures, which we will help you determine.
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While cosmetic treatments aren't covered, you may claim them as medical expenses through Health Spending Accounts (HSA) or for potential Medical Expense Tax Credit (METC) eligibility.
Expert-Led Care
Why Choose Our Calgary Dermatology Team
The Advantage of Physician-Led Melasma Care
Managing melasma requires specialized knowledge, and our clinic is uniquely positioned to provide expert care. Our certified dermatology team provides an accurate diagnosis and creates a safe, customized plan that a non-medical professional cannot offer.
Dermatologist/medical aesthetician-led care
Our team includes dermatologists and certified medical aestheticians with specialized pigmentation training.
Protocols tailored to all skin phototypes
We safely treat Fitzpatrick types I-VI with customized approaches.
Health Canada-compliant devices
All our devices and products meet strict Canadian safety standards.
Structured screening and consent
We thoroughly check contraindications and ensure you understand your treatment.
Before/after photography and VISIA documentation
Track your progress with professional imaging at each visit.
Expertise in skin of color
Special training in PIH prevention for darker skin tones.
Calgary-specific protocols
Our treatments account for altitude, Chinook winds, and local climate factors.
Taking the Next Step
Book Your Consultation
Start Your Journey to Clearer Skin Today
The first step toward managing your melasma is a professional consultation. Book your appointment with our Calgary dermatology team to receive a comprehensive assessment and a plan tailored to your unique skin needs.
Request a melasma evaluation
Choose virtual or in-clinic consultation to start your treatment journey.
Serving Calgary and surrounding areas
Welcoming patients from Calgary, Airdrie, Okotoks, Cochrane, and throughout southern Alberta.
Take the first step toward even, radiant skin
Our Location
Calgary Service Area & Directions
Your Local Vein Treatment Destination
Our clinic is conveniently located to serve clients from across Calgary and surrounding areas. We are your trusted, local experts for professional and effective vein treatment.
Parking, transit,
Easy access with ample free parking at our Calgary clinic. We're conveniently located near major roads with good transit access.
Serving Calgary,
We proudly serve patients throughout the greater Calgary area including Airdrie, Okotoks, and Cochrane.
Common Questions
Frequently Asked Questions
Answers to Your Top Concerns
We have compiled a list of the most frequently asked questions about stretch mark treatments. From how many sessions are needed to aftercare, we provide clear answers to help you feel informed and confident.
Melasma is a chronic skin condition causing symmetric brown patches, usually on the face. Unlike age spots or PIH, melasma is triggered by hormones and heat, and requires ongoing management.
We offer prescription creams, chemical peels, lasers (Q-switched Nd:YAG, picosecond, ResurFX), RF microneedling (Sylfirm X), and combination protocols tailored to Calgary’s climate.
Treatments range from $150-800 per session. Most patients need 3-6 sessions. We offer packages and payment plans.
Yes, we safely treat all Fitzpatrick skin types I-VI using appropriate protocols, test spots, and melanin-safe settings.
Downtime varies: topicals have none, peels need 3-7 days, lasers require 3-5 days. Aftercare includes SPF, gentle products, and avoiding heat.
Most patients see improvement after 2-3 sessions, with optimal results after 4-6 treatments spaced 2-4 weeks apart.
Melasma often recurs without maintenance. Daily SPF with iron oxides, avoiding triggers, and periodic treatments help maintain results.
Common side effects include temporary redness and peeling. Rare risks include PIH or hypopigmentation, minimized with proper protocols.
Most treatments aren’t safe during pregnancy or breastfeeding. We offer pregnancy-safe alternatives like certain topicals and mineral sunscreens.
Yes, we offer gentle options like vitamin C serums, azelaic acid, and mineral sunscreens for those who can’t have procedures.
Cosmetic treatments typically aren’t covered, but you may claim them as medical expenses or use HSA funds.
Call our clinic or book online for a consultation. We offer both virtual and in-person appointments.
Low-fluence Q-switched Nd:YAG 1064 nm and picosecond lasers are safest for melasma. IPL requires extreme caution as it can worsen melasma.
Yes, tranexamic acid is highly effective for melasma. We screen for clotting disorders before prescribing oral forms.
Tinted mineral sunscreens with iron oxides are essential for melasma. They block visible light that regular SPF misses.
Our dermatologist-led team provides medical-grade diagnosis, prescription treatments, and evidence-based protocols with proper safety screening—unlike med spas or DIY approaches that may worsen melasma.
Yes, we specialize in correcting melasma that’s been worsened by improper treatment. We’ll assess your skin and create a recovery protocol to safely improve your condition.
We screen for VTE history, clotting disorders, hormone medications, and migraine patterns. Oral TXA may not be suitable for certain birth control users or migraine with aura patients—we’ll discuss alternatives.
Ways to With Us
Let's begin the conversation about your journey.
You have different questions?
Our team will answer your questions. We ensure a quick response.
Reveal a Clearer, More Confident You
Our Calgary dermatology team specializes in expert melasma treatment, helping you achieve a brighter, more even skin tone.