{"id":475,"date":"2024-11-16T14:21:11","date_gmt":"2024-11-16T14:21:11","guid":{"rendered":"https:\/\/ecommerceseo.us\/hawaiifacial\/?page_id=475"},"modified":"2026-10-09T15:29:41","modified_gmt":"2026-10-09T15:29:41","slug":"melasma-treatment","status":"publish","type":"page","link":"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/melasma-treatment\/","title":{"rendered":"Melasma Treatment"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-9za6h-420433f54cb3aebf4d84e74912063134\">\n.avia-section.av-9za6h-420433f54cb3aebf4d84e74912063134{\nbackground-color:#2f2f2f;\nbackground-image:url(https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/wp-content\/uploads\/2026\/09\/feature-melasma-0008.webp?wsr);\nbackground-repeat:no-repeat;\nbackground-position:50% 50%;\nbackground-attachment:scroll;\n}\n.avia-section.av-9za6h-420433f54cb3aebf4d84e74912063134 .av-section-color-overlay{\nopacity:0.5;\nbackground-color:#000000;\n}\n<\/style>\n<div id='av_section_1'  class='avia-section av-9za6h-420433f54cb3aebf4d84e74912063134 main_color avia-section-large avia-no-border-styling  avia-builder-el-0  el_before_av_section  avia-builder-el-first  avia-full-stretch avia-bg-style-scroll av-section-color-overlay-active container_wrap fullsize'  data-section-bg-repeat='stretch'><div class=\"av-section-color-overlay-wrap\"><div class=\"av-section-color-overlay\"><\/div><div class='container av-section-cont-open' ><main  class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-475'><div class='entry-content-wrapper clearfix'>\n<div  class='flex_column av-2r2ha9-5e841f7085da1aa63bf1d7db9ff2804a av_one_full  avia-builder-el-1  el_before_av_one_half  avia-builder-el-first  first flex_column_div  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-2qh07p-75ad21573ea67b1cf946a084b020c0bf\">\n#top .av_textblock_section.av-2qh07p-75ad21573ea67b1cf946a084b020c0bf .avia_textblock{\nfont-size:10px;\ncolor:#ffffff;\n}\n<\/style>\n<section  class='av_textblock_section av-2qh07p-75ad21573ea67b1cf946a084b020c0bf '  ><div class='avia_textblock space barlowcond av_inherit_color' ><p>Melasma Treatment \u00b7 Honolulu, Hawai\u02bbi<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-2pwyat-199064a6dede912c5fa74647ada59984\">\n#top .av-special-heading.av-2pwyat-199064a6dede912c5fa74647ada59984{\nmargin:0 0 0 0;\npadding-bottom:10px;\ncolor:#ffffff;\nfont-size:80px;\n}\nbody .av-special-heading.av-2pwyat-199064a6dede912c5fa74647ada59984 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-2pwyat-199064a6dede912c5fa74647ada59984 .av-special-heading-tag{\nfont-size:80px;\npadding:0 0 0 0;\n}\n.av-special-heading.av-2pwyat-199064a6dede912c5fa74647ada59984 .special-heading-inner-border{\nborder-color:#ffffff;\n}\n.av-special-heading.av-2pwyat-199064a6dede912c5fa74647ada59984 .av-subheading{\nfont-size:15px;\n}\n\n@media only screen and (max-width: 479px){ \n#top #wrap_all .av-special-heading.av-2pwyat-199064a6dede912c5fa74647ada59984 .av-special-heading-tag{\nfont-size:42px;\n}\n}\n\n@media only screen and (min-width: 480px) and (max-width: 767px){ \n#top #wrap_all .av-special-heading.av-2pwyat-199064a6dede912c5fa74647ada59984 .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n<\/style>\n<div  class='av-special-heading av-2pwyat-199064a6dede912c5fa74647ada59984 av-special-heading-h1 custom-color-heading blockquote modern-quote  avia-builder-el-3  el_after_av_textblock  avia-builder-el-last  coro av-inherit-size'><h1 class='av-special-heading-tag '  >Melasma <span class='special_amp'>&amp;<\/span> Hyperpigmentation Treatment in Honolulu<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><\/p><\/div><div class='flex_column_table av-mu7b3mr4-ae418bd369ba2b5a574ae1e3e8b598ba sc-av_one_half av-equal-height-column-flextable'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mu7b3mr4-ae418bd369ba2b5a574ae1e3e8b598ba\">\n#top .flex_column_table.av-equal-height-column-flextable.av-mu7b3mr4-ae418bd369ba2b5a574ae1e3e8b598ba{\nmargin-top:0px;\nmargin-bottom:0px;\n}\n.flex_column.av-mu7b3mr4-ae418bd369ba2b5a574ae1e3e8b598ba{\nwidth:48%;\nmargin-left:0;\n}\n#top .flex_column_table.av-equal-height-column-flextable.av-mu7b3mr4-ae418bd369ba2b5a574ae1e3e8b598ba .av-flex-placeholder{\nwidth:4%;\n}\n<\/style>\n<div  class='flex_column av-mu7b3mr4-ae418bd369ba2b5a574ae1e3e8b598ba av_one_half  avia-builder-el-4  el_after_av_one_full  el_before_av_one_half  first flex_column_table_cell av-equal-height-column av-align-top  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-gc1cj-37f9ef279c41aee8074a63ead3dbd1be\">\n#top .av_textblock_section.av-gc1cj-37f9ef279c41aee8074a63ead3dbd1be .avia_textblock{\nfont-size:16px;\ncolor:#ffffff;\n}\n\n@media only screen and (max-width: 479px){ \n#top .av_textblock_section.av-gc1cj-37f9ef279c41aee8074a63ead3dbd1be .avia_textblock{\nfont-size:14px;\n}\n}\n<\/style>\n<section  class='av_textblock_section av-gc1cj-37f9ef279c41aee8074a63ead3dbd1be '  ><div class='avia_textblock av_inherit_color' ><p>Melasma, dark spots, sun damage, post-inflammatory hyperpigmentation, and uneven skin tone are among the most common \u2014 and most undertreated \u2014 skin concerns in Hawai\u02bbi. Dr. Susan Tan offers a physician-directed, multi-modality approach that addresses both the surface pigment and the underlying biology driving it. Because in Hawaii, treating the symptom alone is never enough.<\/p>\n<\/div><\/section><br \/>\n<div  class='avia-button-wrap av-a16oj-a4a270a53a0f64a9efac2060c0199045-wrap avia-button-left  avia-builder-el-6  el_after_av_textblock  avia-builder-el-last '>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-a16oj-a4a270a53a0f64a9efac2060c0199045\">\n#top #wrap_all .avia-button.av-a16oj-a4a270a53a0f64a9efac2060c0199045{\nbackground-color:#ffffff;\nborder-color:#ffffff;\ncolor:#000000;\ntransition:all 0.4s ease-in-out;\n}\n#top #wrap_all .avia-button.av-a16oj-a4a270a53a0f64a9efac2060c0199045:hover{\ncolor:white;\ntransition:all 0.4s ease-in-out;\n}\n#top #wrap_all .avia-button.av-a16oj-a4a270a53a0f64a9efac2060c0199045 .avia-svg-icon svg:first-child{\nfill:#000000;\nstroke:#000000;\n}\n#top #wrap_all .avia-button.av-a16oj-a4a270a53a0f64a9efac2060c0199045:hover .avia-svg-icon svg:first-child{\nfill:white;\nstroke:white;\n}\n<\/style>\n<a href='https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/contact-us\/'  class='avia-button av-a16oj-a4a270a53a0f64a9efac2060c0199045 av-link-btn avia-icon_select-no avia-size-large avia-position-left'   aria-label=\"Request a Consultation\"><span class='avia_iconbox_title' >Request a Consultation<\/span><span class='avia_button_background avia-button avia-color-theme-color-highlight' ><\/span><\/a><\/div><\/p><\/div><div class='av-flex-placeholder'><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mtkmycpe-526023249e53430c731229b6a49cbd48\">\n#top .flex_column_table.av-equal-height-column-flextable.av-mtkmycpe-526023249e53430c731229b6a49cbd48{\nmargin-top:0px;\nmargin-bottom:0px;\n}\n.flex_column.av-mtkmycpe-526023249e53430c731229b6a49cbd48{\nwidth:48%;\nmargin-left:0;\n}\n#top .flex_column_table.av-equal-height-column-flextable.av-mtkmycpe-526023249e53430c731229b6a49cbd48 .av-flex-placeholder{\nwidth:4%;\n}\n<\/style>\n<div  class='flex_column av-mtkmycpe-526023249e53430c731229b6a49cbd48 av_one_half  avia-builder-el-7  el_after_av_one_half  el_before_av_hr  flex_column_table_cell av-equal-height-column av-align-top av-animated-generic fade-in-up  column-top-margin'     ><\/div><\/div><!--close column table wrapper. Autoclose: 1 -->\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-18dgle-227043c6bbb3822f5705f6c6e120433e\">\n#top .hr.av-18dgle-227043c6bbb3822f5705f6c6e120433e{\nmargin-top:30px;\nmargin-bottom:30px;\n}\n.hr.av-18dgle-227043c6bbb3822f5705f6c6e120433e .hr-inner{\nwidth:100%;\nborder-color:rgba(255,255,255,0.07);\n}\n<\/style>\n<div  class='hr av-18dgle-227043c6bbb3822f5705f6c6e120433e hr-custom  avia-builder-el-8  el_after_av_one_half  el_before_av_one_full  hr-center hr-icon-no'><span class='hr-inner inner-border-av-border-thin'><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n<div  class='flex_column av-sg85-0f7a092dfac8a007857c871a7476c654 av_one_full  avia-builder-el-9  el_after_av_hr  avia-builder-el-last  first flex_column_div  '     ><\/div>\n\n<\/div><\/div><\/main><!-- close content main element --><\/div><\/div><\/div><div id='av_section_2'  class='avia-section av-mtkmvphd-bd6511776d6a99e4f2ab7773ea49702a main_color avia-section-large avia-no-border-styling  avia-builder-el-11  el_after_av_section  el_before_av_section  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-475'><div class='entry-content-wrapper clearfix'>\n<div class='flex_column_table av-3du1-08d5568866fec7e41c716039255dda10 sc-av_one_half av-equal-height-column-flextable'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-3du1-08d5568866fec7e41c716039255dda10\">\n.flex_column.av-3du1-08d5568866fec7e41c716039255dda10{\nwidth:48%;\nmargin-left:0;\n}\n#top .flex_column_table.av-equal-height-column-flextable.av-3du1-08d5568866fec7e41c716039255dda10 .av-flex-placeholder{\nwidth:4%;\n}\n<\/style>\n<div  class='flex_column av-3du1-08d5568866fec7e41c716039255dda10 av_one_half  avia-builder-el-12  el_before_av_one_half  avia-builder-el-first  first flex_column_table_cell av-equal-height-column av-align-top av-animated-generic fade-in-up  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-t8deb-4741810584d503aba11f9b4f6d66b294\">\n#top .av_textblock_section.av-t8deb-4741810584d503aba11f9b4f6d66b294 .avia_textblock{\nfont-size:10px;\ncolor:#8c8984;\n}\n<\/style>\n<section  class='av_textblock_section av-t8deb-4741810584d503aba11f9b4f6d66b294 '  ><div class='avia_textblock space barlowcond av_inherit_color' ><p>Why Melasma Is Different in Hawai\u02bbi<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-2biygl-75376c8e427ab95485ab8f714dffff47\">\n#top .av-special-heading.av-2biygl-75376c8e427ab95485ab8f714dffff47{\nmargin:0 0 0 0;\npadding-bottom:10px;\nfont-size:38px;\n}\nbody .av-special-heading.av-2biygl-75376c8e427ab95485ab8f714dffff47 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-2biygl-75376c8e427ab95485ab8f714dffff47 .av-special-heading-tag{\nfont-size:38px;\npadding:10px 0 0 0;\n}\n.av-special-heading.av-2biygl-75376c8e427ab95485ab8f714dffff47 .av-subheading{\nfont-size:15px;\n}\n\n@media only screen and (max-width: 479px){ \n#top #wrap_all .av-special-heading.av-2biygl-75376c8e427ab95485ab8f714dffff47 .av-special-heading-tag{\nfont-size:24px;\n}\n}\n\n@media only screen and (min-width: 480px) and (max-width: 767px){ \n#top #wrap_all .av-special-heading.av-2biygl-75376c8e427ab95485ab8f714dffff47 .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n<\/style>\n<div  class='av-special-heading av-2biygl-75376c8e427ab95485ab8f714dffff47 av-special-heading-h2 custom-color-heading blockquote modern-quote  avia-builder-el-14  el_after_av_textblock  el_before_av_textblock  av-inherit-size'><h2 class='av-special-heading-tag '  >The Most Difficult Pigmentation Condition \u2014 Made Harder by Where You Live<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-2132il-c834f2ff15043e6079ec290a2c0d6720\">\n#top .av_textblock_section.av-2132il-c834f2ff15043e6079ec290a2c0d6720 .avia_textblock{\ncolor:#5a5a58;\n}\n<\/style>\n<section  class='av_textblock_section av-2132il-c834f2ff15043e6079ec290a2c0d6720 '  ><div class='avia_textblock av_inherit_color' ><p>Honolulu receives intense UV radiation year-round \u2014 not seasonally like the mainland, but continuously, every day. For patients with melasma, this means the primary trigger for pigment overproduction is essentially unavoidable. You cannot simply &#8220;avoid the sun&#8221; and solve the problem when you live in Hawaii.<\/p>\n<p>Hawaii also has one of the most melanin-diverse patient populations in the United States \u2014 Pacific Islander, Filipino, Japanese, Korean, Chinese, South Asian, and mixed-heritage skin types that span the full Fitzpatrick scale. Many of these skin types are at higher baseline risk for post-inflammatory hyperpigmentation and are more sensitive to treatments that work well in lighter skin.<\/p>\n<p>This means treating melasma and hyperpigmentation in Honolulu requires clinical knowledge of melanin biology, Hawaii-specific sun exposure, and the full range of skin tones present in our community. A one-size-fits-all approach \u2014 the kind common at med spas and laser clinics \u2014 does not work here.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv11blg5-0bf2e8ecf879686e2ecb7fcefdf57a00\">\n.av_textblock_section.av-mv11blg5-0bf2e8ecf879686e2ecb7fcefdf57a00{\nbackground-color:#edebe8;\n}\n#top .av_textblock_section.av-mv11blg5-0bf2e8ecf879686e2ecb7fcefdf57a00 .avia_textblock{\npadding:10px 15px 10px 20px;\ncolor:#5a5a58;\n}\n\n@media only screen and (max-width: 479px){ \n#top .av_textblock_section.av-mv11blg5-0bf2e8ecf879686e2ecb7fcefdf57a00 .avia_textblock{\npadding:15px 15px 15px 15px;\n}\n}\n<\/style>\n<section  class='av_textblock_section av-mv11blg5-0bf2e8ecf879686e2ecb7fcefdf57a00 '  ><div class='avia_textblock left-border-melasma-black av_inherit_color' ><p><strong>Dr. Tan&#8217;s approach:<\/strong> Every pigmentation patient is assessed for skin type, pigmentation depth, hormonal drivers, sun exposure patterns, and prior treatment history. The treatment plan is built around all of these factors \u2014 not around which devices happen to be available at the clinic.<\/p>\n<\/div><\/section><\/p><\/div><div class='av-flex-placeholder'><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-9odct-eefd2b882f1e59e09c165554d3472eee\">\n.flex_column.av-9odct-eefd2b882f1e59e09c165554d3472eee{\nwidth:48%;\nmargin-left:0;\npadding:40px 40px 40px 40px;\nbackground-color:#2f2f2f;\n}\n#top .flex_column_table.av-equal-height-column-flextable.av-9odct-eefd2b882f1e59e09c165554d3472eee .av-flex-placeholder{\nwidth:4%;\n}\n\n@media only screen and (max-width: 479px){ \n.flex_column.av-9odct-eefd2b882f1e59e09c165554d3472eee{\npadding:20px 20px 20px 20px;\n}\n}\n<\/style>\n<div  class='flex_column av-9odct-eefd2b882f1e59e09c165554d3472eee av_one_half  avia-builder-el-17  el_after_av_one_half  avia-builder-el-last  flex_column_table_cell av-equal-height-column av-align-top av-animated-generic fade-in-up  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-2catmh-83540534fafc79bca60333f1c53da726\">\n#top .av_textblock_section.av-2catmh-83540534fafc79bca60333f1c53da726 .avia_textblock{\nfont-size:10px;\ncolor:#c4bab0;\n}\n<\/style>\n<section  class='av_textblock_section av-2catmh-83540534fafc79bca60333f1c53da726 '  ><div class='avia_textblock space barlowcond av_inherit_color' ><p>Pigmentation Conditions Treated at HFPS<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv10xih3-2caec56840926b2e196835405de054e2\">\n.av_textblock_section.av-mv10xih3-2caec56840926b2e196835405de054e2{\nbackground-color:#3a3a3a;\n}\n#top .av_textblock_section.av-mv10xih3-2caec56840926b2e196835405de054e2 .avia_textblock{\npadding:10px 15px 10px 20px;\ncolor:#9a9a9a;\n}\n\n@media only screen and (max-width: 479px){ \n#top .av_textblock_section.av-mv10xih3-2caec56840926b2e196835405de054e2 .avia_textblock{\npadding:15px 15px 15px 15px;\n}\n}\n<\/style>\n<section  class='av_textblock_section av-mv10xih3-2caec56840926b2e196835405de054e2 '  ><div class='avia_textblock left-border-melasma-white av_inherit_color' ><p><strong><span class=\"space barlowcond\" style=\"color: white;\">Melasma<\/span><\/strong><\/p>\n<p>Brown or blue-gray patches on the forehead, cheeks, nose, and chin. Driven by UV, hormones, and heat. The most complex pigmentation condition to treat \u2014 and the one Dr. Tan specializes in most.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mi5hn-b0ed7a00bf576c7c3561c9386b0011c9\">\n#top .hr.hr-invisible.av-mi5hn-b0ed7a00bf576c7c3561c9386b0011c9{\nheight:10px;\n}\n<\/style>\n<div  class='hr av-mi5hn-b0ed7a00bf576c7c3561c9386b0011c9 hr-invisible  avia-builder-el-20  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv11cqej-1f985959538e7f265f48aba1195ca399\">\n.av_textblock_section.av-mv11cqej-1f985959538e7f265f48aba1195ca399{\nbackground-color:#3a3a3a;\n}\n#top .av_textblock_section.av-mv11cqej-1f985959538e7f265f48aba1195ca399 .avia_textblock{\npadding:10px 15px 10px 20px;\ncolor:#9a9a9a;\n}\n\n@media only screen and (max-width: 479px){ \n#top .av_textblock_section.av-mv11cqej-1f985959538e7f265f48aba1195ca399 .avia_textblock{\npadding:15px 15px 15px 15px;\n}\n}\n<\/style>\n<section  class='av_textblock_section av-mv11cqej-1f985959538e7f265f48aba1195ca399 '  ><div class='avia_textblock left-border-melasma-white av_inherit_color' ><p><strong><span class=\"space barlowcond\" style=\"color: white;\">Post-Inflammatory Hyperpigmentation (PIH)<\/span><\/strong><\/p>\n<p>Dark marks left behind after acne, injury, or a skin reaction. Extremely common in medium-to-dark skin tones and in Hawaii&#8217;s patient population specifically.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-e39xv-fe0faa4ebd15e9716dd3fcfbc721d82d\">\n#top .hr.hr-invisible.av-e39xv-fe0faa4ebd15e9716dd3fcfbc721d82d{\nheight:10px;\n}\n<\/style>\n<div  class='hr av-e39xv-fe0faa4ebd15e9716dd3fcfbc721d82d hr-invisible  avia-builder-el-22  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv11di26-eab4ab58425d75c4a14e7ec8d68c13f3\">\n.av_textblock_section.av-mv11di26-eab4ab58425d75c4a14e7ec8d68c13f3{\nbackground-color:#3a3a3a;\n}\n#top .av_textblock_section.av-mv11di26-eab4ab58425d75c4a14e7ec8d68c13f3 .avia_textblock{\npadding:10px 15px 10px 20px;\ncolor:#9a9a9a;\n}\n\n@media only screen and (max-width: 479px){ \n#top .av_textblock_section.av-mv11di26-eab4ab58425d75c4a14e7ec8d68c13f3 .avia_textblock{\npadding:15px 15px 15px 15px;\n}\n}\n<\/style>\n<section  class='av_textblock_section av-mv11di26-eab4ab58425d75c4a14e7ec8d68c13f3 '  ><div class='avia_textblock left-border-melasma-white av_inherit_color' ><p><strong><span class=\"space barlowcond\" style=\"color: white;\">Sun Damage &amp; Solar Lentigines<\/span><\/strong><\/p>\n<p>Sun spots, age spots, and diffuse discoloration from cumulative UV exposure. Honolulu&#8217;s sun accelerates these in every skin type \u2014 and they typically respond well to a combination approach.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv11x6xa-bfc719b210e21538fbc81bac31a4d93b\">\n#top .hr.hr-invisible.av-mv11x6xa-bfc719b210e21538fbc81bac31a4d93b{\nheight:10px;\n}\n<\/style>\n<div  class='hr av-mv11x6xa-bfc719b210e21538fbc81bac31a4d93b hr-invisible  avia-builder-el-24  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv11tewr-eeaede39d316695c108969f69abb0376\">\n.av_textblock_section.av-mv11tewr-eeaede39d316695c108969f69abb0376{\nbackground-color:#3a3a3a;\n}\n#top .av_textblock_section.av-mv11tewr-eeaede39d316695c108969f69abb0376 .avia_textblock{\npadding:10px 15px 10px 20px;\ncolor:#9a9a9a;\n}\n\n@media only screen and (max-width: 479px){ \n#top .av_textblock_section.av-mv11tewr-eeaede39d316695c108969f69abb0376 .avia_textblock{\npadding:15px 15px 15px 15px;\n}\n}\n<\/style>\n<section  class='av_textblock_section av-mv11tewr-eeaede39d316695c108969f69abb0376 '  ><div class='avia_textblock left-border-melasma-white av_inherit_color' ><p><strong><span class=\"space barlowcond\" style=\"color: white;\">Uneven Skin Tone &amp; Dullness<\/span><\/strong><\/p>\n<p>Generalized unevenness \u2014 not a specific pigmented lesion, but a diffuse loss of clarity and luminosity. Often the result of accumulated UV damage and sluggish cellular turnover.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-7183v-1dc57a19f03fe2052a23e8a512dd2357\">\n#top .hr.hr-invisible.av-7183v-1dc57a19f03fe2052a23e8a512dd2357{\nheight:10px;\n}\n<\/style>\n<div  class='hr av-7183v-1dc57a19f03fe2052a23e8a512dd2357 hr-invisible  avia-builder-el-26  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv11uf1q-8b3e978fb3de6822c5706d85e541efae\">\n.av_textblock_section.av-mv11uf1q-8b3e978fb3de6822c5706d85e541efae{\nbackground-color:#3a3a3a;\n}\n#top .av_textblock_section.av-mv11uf1q-8b3e978fb3de6822c5706d85e541efae .avia_textblock{\npadding:10px 15px 10px 20px;\ncolor:#9a9a9a;\n}\n\n@media only screen and (max-width: 479px){ \n#top .av_textblock_section.av-mv11uf1q-8b3e978fb3de6822c5706d85e541efae .avia_textblock{\npadding:15px 15px 15px 15px;\n}\n}\n<\/style>\n<section  class='av_textblock_section av-mv11uf1q-8b3e978fb3de6822c5706d85e541efae '  ><div class='avia_textblock left-border-melasma-white av_inherit_color' ><p><strong><span class=\"space barlowcond\" style=\"color: white;\">Chloasma (Pregnancy Mask)<\/span><\/strong><\/p>\n<p>Hormonally driven melasma occurring during or after pregnancy. Requires careful treatment planning \u2014 many aggressive treatments are not appropriate during the postpartum period.<\/p>\n<\/div><\/section><\/p><\/div><\/div><!--close column table wrapper. Autoclose: 1 -->\n\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv12128a-cde6fc31bae79691372b539f7dc38416\">\n.avia-section.av-mv12128a-cde6fc31bae79691372b539f7dc38416{\nbackground-color:#f7f5f3;\nbackground-image:unset;\n}\n<\/style>\n<div id='av_section_3'  class='avia-section av-mv12128a-cde6fc31bae79691372b539f7dc38416 main_color avia-section-large avia-no-border-styling  avia-builder-el-28  el_after_av_section  el_before_av_section  faq-top-border avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-475'><div class='entry-content-wrapper clearfix'>\n<div class='flex_column_table av-zef83-e28eef422ae02fb18e1994daa2eaffa1 sc-av_one_full av-equal-height-column-flextable'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-zef83-e28eef422ae02fb18e1994daa2eaffa1\">\n.flex_column.av-zef83-e28eef422ae02fb18e1994daa2eaffa1{\nwidth:100%;\nmargin-left:0;\n}\n#top .flex_column_table.av-equal-height-column-flextable.av-zef83-e28eef422ae02fb18e1994daa2eaffa1 .av-flex-placeholder{\nwidth:0%;\n}\n<\/style>\n<div  class='flex_column av-zef83-e28eef422ae02fb18e1994daa2eaffa1 av_one_full  avia-builder-el-29  el_before_av_one_half  avia-builder-el-first  first flex_column_table_cell av-equal-height-column av-align-top av-animated-generic fade-in-up  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv121ihh-9a3796773448b9833d674e7f68583815\">\n#top .av_textblock_section.av-mv121ihh-9a3796773448b9833d674e7f68583815 .avia_textblock{\nfont-size:10px;\ncolor:#8c8984;\n}\n<\/style>\n<section  class='av_textblock_section av-mv121ihh-9a3796773448b9833d674e7f68583815 '  ><div class='avia_textblock space barlowcond av_inherit_color' ><p>Why Most Melasma Treatment Fails<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv121qo7-9af755f8e4c6a93dcbb66b6c21e44162\">\n#top .av-special-heading.av-mv121qo7-9af755f8e4c6a93dcbb66b6c21e44162{\nmargin:0 0 0 0;\npadding-bottom:10px;\nfont-size:38px;\n}\nbody .av-special-heading.av-mv121qo7-9af755f8e4c6a93dcbb66b6c21e44162 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-mv121qo7-9af755f8e4c6a93dcbb66b6c21e44162 .av-special-heading-tag{\nfont-size:38px;\npadding:10px 0 0 0;\n}\n.av-special-heading.av-mv121qo7-9af755f8e4c6a93dcbb66b6c21e44162 .av-subheading{\nfont-size:15px;\n}\n\n@media only screen and (max-width: 479px){ \n#top #wrap_all .av-special-heading.av-mv121qo7-9af755f8e4c6a93dcbb66b6c21e44162 .av-special-heading-tag{\nfont-size:24px;\n}\n}\n\n@media only screen and (min-width: 480px) and (max-width: 767px){ \n#top #wrap_all .av-special-heading.av-mv121qo7-9af755f8e4c6a93dcbb66b6c21e44162 .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n<\/style>\n<div  class='av-special-heading av-mv121qo7-9af755f8e4c6a93dcbb66b6c21e44162 av-special-heading-h2 custom-color-heading blockquote modern-quote  avia-builder-el-31  el_after_av_textblock  avia-builder-el-last  av-inherit-size'><h2 class='av-special-heading-tag '  >The Reason Your Pigmentation Keeps Coming Back<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><\/p><\/div><\/div><!--close column table wrapper. Autoclose: 1 --><div class='flex_column_table av-mv1224nq-ef4765f6083efc5255e6f28bd79de2e5 sc-av_one_half av-equal-height-column-flextable'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv1224nq-ef4765f6083efc5255e6f28bd79de2e5\">\n#top .flex_column_table.av-equal-height-column-flextable.av-mv1224nq-ef4765f6083efc5255e6f28bd79de2e5{\nmargin-top:20px;\nmargin-bottom:0px;\n}\n.flex_column.av-mv1224nq-ef4765f6083efc5255e6f28bd79de2e5{\nwidth:48%;\nmargin-left:0;\n}\n#top .flex_column_table.av-equal-height-column-flextable.av-mv1224nq-ef4765f6083efc5255e6f28bd79de2e5 .av-flex-placeholder{\nwidth:4%;\n}\n<\/style>\n<div  class='flex_column av-mv1224nq-ef4765f6083efc5255e6f28bd79de2e5 av_one_half  avia-builder-el-32  el_after_av_one_full  el_before_av_one_half  first flex_column_table_cell av-equal-height-column av-align-top av-animated-generic fade-in-up  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv12324i-c721a9a56b409018953c2bd27876b8b9\">\n#top .av_textblock_section.av-mv12324i-c721a9a56b409018953c2bd27876b8b9 .avia_textblock{\ncolor:#5a5a58;\n}\n<\/style>\n<section  class='av_textblock_section av-mv12324i-c721a9a56b409018953c2bd27876b8b9 '  ><div class='avia_textblock av_inherit_color' ><p>Melasma is not a stain on the skin. It is a behavior of the skin \u2014 an overactive melanin-producing response that is triggered, repeatedly, by the same factors. UV exposure. Heat. Hormones. Inflammation. The skin makes pigment because it has been trained, over years, to make too much of it.<\/p>\n<p>This is why laser treatment alone \u2014 or a peel alone, or a cream alone \u2014 rarely produces lasting results. The treatment removes the pigment that exists. But it does nothing to stop the skin from making more. As soon as the sun hits again, or a hormonal fluctuation occurs, the cycle restarts.<\/p>\n<p>Lasting improvement requires addressing the full picture simultaneously: suppressing melanin overproduction at the cellular level, removing existing surface pigment with the right in-clinic treatments, rebuilding the skin barrier so it is less reactive, and maintaining the result with a physician-directed protocol that adapts as your skin changes. <strong>This is the only approach that produces durable results in Honolulu&#8217;s environment.<\/strong><\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv125fsy-d03ce77ed7f60aae0bb5569ba90b4649\">\n.av_textblock_section.av-mv125fsy-d03ce77ed7f60aae0bb5569ba90b4649{\nbackground-color:#ffffff;\n}\n#top .av_textblock_section.av-mv125fsy-d03ce77ed7f60aae0bb5569ba90b4649 .avia_textblock{\npadding:10px 15px 10px 20px;\ncolor:#5a5a58;\n}\n\n@media only screen and (max-width: 479px){ \n#top .av_textblock_section.av-mv125fsy-d03ce77ed7f60aae0bb5569ba90b4649 .avia_textblock{\npadding:15px 15px 15px 15px;\n}\n}\n<\/style>\n<section  class='av_textblock_section av-mv125fsy-d03ce77ed7f60aae0bb5569ba90b4649 '  ><div class='avia_textblock three-box-top av_inherit_color' ><p><span class=\"space barlowcond\" style=\"color: #8c8984;\">Melasma<\/span><\/p>\n<ul>\n<li>Melanin overproduction \u2014 suppressed with prescription-grade topicals<\/li>\n<li>Surface pigment \u2014 treated with in-clinic procedures calibrated to your skin type<\/li>\n<li>Skin barrier \u2014 rebuilt and maintained with medical-grade actives<\/li>\n<li>Recurrence prevention \u2014 ongoing physician oversight and protocol adjustment<\/li>\n<li>Hawaii-specific sun protection \u2014 a non-negotiable clinical requirement<\/li>\n<\/ul>\n<\/div><\/section><\/p><\/div><div class='av-flex-placeholder'><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-pvhjn-b0655541ec0f9edc421d3c84c83b99db\">\n#top .flex_column_table.av-equal-height-column-flextable.av-pvhjn-b0655541ec0f9edc421d3c84c83b99db{\nmargin-top:20px;\nmargin-bottom:0px;\n}\n.flex_column.av-pvhjn-b0655541ec0f9edc421d3c84c83b99db{\nwidth:48%;\nmargin-left:0;\npadding:40px 40px 40px 40px;\nbackground-color:#2f2f2f;\n}\n#top .flex_column_table.av-equal-height-column-flextable.av-pvhjn-b0655541ec0f9edc421d3c84c83b99db .av-flex-placeholder{\nwidth:4%;\n}\n\n@media only screen and (max-width: 479px){ \n.flex_column.av-pvhjn-b0655541ec0f9edc421d3c84c83b99db{\npadding:20px 20px 20px 20px;\n}\n}\n<\/style>\n<div  class='flex_column av-pvhjn-b0655541ec0f9edc421d3c84c83b99db av_one_half  avia-builder-el-35  el_after_av_one_half  avia-builder-el-last  flex_column_table_cell av-equal-height-column av-align-top av-animated-generic fade-in-up  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv128h0k-c1adcaca2c53d7fe80247e13e9d6f277\">\n#top .av_textblock_section.av-mv128h0k-c1adcaca2c53d7fe80247e13e9d6f277 .avia_textblock{\nfont-size:10px;\ncolor:#c4bab0;\n}\n<\/style>\n<section  class='av_textblock_section av-mv128h0k-c1adcaca2c53d7fe80247e13e9d6f277 '  ><div class='avia_textblock space barlowcond av_inherit_color' ><p>Common Mistakes That Make Melasma Worse<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv1290k3-0f0ff2b565e413b8eda14e070a477722\">\n.av_textblock_section.av-mv1290k3-0f0ff2b565e413b8eda14e070a477722{\nbackground-color:#3a3a3a;\n}\n#top .av_textblock_section.av-mv1290k3-0f0ff2b565e413b8eda14e070a477722 .avia_textblock{\npadding:10px 15px 10px 20px;\ncolor:#9a9a9a;\n}\n\n@media only screen and (max-width: 479px){ \n#top .av_textblock_section.av-mv1290k3-0f0ff2b565e413b8eda14e070a477722 .avia_textblock{\npadding:15px 15px 15px 15px;\n}\n}\n<\/style>\n<section  class='av_textblock_section av-mv1290k3-0f0ff2b565e413b8eda14e070a477722 '  ><div class='avia_textblock left-border-melasma-white av_inherit_color' ><p><strong><span class=\"space barlowcond\" style=\"color: white;\">Aggressive Laser Without Topical Preparation<br \/>\n<\/span><\/strong><\/p>\n<p>Heat from certain laser types can trigger a post-inflammatory flare \u2014 making melasma significantly worse in darker skin types. Treatment sequence and device selection are critical.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ku483-fde5d0035e8b710c7efe648a0df49d87\">\n#top .hr.hr-invisible.av-ku483-fde5d0035e8b710c7efe648a0df49d87{\nheight:10px;\n}\n<\/style>\n<div  class='hr av-ku483-fde5d0035e8b710c7efe648a0df49d87 hr-invisible  avia-builder-el-38  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv129faf-3b881e82084f7e26a59e052c7684d86c\">\n.av_textblock_section.av-mv129faf-3b881e82084f7e26a59e052c7684d86c{\nbackground-color:#3a3a3a;\n}\n#top .av_textblock_section.av-mv129faf-3b881e82084f7e26a59e052c7684d86c .avia_textblock{\npadding:10px 15px 10px 20px;\ncolor:#9a9a9a;\n}\n\n@media only screen and (max-width: 479px){ \n#top .av_textblock_section.av-mv129faf-3b881e82084f7e26a59e052c7684d86c .avia_textblock{\npadding:15px 15px 15px 15px;\n}\n}\n<\/style>\n<section  class='av_textblock_section av-mv129faf-3b881e82084f7e26a59e052c7684d86c '  ><div class='avia_textblock left-border-melasma-white av_inherit_color' ><p><strong><span class=\"space barlowcond\" style=\"color: white;\">Treating Melasma Like Sun Spots<\/span><\/strong><\/p>\n<p>Solar lentigines and melasma look similar but respond to different treatments. Applying solar lentigo protocols to melasma often causes rebound hyperpigmentation.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-degf7-b05dbd59f615d33731829c3c2d82798a\">\n#top .hr.hr-invisible.av-degf7-b05dbd59f615d33731829c3c2d82798a{\nheight:10px;\n}\n<\/style>\n<div  class='hr av-degf7-b05dbd59f615d33731829c3c2d82798a hr-invisible  avia-builder-el-40  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv129v34-58179b6dcc9bc6053750f380d7a36f83\">\n.av_textblock_section.av-mv129v34-58179b6dcc9bc6053750f380d7a36f83{\nbackground-color:#3a3a3a;\n}\n#top .av_textblock_section.av-mv129v34-58179b6dcc9bc6053750f380d7a36f83 .avia_textblock{\npadding:10px 15px 10px 20px;\ncolor:#9a9a9a;\n}\n\n@media only screen and (max-width: 479px){ \n#top .av_textblock_section.av-mv129v34-58179b6dcc9bc6053750f380d7a36f83 .avia_textblock{\npadding:15px 15px 15px 15px;\n}\n}\n<\/style>\n<section  class='av_textblock_section av-mv129v34-58179b6dcc9bc6053750f380d7a36f83 '  ><div class='avia_textblock left-border-melasma-white av_inherit_color' ><p><strong><span class=\"space barlowcond\" style=\"color: white;\">No Maintenance Protocol<\/span><\/strong><\/p>\n<p>A single series of treatments without an ongoing skincare protocol almost always results in recurrence. Melasma management is long-term \u2014 not a single course of treatment.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-bbzv7-a6be9fdf0303e3da0c18a8dcae997ce5\">\n#top .hr.hr-invisible.av-bbzv7-a6be9fdf0303e3da0c18a8dcae997ce5{\nheight:10px;\n}\n<\/style>\n<div  class='hr av-bbzv7-a6be9fdf0303e3da0c18a8dcae997ce5 hr-invisible  avia-builder-el-42  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv12abm5-e9a4401ba1f80130272887d9d9316d22\">\n.av_textblock_section.av-mv12abm5-e9a4401ba1f80130272887d9d9316d22{\nbackground-color:#3a3a3a;\n}\n#top .av_textblock_section.av-mv12abm5-e9a4401ba1f80130272887d9d9316d22 .avia_textblock{\npadding:10px 15px 10px 20px;\ncolor:#9a9a9a;\n}\n\n@media only screen and (max-width: 479px){ \n#top .av_textblock_section.av-mv12abm5-e9a4401ba1f80130272887d9d9316d22 .avia_textblock{\npadding:15px 15px 15px 15px;\n}\n}\n<\/style>\n<section  class='av_textblock_section av-mv12abm5-e9a4401ba1f80130272887d9d9316d22 '  ><div class='avia_textblock left-border-melasma-white av_inherit_color' ><p><strong><span class=\"space barlowcond\" style=\"color: white;\">Inadequate Sun Protection<\/span><\/strong><\/p>\n<p>No treatment works sustainably without rigorous daily sun protection. In Honolulu specifically, this means physical sunscreen, a wide-brimmed hat, and UV-avoidance habits \u2014 not just SPF 30 applied once in the morning.<\/p>\n<\/div><\/section><\/p><\/div><\/div><!--close column table wrapper. Autoclose: 1 -->\n\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='av_section_4'  class='avia-section av-1ch5zf-f4648aa3e7a1470d8f22ffcf48dae02d main_color avia-section-large avia-no-border-styling  avia-builder-el-44  el_after_av_section  el_before_av_section  faq-top-border avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-475'><div class='entry-content-wrapper clearfix'>\n<div class='flex_column_table av-goob-38b68f312d7f2cec214f344de7d625a8 sc-av_one_full av-equal-height-column-flextable'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-goob-38b68f312d7f2cec214f344de7d625a8\">\n.flex_column.av-goob-38b68f312d7f2cec214f344de7d625a8{\nwidth:100%;\nmargin-left:0;\n}\n#top .flex_column_table.av-equal-height-column-flextable.av-goob-38b68f312d7f2cec214f344de7d625a8 .av-flex-placeholder{\nwidth:0%;\n}\n<\/style>\n<div  class='flex_column av-goob-38b68f312d7f2cec214f344de7d625a8 av_one_full  avia-builder-el-45  el_before_av_one_half  avia-builder-el-first  first flex_column_table_cell av-equal-height-column av-align-top av-animated-generic fade-in-up  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv12cr31-7dec0f597b38294c89d1d375ba212239\">\n#top .av_textblock_section.av-mv12cr31-7dec0f597b38294c89d1d375ba212239 .avia_textblock{\nfont-size:10px;\ncolor:#8c8984;\n}\n<\/style>\n<section  class='av_textblock_section av-mv12cr31-7dec0f597b38294c89d1d375ba212239 '  ><div class='avia_textblock space barlowcond av_inherit_color' ><p>Treatment Options \u2014 Honolulu, Hawai\u02bbi<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv12cz4h-e5a052bb029fbe710c4747bd9da0de86\">\n#top .av-special-heading.av-mv12cz4h-e5a052bb029fbe710c4747bd9da0de86{\nmargin:0 0 0 0;\npadding-bottom:10px;\nfont-size:38px;\n}\nbody .av-special-heading.av-mv12cz4h-e5a052bb029fbe710c4747bd9da0de86 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-mv12cz4h-e5a052bb029fbe710c4747bd9da0de86 .av-special-heading-tag{\nfont-size:38px;\npadding:10px 0 0 0;\n}\n.av-special-heading.av-mv12cz4h-e5a052bb029fbe710c4747bd9da0de86 .av-subheading{\nfont-size:15px;\n}\n\n@media only screen and (max-width: 479px){ \n#top #wrap_all .av-special-heading.av-mv12cz4h-e5a052bb029fbe710c4747bd9da0de86 .av-special-heading-tag{\nfont-size:24px;\n}\n}\n\n@media only screen and (min-width: 480px) and (max-width: 767px){ \n#top #wrap_all .av-special-heading.av-mv12cz4h-e5a052bb029fbe710c4747bd9da0de86 .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n<\/style>\n<div  class='av-special-heading av-mv12cz4h-e5a052bb029fbe710c4747bd9da0de86 av-special-heading-h2 custom-color-heading blockquote modern-quote  avia-builder-el-47  el_after_av_textblock  avia-builder-el-last  av-inherit-size'><h2 class='av-special-heading-tag '  >A Full Spectrum of Pigmentation Treatments \u2014 Used Together, Not in Isolation<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><\/p><\/div><\/div><!--close column table wrapper. Autoclose: 1 --><div class='flex_column_table av-14mfqr-35bf00e437acd7efa104ca00fc6d8da0 sc-av_one_half av-equal-height-column-flextable'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-14mfqr-35bf00e437acd7efa104ca00fc6d8da0\">\n#top .flex_column_table.av-equal-height-column-flextable.av-14mfqr-35bf00e437acd7efa104ca00fc6d8da0{\nmargin-top:0px;\nmargin-bottom:0px;\n}\n.flex_column.av-14mfqr-35bf00e437acd7efa104ca00fc6d8da0{\nwidth:48%;\nmargin-left:0;\n}\n#top .flex_column_table.av-equal-height-column-flextable.av-14mfqr-35bf00e437acd7efa104ca00fc6d8da0 .av-flex-placeholder{\nwidth:4%;\n}\n<\/style>\n<div  class='flex_column av-14mfqr-35bf00e437acd7efa104ca00fc6d8da0 av_one_half  avia-builder-el-48  el_after_av_one_full  el_before_av_one_half  first flex_column_table_cell av-equal-height-column av-align-top av-animated-generic fade-in-up  column-top-margin'     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv12d8el-d860d9f7d09ba22a94ecb4fe8b9d2468\">\n#top .av_textblock_section.av-mv12d8el-d860d9f7d09ba22a94ecb4fe8b9d2468 .avia_textblock{\ncolor:#5a5a58;\n}\n<\/style>\n<section  class='av_textblock_section av-mv12d8el-d860d9f7d09ba22a94ecb4fe8b9d2468 '  ><div class='avia_textblock av_inherit_color' ><p>Dr. Tan does not specialize in one treatment for pigmentation. She uses every tool available \u2014 prescription topicals, in-clinic procedures, medical-grade skincare, and physician-directed maintenance \u2014 because melasma and hyperpigmentation require all of them working in concert.<\/p>\n<\/div><\/section><\/div><div class='av-flex-placeholder'><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-yb1sb-7102e95503c105ad45296cfb645485a3\">\n#top .flex_column_table.av-equal-height-column-flextable.av-yb1sb-7102e95503c105ad45296cfb645485a3{\nmargin-top:0px;\nmargin-bottom:0px;\n}\n.flex_column.av-yb1sb-7102e95503c105ad45296cfb645485a3{\nwidth:48%;\nmargin-left:0;\n}\n#top .flex_column_table.av-equal-height-column-flextable.av-yb1sb-7102e95503c105ad45296cfb645485a3 .av-flex-placeholder{\nwidth:4%;\n}\n<\/style>\n<div  class='flex_column av-yb1sb-7102e95503c105ad45296cfb645485a3 av_one_half  avia-builder-el-50  el_after_av_one_half  el_before_av_one_half  flex_column_table_cell av-equal-height-column av-align-top av-animated-generic fade-in-up  column-top-margin'     ><\/div><\/div><!--close column table wrapper. Autoclose: 1 --><div class='flex_column_table av-phnuz-db64a8d22d3d34eaf237a0667e968b72 sc-av_one_half av-equal-height-column-flextable'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-phnuz-db64a8d22d3d34eaf237a0667e968b72\">\n#top .flex_column_table.av-equal-height-column-flextable.av-phnuz-db64a8d22d3d34eaf237a0667e968b72{\nmargin-top:20px;\nmargin-bottom:0px;\n}\n.flex_column.av-phnuz-db64a8d22d3d34eaf237a0667e968b72{\npadding:40px 20px 40px 40px;\nbackground-color:#2f2f2f;\n}\n\n@media only screen and (max-width: 479px){ \n.flex_column.av-phnuz-db64a8d22d3d34eaf237a0667e968b72{\npadding:20px 20px 20px 20px;\n}\n}\n<\/style>\n<div  class='flex_column av-phnuz-db64a8d22d3d34eaf237a0667e968b72 av_one_half  avia-builder-el-51  el_after_av_one_half  el_before_av_one_half  first no_margin flex_column_table_cell av-equal-height-column av-align-top av-animated-generic fade-in-up  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv12dt3z-7a57e148c070d63c8847f1ebcd75dc5b\">\n#top .av_textblock_section.av-mv12dt3z-7a57e148c070d63c8847f1ebcd75dc5b .avia_textblock{\nfont-size:10px;\ncolor:#c4bab0;\n}\n<\/style>\n<section  class='av_textblock_section av-mv12dt3z-7a57e148c070d63c8847f1ebcd75dc5b '  ><div class='avia_textblock space barlowcond av_inherit_color' ><p>Featured Treatment \u00b7 FDA-Cleared for Melasma<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mtlnzqq2-1339ca806b6e7b62374772aeb429377b\">\n#top .av-special-heading.av-mtlnzqq2-1339ca806b6e7b62374772aeb429377b{\nmargin:0 0 0 0;\npadding-bottom:0;\ncolor:#ffffff;\nfont-size:22px;\n}\nbody .av-special-heading.av-mtlnzqq2-1339ca806b6e7b62374772aeb429377b .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-mtlnzqq2-1339ca806b6e7b62374772aeb429377b .av-special-heading-tag{\nfont-size:22px;\npadding:0 0 0 0;\n}\n.av-special-heading.av-mtlnzqq2-1339ca806b6e7b62374772aeb429377b .special-heading-inner-border{\nborder-color:#ffffff;\n}\n.av-special-heading.av-mtlnzqq2-1339ca806b6e7b62374772aeb429377b .av-subheading{\nfont-size:15px;\n}\n\n@media only screen and (max-width: 479px){ \n#top #wrap_all .av-special-heading.av-mtlnzqq2-1339ca806b6e7b62374772aeb429377b .av-special-heading-tag{\nfont-size:18px;\n}\n}\n\n@media only screen and (min-width: 480px) and (max-width: 767px){ \n#top #wrap_all .av-special-heading.av-mtlnzqq2-1339ca806b6e7b62374772aeb429377b .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n<\/style>\n<div  class='av-special-heading av-mtlnzqq2-1339ca806b6e7b62374772aeb429377b av-special-heading-h3 custom-color-heading blockquote modern-quote  avia-builder-el-53  el_after_av_textblock  el_before_av_textblock  av-inherit-size'><h3 class='av-special-heading-tag '  >Hollywood Spectra \u2014 The Only FDA-Cleared Laser for Melasma<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv12errw-f74276e8c934dcf0ebf58fec90d2bfa8\">\n#top .av_textblock_section.av-mv12errw-f74276e8c934dcf0ebf58fec90d2bfa8 .avia_textblock{\ncolor:#9a9a9a;\n}\n<\/style>\n<section  class='av_textblock_section av-mv12errw-f74276e8c934dcf0ebf58fec90d2bfa8 '  ><div class='avia_textblock av_inherit_color' ><p>The Lutronic Hollywood Spectra is a Q-switched Nd:YAG laser \u2014 the first short-pulse laser to receive FDA clearance specifically for treating melasma. This is not a marketing claim. It is a clinical distinction that matters: most laser devices used for pigmentation were cleared for solar lentigines or general photorejuvenation, and their application to melasma is off-label. The Hollywood Spectra was cleared specifically because clinical evidence supports its efficacy and safety in melasma patients across all skin types.<\/p>\n<p>It delivers ultra-short laser pulses that shatter pigment particles without generating the heat that causes post-inflammatory flares \u2014 making it significantly safer than IPL or ablative lasers for melasma patients, particularly in medium-to-dark skin tones that are common in Honolulu.<\/p>\n<\/div><\/section><br \/>\n<\/p><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mfy0j-e3ad24b356c8fa443f7ffc0d71453e03\">\n#top .flex_column_table.av-equal-height-column-flextable.av-mfy0j-e3ad24b356c8fa443f7ffc0d71453e03{\nmargin-top:20px;\nmargin-bottom:0px;\n}\n.flex_column.av-mfy0j-e3ad24b356c8fa443f7ffc0d71453e03{\npadding:40px 40px 40px 20px;\nbackground-color:#2f2f2f;\n}\n\n@media only screen and (max-width: 479px){ \n.flex_column.av-mfy0j-e3ad24b356c8fa443f7ffc0d71453e03{\npadding:20px 20px 20px 20px;\n}\n}\n<\/style>\n<div  class='flex_column av-mfy0j-e3ad24b356c8fa443f7ffc0d71453e03 av_one_half  avia-builder-el-56  el_after_av_one_half  el_before_av_one_third  no_margin flex_column_table_cell av-equal-height-column av-align-top av-animated-generic fade-in-up  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv12h0vx-43012ff9a6c929a95b8c423af3cb0c57\">\n.av_textblock_section.av-mv12h0vx-43012ff9a6c929a95b8c423af3cb0c57{\nbackground-color:#3a3a3a;\n}\n#top .av_textblock_section.av-mv12h0vx-43012ff9a6c929a95b8c423af3cb0c57 .avia_textblock{\npadding:10px 15px 10px 20px;\ncolor:#9a9a9a;\n}\n\n@media only screen and (max-width: 479px){ \n#top .av_textblock_section.av-mv12h0vx-43012ff9a6c929a95b8c423af3cb0c57 .avia_textblock{\npadding:15px 15px 15px 15px;\n}\n}\n<\/style>\n<section  class='av_textblock_section av-mv12h0vx-43012ff9a6c929a95b8c423af3cb0c57 '  ><div class='avia_textblock left-border-melasma-white av_inherit_color' ><p><strong><span class=\"space barlowcond\" style=\"color: white;\">What One Session Addresses<\/span><\/strong><\/p>\n<p>\u2014 Melasma patches \u2014 forehead, cheeks, upper lip, chin<br \/>\n\u2014 Solar lentigines and sun spots<br \/>\n\u2014 Post-inflammatory hyperpigmentation<br \/>\n\u2014 Overall skin brightening and tone evening<br \/>\n\u2014 Laser peel \u2014 skin renewal and glow restoration<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-8ubgz-143165ddb1de0af76ec9189ea33aad2b\">\n#top .hr.hr-invisible.av-8ubgz-143165ddb1de0af76ec9189ea33aad2b{\nheight:10px;\n}\n<\/style>\n<div  class='hr av-8ubgz-143165ddb1de0af76ec9189ea33aad2b hr-invisible  avia-builder-el-58  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv12htob-5b811c35d00523119428b9f13b8426a3\">\n.av_textblock_section.av-mv12htob-5b811c35d00523119428b9f13b8426a3{\nbackground-color:#3a3a3a;\n}\n#top .av_textblock_section.av-mv12htob-5b811c35d00523119428b9f13b8426a3 .avia_textblock{\npadding:10px 15px 10px 20px;\ncolor:#9a9a9a;\n}\n\n@media only screen and (max-width: 479px){ \n#top .av_textblock_section.av-mv12htob-5b811c35d00523119428b9f13b8426a3 .avia_textblock{\npadding:15px 15px 15px 15px;\n}\n}\n<\/style>\n<section  class='av_textblock_section av-mv12htob-5b811c35d00523119428b9f13b8426a3 '  ><div class='avia_textblock left-border-melasma-white av_inherit_color' ><p><strong><span class=\"space barlowcond\" style=\"color: white;\">Pricing<\/span><\/strong><\/p>\n<p>$450+ per session \u00b7 Package pricing available<\/p>\n<p><em>Most patients require a series of sessions for optimal results. Dr. Tan determines the appropriate number and interval at your consultation.<\/em><\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-gucar-65f75b710cd736abff68e90184e4e558\">\n#top .hr.hr-invisible.av-gucar-65f75b710cd736abff68e90184e4e558{\nheight:20px;\n}\n<\/style>\n<div  class='hr av-gucar-65f75b710cd736abff68e90184e4e558 hr-invisible  avia-builder-el-60  el_after_av_textblock  el_before_av_button_big  avia-builder-el-last '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<div  class='avia-button-wrap avia-button-center  avia-builder-el-61  el_after_av_hr  avia-builder-el-last '>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv12judb-466e3c55ba375f974697b2f0e92ac582\">\n#top #wrap_all .avia-button.av-mv12judb-466e3c55ba375f974697b2f0e92ac582{\nbackground-color:#ffffff;\nborder-color:#ffffff;\nborder-style:solid;\nborder-width:1px 1px 1px 1px;\ntransition:all 0.4s ease-in-out;\nfont-size:11px;\n}\n#top #wrap_all .avia-button.av-mv12judb-466e3c55ba375f974697b2f0e92ac582:hover{\ncolor:white;\ntransition:all 0.4s ease-in-out;\n}\n#top #wrap_all .avia-button.av-mv12judb-466e3c55ba375f974697b2f0e92ac582:hover .avia-svg-icon svg:first-child{\nfill:white;\nstroke:white;\n}\n<\/style>\n<a href='https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/contact-us\/' class='avia-font-color-black avia-button avia-button-fullwidth av-mv12judb-466e3c55ba375f974697b2f0e92ac582 avia-icon_select-no avia-color-custom'   aria-label=\"Schedule A Consultation\"><span class='avia_iconbox_title' >Schedule A Consultation<\/span><span class='avia_button_background avia-button avia-button-fullwidth avia-color-theme-color-highlight'><\/span><\/a><\/div><\/p><\/div><\/div><!--close column table wrapper. Autoclose: 1 --><div class='flex_column_table av-mtlnzfvf-7ca81e3a46eb12c5538fd6a256218064 sc-av_one_third av-equal-height-column-flextable'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mtlnzfvf-7ca81e3a46eb12c5538fd6a256218064\">\n#top .flex_column_table.av-equal-height-column-flextable.av-mtlnzfvf-7ca81e3a46eb12c5538fd6a256218064{\nmargin-top:35px;\nmargin-bottom:0px;\n}\n.flex_column.av-mtlnzfvf-7ca81e3a46eb12c5538fd6a256218064{\npadding:32px 32px 32px 32px;\n}\n\n@media only screen and (max-width: 479px){ \n.flex_column.av-mtlnzfvf-7ca81e3a46eb12c5538fd6a256218064{\npadding:20px 20px 20px 20px;\n}\n}\n<\/style>\n<div  class='flex_column av-mtlnzfvf-7ca81e3a46eb12c5538fd6a256218064 av_one_third  avia-builder-el-62  el_after_av_one_half  el_before_av_one_third  three-box-top first no_margin flex_column_table_cell av-equal-height-column av-align-top av-animated-generic fade-in-up  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-9vi7f-19693a9c4e607ee54521a077e043f9e4\">\n#top .av-special-heading.av-9vi7f-19693a9c4e607ee54521a077e043f9e4{\nmargin:0 0 0 0;\npadding-bottom:0;\nfont-size:22px;\n}\nbody .av-special-heading.av-9vi7f-19693a9c4e607ee54521a077e043f9e4 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-9vi7f-19693a9c4e607ee54521a077e043f9e4 .av-special-heading-tag{\nfont-size:22px;\npadding:0 0 0 0;\n}\n.av-special-heading.av-9vi7f-19693a9c4e607ee54521a077e043f9e4 .av-subheading{\nfont-size:15px;\n}\n\n@media only screen and (max-width: 479px){ \n#top #wrap_all .av-special-heading.av-9vi7f-19693a9c4e607ee54521a077e043f9e4 .av-special-heading-tag{\nfont-size:18px;\n}\n}\n\n@media only screen and (min-width: 480px) and (max-width: 767px){ \n#top #wrap_all .av-special-heading.av-9vi7f-19693a9c4e607ee54521a077e043f9e4 .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n<\/style>\n<div  class='av-special-heading av-9vi7f-19693a9c4e607ee54521a077e043f9e4 av-special-heading-h3 blockquote modern-quote  avia-builder-el-63  el_before_av_textblock  avia-builder-el-first  av-inherit-size'><h3 class='av-special-heading-tag '  >Chemical Peels \u2014 Controlled Exfoliation<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mtlnzwcn-cde4d4ab5c613f05c0cbfdf412e39650\">\n#top .av_textblock_section.av-mtlnzwcn-cde4d4ab5c613f05c0cbfdf412e39650 .avia_textblock{\ncolor:#5a5a58;\n}\n<\/style>\n<section  class='av_textblock_section av-mtlnzwcn-cde4d4ab5c613f05c0cbfdf412e39650 '  ><div class='avia_textblock av_inherit_color' ><p>Medical-grade chemical peels accelerate cellular turnover \u2014 clearing pigmented cells from the surface and stimulating fresh, more evenly toned skin beneath. Dr. Tan uses the ZO 3-Step Peel and TCA as appropriate, calibrated to your skin type and pigmentation depth.<\/p>\n<p><strong>Key distinction:<\/strong> Peel selection and strength must be carefully matched to skin tone. Overly aggressive peeling in darker skin types triggers PIH \u2014 making the problem worse, not better. Physician assessment determines the right peel.<\/p>\n<div>$395+ \u00b7 Package pricing available \u00b7 <a href=\"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/chemical-peels\/\">Learn more \u2192<\/a><\/div>\n<\/div><\/section><\/p><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-k7zn-786f23ad53426ffda4c30fbcab749f65\">\n#top .flex_column_table.av-equal-height-column-flextable.av-k7zn-786f23ad53426ffda4c30fbcab749f65{\nmargin-top:35px;\nmargin-bottom:0px;\n}\n.flex_column.av-k7zn-786f23ad53426ffda4c30fbcab749f65{\npadding:32px 32px 32px 32px;\n}\n\n@media only screen and (max-width: 479px){ \n.flex_column.av-k7zn-786f23ad53426ffda4c30fbcab749f65{\npadding:20px 20px 20px 20px;\n}\n}\n<\/style>\n<div  class='flex_column av-k7zn-786f23ad53426ffda4c30fbcab749f65 av_one_third  avia-builder-el-65  el_after_av_one_third  el_before_av_one_third  three-box-top no_margin flex_column_table_cell av-equal-height-column av-align-top av-animated-generic fade-in-up  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv130rbj-5c86af8ec14011ebc6794f2db9ea2e6c\">\n#top .av-special-heading.av-mv130rbj-5c86af8ec14011ebc6794f2db9ea2e6c{\nmargin:0 0 0 0;\npadding-bottom:0;\nfont-size:22px;\n}\nbody .av-special-heading.av-mv130rbj-5c86af8ec14011ebc6794f2db9ea2e6c .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-mv130rbj-5c86af8ec14011ebc6794f2db9ea2e6c .av-special-heading-tag{\nfont-size:22px;\npadding:0 0 0 0;\n}\n.av-special-heading.av-mv130rbj-5c86af8ec14011ebc6794f2db9ea2e6c .av-subheading{\nfont-size:15px;\n}\n\n@media only screen and (max-width: 479px){ \n#top #wrap_all .av-special-heading.av-mv130rbj-5c86af8ec14011ebc6794f2db9ea2e6c .av-special-heading-tag{\nfont-size:18px;\n}\n}\n\n@media only screen and (min-width: 480px) and (max-width: 767px){ \n#top #wrap_all .av-special-heading.av-mv130rbj-5c86af8ec14011ebc6794f2db9ea2e6c .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n<\/style>\n<div  class='av-special-heading av-mv130rbj-5c86af8ec14011ebc6794f2db9ea2e6c av-special-heading-h3 blockquote modern-quote  avia-builder-el-66  el_before_av_textblock  avia-builder-el-first  av-inherit-size'><h3 class='av-special-heading-tag '  >SkinPen\u00ae Microneedling \u2014 Collagen <span class='special_amp'>&amp;<\/span> Pigment Reset<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv131hag-bac144b9179bc04b7c6addfcf6f5f4c5\">\n#top .av_textblock_section.av-mv131hag-bac144b9179bc04b7c6addfcf6f5f4c5 .avia_textblock{\ncolor:#5a5a58;\n}\n<\/style>\n<section  class='av_textblock_section av-mv131hag-bac144b9179bc04b7c6addfcf6f5f4c5 '  ><div class='avia_textblock av_inherit_color' ><p>Microneedling creates controlled micro-channels in the skin, stimulating natural healing and cellular turnover that reduces melanin deposits and improves pigmentation over a series of sessions. When combined with PRP, it also enhances overall skin quality and tone.<\/p>\n<p>Particularly effective for post-inflammatory hyperpigmentation and diffuse uneven tone \u2014 and a core component of the HFPS Pigmentation Protocol for appropriate patients.<\/p>\n<div>$550+ \u00b7 Package pricing available \u00b7 <a href=\"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/skinpen-microneedling-prp\/\">Learn more \u2192<\/a><\/div>\n<\/div><\/section><\/p><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-1cj477-4a73e801ddc90b070d3e4e1f2e245d5a\">\n#top .flex_column_table.av-equal-height-column-flextable.av-1cj477-4a73e801ddc90b070d3e4e1f2e245d5a{\nmargin-top:35px;\nmargin-bottom:0px;\n}\n.flex_column.av-1cj477-4a73e801ddc90b070d3e4e1f2e245d5a{\npadding:32px 32px 32px 32px;\n}\n\n@media only screen and (max-width: 479px){ \n.flex_column.av-1cj477-4a73e801ddc90b070d3e4e1f2e245d5a{\npadding:20px 20px 20px 20px;\n}\n}\n<\/style>\n<div  class='flex_column av-1cj477-4a73e801ddc90b070d3e4e1f2e245d5a av_one_third  avia-builder-el-68  el_after_av_one_third  avia-builder-el-last  three-box-top no_margin flex_column_table_cell av-equal-height-column av-align-top av-animated-generic fade-in-up  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv131vs6-f5e89179b2ffb057c9cfa36ffe0efa95\">\n#top .av-special-heading.av-mv131vs6-f5e89179b2ffb057c9cfa36ffe0efa95{\nmargin:0 0 0 0;\npadding-bottom:0;\nfont-size:22px;\n}\nbody .av-special-heading.av-mv131vs6-f5e89179b2ffb057c9cfa36ffe0efa95 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-mv131vs6-f5e89179b2ffb057c9cfa36ffe0efa95 .av-special-heading-tag{\nfont-size:22px;\npadding:0 0 0 0;\n}\n.av-special-heading.av-mv131vs6-f5e89179b2ffb057c9cfa36ffe0efa95 .av-subheading{\nfont-size:15px;\n}\n\n@media only screen and (max-width: 479px){ \n#top #wrap_all .av-special-heading.av-mv131vs6-f5e89179b2ffb057c9cfa36ffe0efa95 .av-special-heading-tag{\nfont-size:18px;\n}\n}\n\n@media only screen and (min-width: 480px) and (max-width: 767px){ \n#top #wrap_all .av-special-heading.av-mv131vs6-f5e89179b2ffb057c9cfa36ffe0efa95 .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n<\/style>\n<div  class='av-special-heading av-mv131vs6-f5e89179b2ffb057c9cfa36ffe0efa95 av-special-heading-h3 blockquote modern-quote  avia-builder-el-69  el_before_av_textblock  avia-builder-el-first  av-inherit-size'><h3 class='av-special-heading-tag '  >Physician-Directed Skincare Protocol<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv132qks-d2e74390bfa8654f3e882f7859b61b75\">\n#top .av_textblock_section.av-mv132qks-d2e74390bfa8654f3e882f7859b61b75 .avia_textblock{\ncolor:#5a5a58;\n}\n<\/style>\n<section  class='av_textblock_section av-mv132qks-d2e74390bfa8654f3e882f7859b61b75 '  ><div class='avia_textblock av_inherit_color' ><p>No in-clinic treatment works sustainably without the right at-home protocol supporting it. Dr. Tan prescribes a physician-directed medical-grade skincare plan including prescription hydroquinone, tretinoin, combination topicals, antioxidants, and clinical-grade SPF \u2014 calibrated to your specific pigmentation type and skin.<\/p>\n<p>For patients who want a comprehensive, ongoing physician-managed skincare protocol, the <a href=\"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/contact-us\/\">HFPS Skin Membership<\/a> includes protocol design, product access, and regular clinical check-ins.<\/p>\n<\/div><\/section><\/p><\/div><\/div><!--close column table wrapper. Autoclose: 1 -->\n\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv133s9c-0c69464a5d233d3abfc188d2685c146d\">\n.avia-section.av-mv133s9c-0c69464a5d233d3abfc188d2685c146d{\nbackground-color:#f7f5f3;\nbackground-image:unset;\n}\n<\/style>\n<div id='av_section_5'  class='avia-section av-mv133s9c-0c69464a5d233d3abfc188d2685c146d main_color avia-section-large avia-no-border-styling  avia-builder-el-71  el_after_av_section  el_before_av_section  faq-top-border avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-475'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv13fiwx-2943613b4b82326911322b6805ea8e44\">\n#top .flex_column.av-mv13fiwx-2943613b4b82326911322b6805ea8e44{\nmargin-top:0px;\nmargin-bottom:0px;\n}\n.flex_column.av-mv13fiwx-2943613b4b82326911322b6805ea8e44{\nwidth:48%;\n}\n.responsive #top #wrap_all .flex_column.av-mv13fiwx-2943613b4b82326911322b6805ea8e44{\nmargin-top:0px;\nmargin-bottom:0px;\n}\n<\/style>\n<div  class='flex_column av-mv13fiwx-2943613b4b82326911322b6805ea8e44 av_one_half  avia-builder-el-72  el_before_av_one_half  avia-builder-el-first  first flex_column_div av-animated-generic fade-in-up  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-1852dv-624b159db5be7a92ca58486174dbcdab\">\n#top .av_textblock_section.av-1852dv-624b159db5be7a92ca58486174dbcdab .avia_textblock{\nfont-size:10px;\ncolor:#8c8984;\n}\n<\/style>\n<section  class='av_textblock_section av-1852dv-624b159db5be7a92ca58486174dbcdab '  ><div class='avia_textblock space barlowcond av_inherit_color' ><p>Prescription &amp; Medical-Grade Topicals<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv13417r-d7dcbb18cf688940ffdc5b221145611e\">\n#top .av-special-heading.av-mv13417r-d7dcbb18cf688940ffdc5b221145611e{\nmargin:0 0 0 0;\npadding-bottom:10px;\nfont-size:38px;\n}\nbody .av-special-heading.av-mv13417r-d7dcbb18cf688940ffdc5b221145611e .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-mv13417r-d7dcbb18cf688940ffdc5b221145611e .av-special-heading-tag{\nfont-size:38px;\npadding:10px 0 0 0;\n}\n.av-special-heading.av-mv13417r-d7dcbb18cf688940ffdc5b221145611e .av-subheading{\nfont-size:15px;\n}\n\n@media only screen and (max-width: 479px){ \n#top #wrap_all .av-special-heading.av-mv13417r-d7dcbb18cf688940ffdc5b221145611e .av-special-heading-tag{\nfont-size:24px;\n}\n}\n\n@media only screen and (min-width: 480px) and (max-width: 767px){ \n#top #wrap_all .av-special-heading.av-mv13417r-d7dcbb18cf688940ffdc5b221145611e .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n<\/style>\n<div  class='av-special-heading av-mv13417r-d7dcbb18cf688940ffdc5b221145611e av-special-heading-h2 custom-color-heading blockquote modern-quote  avia-builder-el-74  el_after_av_textblock  el_before_av_textblock  av-inherit-size'><h2 class='av-special-heading-tag '  >The Topicals That Actually Work \u2014 and Why You Need a Physician to Prescribe Them<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-2af6r-96b994d11c28864b3b48f134d592f6fa\">\n#top .av_textblock_section.av-2af6r-96b994d11c28864b3b48f134d592f6fa .avia_textblock{\ncolor:#5a5a58;\n}\n<\/style>\n<section  class='av_textblock_section av-2af6r-96b994d11c28864b3b48f134d592f6fa '  ><div class='avia_textblock av_inherit_color' ><p>The most effective medical treatments for melasma and hyperpigmentation require a prescription. They are not available over the counter, and they are not the same as the &#8220;brightening&#8221; products sold at beauty retailers. The active ingredients that produce clinically meaningful pigment reduction \u2014 hydroquinone at therapeutic concentration, tretinoin, combination triple-combination formulas \u2014 require physician oversight because they can cause significant side effects if used incorrectly or in the wrong skin type.<\/p>\n<p>Dr. Tan prescribes these topicals as part of a structured protocol \u2014 not in isolation, but in combination with in-clinic treatments and barrier-supporting skincare that allows the actives to work without damaging the skin in the process.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv1369rp-c050fbafc95cc811cf96df488c854647\">\n.av_textblock_section.av-mv1369rp-c050fbafc95cc811cf96df488c854647{\nbackground-color:#ffffff;\n}\n#top .av_textblock_section.av-mv1369rp-c050fbafc95cc811cf96df488c854647 .avia_textblock{\npadding:10px 15px 10px 20px;\ncolor:#5a5a5a;\n}\n\n@media only screen and (max-width: 479px){ \n#top .av_textblock_section.av-mv1369rp-c050fbafc95cc811cf96df488c854647 .avia_textblock{\npadding:15px 15px 15px 15px;\n}\n}\n<\/style>\n<section  class='av_textblock_section av-mv1369rp-c050fbafc95cc811cf96df488c854647 '  ><div class='avia_textblock left-border-melasma-black av_inherit_color' ><p><strong><span class=\"space barlowcond\" style=\"color: black;\">Hydroquinone \u2014 The Gold Standard<\/span><\/strong><\/p>\n<p>Prescription-strength hydroquinone inhibits tyrosinase \u2014 the enzyme responsible for melanin production. At clinical concentration, it is the most reliably effective topical for melasma. Available as monotherapy or in combination formulas.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-8919n-dab5010878683cb3a353ce0ce0b7c969\">\n#top .hr.hr-invisible.av-8919n-dab5010878683cb3a353ce0ce0b7c969{\nheight:10px;\n}\n<\/style>\n<div  class='hr av-8919n-dab5010878683cb3a353ce0ce0b7c969 hr-invisible  avia-builder-el-77  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv136y58-4dbb4dc8b9217683934d52aa48540ce6\">\n.av_textblock_section.av-mv136y58-4dbb4dc8b9217683934d52aa48540ce6{\nbackground-color:#ffffff;\n}\n#top .av_textblock_section.av-mv136y58-4dbb4dc8b9217683934d52aa48540ce6 .avia_textblock{\npadding:10px 15px 10px 20px;\ncolor:#5a5a5a;\n}\n\n@media only screen and (max-width: 479px){ \n#top .av_textblock_section.av-mv136y58-4dbb4dc8b9217683934d52aa48540ce6 .avia_textblock{\npadding:15px 15px 15px 15px;\n}\n}\n<\/style>\n<section  class='av_textblock_section av-mv136y58-4dbb4dc8b9217683934d52aa48540ce6 '  ><div class='avia_textblock left-border-melasma-black av_inherit_color' ><p><strong><span class=\"space barlowcond\" style=\"color: black;\">Tretinoin<\/span><\/strong><\/p>\n<p>Prescription retinoid that accelerates cellular turnover \u2014 clearing pigmented cells from the skin surface and improving the penetration and efficacy of other topicals used alongside it.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-zknrf-30ee0a37ee6a598dc5deb518eb0a5ac3\">\n#top .hr.hr-invisible.av-zknrf-30ee0a37ee6a598dc5deb518eb0a5ac3{\nheight:10px;\n}\n<\/style>\n<div  class='hr av-zknrf-30ee0a37ee6a598dc5deb518eb0a5ac3 hr-invisible  avia-builder-el-79  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv137ewb-5d1f6ef07bb6137b47892f960f294432\">\n.av_textblock_section.av-mv137ewb-5d1f6ef07bb6137b47892f960f294432{\nbackground-color:#ffffff;\n}\n#top .av_textblock_section.av-mv137ewb-5d1f6ef07bb6137b47892f960f294432 .avia_textblock{\npadding:10px 15px 10px 20px;\ncolor:#5a5a5a;\n}\n\n@media only screen and (max-width: 479px){ \n#top .av_textblock_section.av-mv137ewb-5d1f6ef07bb6137b47892f960f294432 .avia_textblock{\npadding:15px 15px 15px 15px;\n}\n}\n<\/style>\n<section  class='av_textblock_section av-mv137ewb-5d1f6ef07bb6137b47892f960f294432 '  ><div class='avia_textblock left-border-melasma-black av_inherit_color' ><p><strong><span class=\"space barlowcond\" style=\"color: black;\">Triple-Combination Formula<\/span><\/strong><\/p>\n<p>Hydroquinone + tretinoin + corticosteroid in a single formula. The most clinically studied combination for melasma \u2014 addresses melanin production, cellular turnover, and inflammation simultaneously.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-re3lf-f02b53921d0e62bbe405f54be7b4ed10\">\n#top .hr.hr-invisible.av-re3lf-f02b53921d0e62bbe405f54be7b4ed10{\nheight:10px;\n}\n<\/style>\n<div  class='hr av-re3lf-f02b53921d0e62bbe405f54be7b4ed10 hr-invisible  avia-builder-el-81  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv137v47-42badd4ef3834ae5b1578fafb57d1300\">\n.av_textblock_section.av-mv137v47-42badd4ef3834ae5b1578fafb57d1300{\nbackground-color:#ffffff;\n}\n#top .av_textblock_section.av-mv137v47-42badd4ef3834ae5b1578fafb57d1300 .avia_textblock{\npadding:10px 15px 10px 20px;\ncolor:#5a5a5a;\n}\n\n@media only screen and (max-width: 479px){ \n#top .av_textblock_section.av-mv137v47-42badd4ef3834ae5b1578fafb57d1300 .avia_textblock{\npadding:15px 15px 15px 15px;\n}\n}\n<\/style>\n<section  class='av_textblock_section av-mv137v47-42badd4ef3834ae5b1578fafb57d1300 '  ><div class='avia_textblock left-border-melasma-black av_inherit_color' ><p><strong><span class=\"space barlowcond\" style=\"color: black;\">Oral Medications<\/span><\/strong><\/p>\n<p>For patients with significant melasma who have not responded adequately to topical treatment, oral medications that inhibit melanin production may be appropriate. Dr. Tan evaluates candidacy individually.<\/p>\n<\/div><\/section><\/p><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv13a4up-785aa3f2702b67cadd02eb97e1d681b9\">\n#top .flex_column.av-mv13a4up-785aa3f2702b67cadd02eb97e1d681b9{\nmargin-top:0px;\nmargin-bottom:0px;\n}\n.flex_column.av-mv13a4up-785aa3f2702b67cadd02eb97e1d681b9{\nwidth:48%;\nmargin-left:4%;\npadding:32px 32px 32px 32px;\nbackground-color:#edebe8;\n}\n.responsive #top #wrap_all .flex_column.av-mv13a4up-785aa3f2702b67cadd02eb97e1d681b9{\nmargin-top:0px;\nmargin-bottom:0px;\n}\n\n@media only screen and (max-width: 479px){ \n.flex_column.av-mv13a4up-785aa3f2702b67cadd02eb97e1d681b9{\npadding:20px 20px 20px 20px;\n}\n}\n<\/style>\n<div  class='flex_column av-mv13a4up-785aa3f2702b67cadd02eb97e1d681b9 av_one_half  avia-builder-el-83  el_after_av_one_half  avia-builder-el-last  three-box-top flex_column_div av-animated-generic fade-in-up  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv133iv0-3a158356bfc2d7787569c077756e4f7f\">\n#top .av_textblock_section.av-mv133iv0-3a158356bfc2d7787569c077756e4f7f .avia_textblock{\nfont-size:10px;\ncolor:#8c8984;\n}\n<\/style>\n<section  class='av_textblock_section av-mv133iv0-3a158356bfc2d7787569c077756e4f7f '  ><div class='avia_textblock space barlowcond av_inherit_color' ><p>The HFPS Pigmentation Protocol \u2014 A Complete System<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv13b3ic-37b223a88840c25742382175892842de\">\n#top .av_textblock_section.av-mv13b3ic-37b223a88840c25742382175892842de .avia_textblock{\ncolor:#5a5a58;\n}\n<\/style>\n<section  class='av_textblock_section av-mv13b3ic-37b223a88840c25742382175892842de '  ><div class='avia_textblock av_inherit_color' ><p>For patients who want comprehensive, physician-managed pigmentation treatment, the HFPS approach combines all available modalities into a structured, sequenced protocol:<\/p>\n<ol>\n<li><strong>Skin strengthening<\/strong> \u2014 barrier repair before any corrective treatment begins<\/li>\n<li><strong>Prescription topical protocol<\/strong> \u2014 physician-directed corrective skincare<\/li>\n<li><strong>In-clinic treatments<\/strong> \u2014 Hollywood Spectra, peels, microneedling as indicated<\/li>\n<li><strong>Titration and maintenance<\/strong> \u2014 keeping results and preventing recurrence<\/li>\n<\/ol>\n<p><a href=\"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/contact-us\/\"><strong><span class=\"space barlowcond\" style=\"color: black;\">Learn About the HFPS Skin Membership \u2192<\/span><\/strong><\/a><\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-12v5yr-f08ad75098e92f5fb7e332ad6f3b2a83\">\n#top .hr.hr-invisible.av-12v5yr-f08ad75098e92f5fb7e332ad6f3b2a83{\nheight:25px;\n}\n<\/style>\n<div  class='hr av-12v5yr-f08ad75098e92f5fb7e332ad6f3b2a83 hr-invisible  avia-builder-el-86  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv13cvis-efed69dedf498bf8f2650af6e9e59aed\">\n.av_textblock_section.av-mv13cvis-efed69dedf498bf8f2650af6e9e59aed{\nbackground-color:#2b2b2b;\n}\n#top .av_textblock_section.av-mv13cvis-efed69dedf498bf8f2650af6e9e59aed .avia_textblock{\npadding:10px 15px 10px 20px;\ncolor:#9a9a9a;\n}\n\n@media only screen and (max-width: 479px){ \n#top .av_textblock_section.av-mv13cvis-efed69dedf498bf8f2650af6e9e59aed .avia_textblock{\npadding:15px 15px 15px 15px;\n}\n}\n<\/style>\n<section  class='av_textblock_section av-mv13cvis-efed69dedf498bf8f2650af6e9e59aed '  ><div class='avia_textblock left-border-melasma-white av_inherit_color' ><p><strong><span class=\"space barlowcond\" style=\"color: white;\">Sun Protection in Honolulu \u2014 Non-Negotiable<\/span><\/strong><\/p>\n<p>No pigmentation treatment \u2014 prescription or otherwise \u2014 works sustainably in Honolulu without rigorous, consistent sun protection. This is not standard advice. In Hawaii&#8217;s UV environment, it is a clinical requirement.<\/p>\n<ul>\n<li>Broad-spectrum SPF 50+ with zinc oxide \u2014 applied daily, reapplied every 2 hours outdoors<\/li>\n<li>Wide-brimmed hat \u2014 worn whenever outdoors, year-round<\/li>\n<li>UV-protective clothing for extended outdoor activities<\/li>\n<li>Avoid peak UV hours (10am\u20132pm) when possible<\/li>\n<\/ul>\n<\/div><\/section><\/p><\/div>\n\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='av_section_6'  class='avia-section av-6q951-6793cbc5a9df4656eca15d49180d71f4 main_color avia-section-large avia-no-border-styling  avia-builder-el-88  el_after_av_section  el_before_av_layout_row  faq-top-border avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-475'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-63xz5-bdbab32cb564df50c78343e36ad7f150\">\n.flex_column.av-63xz5-bdbab32cb564df50c78343e36ad7f150{\npadding:0 140px 0 140px;\n}\n\n@media only screen and (max-width: 479px){ \n.flex_column.av-63xz5-bdbab32cb564df50c78343e36ad7f150{\npadding:0 0 0 0;\n}\n}\n<\/style>\n<div  class='flex_column av-63xz5-bdbab32cb564df50c78343e36ad7f150 av_one_full  avia-builder-el-89  avia-builder-el-no-sibling  first flex_column_div av-animated-generic fade-in-up  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-dzsxv-f14a704720d5d3e09f2c9ccae7f0a51f\">\n#top .av_textblock_section.av-dzsxv-f14a704720d5d3e09f2c9ccae7f0a51f .avia_textblock{\nfont-size:12px;\ncolor:#8c8984;\n}\n<\/style>\n<section  class='av_textblock_section av-dzsxv-f14a704720d5d3e09f2c9ccae7f0a51f '  ><div class='avia_textblock space barlowcond av_inherit_color' ><p>Common Questions<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-j5t9-28fd2e6173ac3a2e84ba65e475b4c6be\">\n#top .av-special-heading.av-j5t9-28fd2e6173ac3a2e84ba65e475b4c6be{\nmargin:0 0 0 0;\npadding-bottom:10px;\nfont-size:35px;\n}\nbody .av-special-heading.av-j5t9-28fd2e6173ac3a2e84ba65e475b4c6be .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-j5t9-28fd2e6173ac3a2e84ba65e475b4c6be .av-special-heading-tag{\nfont-size:35px;\npadding:10px 0 0 0;\n}\n.av-special-heading.av-j5t9-28fd2e6173ac3a2e84ba65e475b4c6be .av-subheading{\nfont-size:15px;\n}\n\n@media only screen and (max-width: 479px){ \n#top #wrap_all .av-special-heading.av-j5t9-28fd2e6173ac3a2e84ba65e475b4c6be .av-special-heading-tag{\nfont-size:24px;\n}\n}\n\n@media only screen and (min-width: 480px) and (max-width: 767px){ \n#top #wrap_all .av-special-heading.av-j5t9-28fd2e6173ac3a2e84ba65e475b4c6be .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n<\/style>\n<div  class='av-special-heading av-j5t9-28fd2e6173ac3a2e84ba65e475b4c6be av-special-heading-h2 blockquote modern-quote  avia-builder-el-91  el_after_av_textblock  el_before_av_textblock  av-inherit-size'><h2 class='av-special-heading-tag '  >Melasma <span class='special_amp'>&amp;<\/span> Hyperpigmentation \u2014 Frequently Asked Questions<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv134ka2-b535d507d79e7aa94d71078e647bf7c5\">\n#top .av_textblock_section.av-mv134ka2-b535d507d79e7aa94d71078e647bf7c5 .avia_textblock{\ncolor:#5a5a58;\n}\n<\/style>\n<section  class='av_textblock_section av-mv134ka2-b535d507d79e7aa94d71078e647bf7c5 '  ><div class='avia_textblock av_inherit_color' ><p>Questions Dr. Tan hears most often from patients seeking pigmentation treatment in Honolulu.<\/p>\n<\/div><\/section><br \/>\n<div  class='togglecontainer av-mv14878u-c3c5aa2d3b6b1579527809be84c5f459 av-minimal-toggle  avia-builder-el-93  el_after_av_textblock  avia-builder-el-last  toggle_close_all' >\n<section class='av_toggle_section av-mv145prg-66e8bee2daec92d4f621495667763ff1' ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p id='toggle-toggle-id-1' data-fake-id='#toggle-id-1' class='toggler  av-title-above '  role='tab' tabindex='0' aria-controls='toggle-id-1' data-slide-speed=\"200\" data-title=\"Is there a cure for melasma?\" data-title-open=\"\" data-aria_collapsed=\"Click to expand: Is there a cure for melasma?\" data-aria_expanded=\"Click to collapse: Is there a cure for melasma?\">Is there a cure for melasma?<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-1' aria-labelledby='toggle-toggle-id-1' role='region' class='toggle_wrap  av-title-above'  ><div class='toggle_content invers-color ' ><p>Melasma has no permanent cure \u2014 it is a chronic skin condition that can be managed very effectively but requires ongoing attention. The good news: with the right combination of prescription topicals, in-clinic treatments, and consistent sun protection, most patients achieve significant clearing and can maintain that result long-term. The key is understanding that management is the goal, not a one-time fix. Patients who stay consistent with their protocol and sun protection in Honolulu typically do very well.<\/p>\n<\/div><\/div><\/div><\/section>\n<section class='av_toggle_section av-mv1463jt-eee60e03d189558bbf5f0784482b12e5' ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p id='toggle-toggle-id-2' data-fake-id='#toggle-id-2' class='toggler  av-title-above '  role='tab' tabindex='0' aria-controls='toggle-id-2' data-slide-speed=\"200\" data-title=\"What makes the Hollywood Spectra different from other lasers for melasma?\" data-title-open=\"\" data-aria_collapsed=\"Click to expand: What makes the Hollywood Spectra different from other lasers for melasma?\" data-aria_expanded=\"Click to collapse: What makes the Hollywood Spectra different from other lasers for melasma?\">What makes the Hollywood Spectra different from other lasers for melasma?<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-2' aria-labelledby='toggle-toggle-id-2' role='region' class='toggle_wrap  av-title-above'  ><div class='toggle_content invers-color ' ><p>Most lasers used for pigmentation were cleared for solar lentigines (sun spots) \u2014 their use for melasma is technically off-label. The Hollywood Spectra is the first laser with FDA clearance specifically for melasma treatment. Clinically, this matters because its ultra-short pulse duration shatters pigment without generating the heat that triggers post-inflammatory hyperpigmentation \u2014 a significant risk with IPL and other laser types, especially in the darker skin tones common in Hawaii. It is also safe for all Fitzpatrick skin types, which very few laser options can claim.<\/p>\n<\/div><\/div><\/div><\/section>\n<section class='av_toggle_section av-mv146g3d-ecfed088d652d8b994c70d91027d0963' ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p id='toggle-toggle-id-3' data-fake-id='#toggle-id-3' class='toggler  av-title-above '  role='tab' tabindex='0' aria-controls='toggle-id-3' data-slide-speed=\"200\" data-title=\"How long does melasma treatment take to work?\" data-title-open=\"\" data-aria_collapsed=\"Click to expand: How long does melasma treatment take to work?\" data-aria_expanded=\"Click to collapse: How long does melasma treatment take to work?\">How long does melasma treatment take to work?<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-3' aria-labelledby='toggle-toggle-id-3' role='region' class='toggle_wrap  av-title-above'  ><div class='toggle_content invers-color ' ><p>Results typically emerge over 3\u20136 months for most patients, with continued improvement through 12 months. Long-standing or deep melasma may take longer. Combination approaches \u2014 laser plus prescription topicals plus medical-grade skincare \u2014 produce faster and more significant improvement than any single treatment alone. Dr. Tan sets realistic expectations at your consultation and adjusts the protocol based on your response over time.<\/p>\n<\/div><\/div><\/div><\/section>\n<section class='av_toggle_section av-mv146tir-c91ba25467a2eb7bff3006f025c2c7d7' ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p id='toggle-toggle-id-4' data-fake-id='#toggle-id-4' class='toggler  av-title-above '  role='tab' tabindex='0' aria-controls='toggle-id-4' data-slide-speed=\"200\" data-title=\"I have darker skin \u2014 are these treatments safe for me?\" data-title-open=\"\" data-aria_collapsed=\"Click to expand: I have darker skin \u2014 are these treatments safe for me?\" data-aria_expanded=\"Click to collapse: I have darker skin \u2014 are these treatments safe for me?\">I have darker skin \u2014 are these treatments safe for me?<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-4' aria-labelledby='toggle-toggle-id-4' role='region' class='toggle_wrap  av-title-above'  ><div class='toggle_content invers-color ' ><p>Yes \u2014 with the right treatment selection and physician oversight. This is one of the most important questions to ask any provider. Many laser and peel options that work well in lighter skin types can trigger significant post-inflammatory hyperpigmentation in medium-to-dark skin \u2014 making the problem considerably worse. Dr. Tan specifically assesses your Fitzpatrick skin type and adjusts treatment protocols accordingly. The Hollywood Spectra was selected in part because of its proven safety across all skin tones \u2014 it is among the few laser options that can be used confidently in the full range of skin types seen in Honolulu.<\/p>\n<\/div><\/div><\/div><\/section>\n<section class='av_toggle_section av-mv147bsh-bdee190b2c6f8fa7dfc24349a867703d' ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p id='toggle-toggle-id-5' data-fake-id='#toggle-id-5' class='toggler  av-title-above '  role='tab' tabindex='0' aria-controls='toggle-id-5' data-slide-speed=\"200\" data-title=\"Can I get laser treatment for melasma if I spend time outdoors?\" data-title-open=\"\" data-aria_collapsed=\"Click to expand: Can I get laser treatment for melasma if I spend time outdoors?\" data-aria_expanded=\"Click to collapse: Can I get laser treatment for melasma if I spend time outdoors?\">Can I get laser treatment for melasma if I spend time outdoors?<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-5' aria-labelledby='toggle-toggle-id-5' role='region' class='toggle_wrap  av-title-above'  ><div class='toggle_content invers-color ' ><p>Yes \u2014 with preparation and commitment to sun protection. Living in Hawaii does not disqualify you from melasma treatment. However, it does require a realistic, ongoing sun protection protocol \u2014 daily SPF 50+ with zinc oxide, a wide-brimmed hat, and sun-avoidance habits. Patients who commit to this do very well. Patients who expect treatment results without changing sun habits will be disappointed, because UV exposure will continue to drive melanin overproduction regardless of what treatments are applied. Dr. Tan discusses this honestly at every consultation.<\/p>\n<\/div><\/div><\/div><\/section>\n<section class='av_toggle_section av-mv147bsh-5-6b7ef72c45efdc00ce5f9b33b116aadd' ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p id='toggle-toggle-id-6' data-fake-id='#toggle-id-6' class='toggler  av-title-above '  role='tab' tabindex='0' aria-controls='toggle-id-6' data-slide-speed=\"200\" data-title=\"What is post-inflammatory hyperpigmentation and is it different from melasma?\" data-title-open=\"\" data-aria_collapsed=\"Click to expand: What is post-inflammatory hyperpigmentation and is it different from melasma?\" data-aria_expanded=\"Click to collapse: What is post-inflammatory hyperpigmentation and is it different from melasma?\">What is post-inflammatory hyperpigmentation and is it different from melasma?<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-6' aria-labelledby='toggle-toggle-id-6' role='region' class='toggle_wrap  av-title-above'  ><div class='toggle_content invers-color ' ><p>Post-inflammatory hyperpigmentation (PIH) is dark discoloration that develops after skin trauma \u2014 acne, a cut, a rash, or even a cosmetic procedure. It is not the same as melasma, though they can look similar. PIH is triggered by inflammation, while melasma is triggered by UV and hormones. They can occur simultaneously \u2014 which is common in Hawaii&#8217;s patient population \u2014 and their treatment overlaps, but the approach must account for both. Dr. Tan distinguishes between them at assessment, because treating one as if it were the other produces suboptimal results.<\/p>\n<\/div><\/div><\/div><\/section>\n<section class='av_toggle_section av-mv147bsh-4-08cfa67b5019d4b339027f390c37815e' ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p id='toggle-toggle-id-7' data-fake-id='#toggle-id-7' class='toggler  av-title-above '  role='tab' tabindex='0' aria-controls='toggle-id-7' data-slide-speed=\"200\" data-title=\"Where can I get treatment for melasma in Honolulu?\" data-title-open=\"\" data-aria_collapsed=\"Click to expand: Where can I get treatment for melasma in Honolulu?\" data-aria_expanded=\"Click to collapse: Where can I get treatment for melasma in Honolulu?\">Where can I get treatment for melasma in Honolulu?<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-7' aria-labelledby='toggle-toggle-id-7' role='region' class='toggle_wrap  av-title-above'  ><div class='toggle_content invers-color ' ><p>Hawaii Facial Plastic Surgery is one of the few practices in Honolulu offering a comprehensive, physician-directed approach to melasma \u2014 combining the Hollywood Spectra (FDA-cleared for melasma), chemical peels, microneedling, prescription topical protocols, and ongoing clinical oversight. Dr. Tan is located at 1150 S King Street, Suite 504, Honolulu, HI 96814. Call (808) 636-9084 or request a consultation online.<\/p>\n<\/div><\/div><\/div><\/section>\n<\/div><\/p><\/div>\n\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='av-layout-grid-1'  class='av-layout-grid-container av-mv14f238-d58f0f7c6841ba8a2a4b560a5b00692a entry-content-wrapper main_color av-border-top-bottom av-flex-cells  avia-builder-el-94  el_after_av_section  avia-builder-el-last  grid-row-not-first  container_wrap fullsize'  >\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv14evbs-e97a5fc9f3d92da80b65c047b39bf6c5\">\n.flex_cell.av-mv14evbs-e97a5fc9f3d92da80b65c047b39bf6c5{\nvertical-align:top;\nbackground-color:#2f2f2f;\n}\n.responsive #top #wrap_all .flex_cell.av-mv14evbs-e97a5fc9f3d92da80b65c047b39bf6c5{\npadding:70px 70px 70px 70px !important;\n}\n\n@media only screen and (max-width: 479px){ \n.responsive #top #wrap_all .flex_cell.av-mv14evbs-e97a5fc9f3d92da80b65c047b39bf6c5{\npadding:70px 20px 70px 20px !important;\n}\n}\n<\/style>\n<div class='flex_cell av-mv14evbs-e97a5fc9f3d92da80b65c047b39bf6c5 av-gridrow-cell av_one_full no_margin  avia-builder-el-95  avia-builder-el-no-sibling  content-align-top'  ><div class='flex_cell_inner'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-1liit-73e3220a607c29c9b6720bd6819eb3fd\">\n.flex_column.av-1liit-73e3220a607c29c9b6720bd6819eb3fd{\npadding:0 250px 0 250px;\n}\n\n@media only screen and (max-width: 479px){ \n.flex_column.av-1liit-73e3220a607c29c9b6720bd6819eb3fd{\npadding:0 0 0 0;\n}\n}\n<\/style>\n<div  class='flex_column av-1liit-73e3220a607c29c9b6720bd6819eb3fd av_one_full  avia-builder-el-96  avia-builder-el-no-sibling  first flex_column_div av-animated-generic fade-in-up  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-5haxh-f6cc9f6c303daf992db1ad935db453e0\">\n#top .av_textblock_section.av-5haxh-f6cc9f6c303daf992db1ad935db453e0 .avia_textblock{\nfont-size:12px;\ncolor:#8c8984;\ntext-align:center;\n}\n<\/style>\n<section  class='av_textblock_section av-5haxh-f6cc9f6c303daf992db1ad935db453e0 '  ><div class='avia_textblock space barlowcond av_inherit_color' ><p>Melasma Treatment in Honolulu<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mtlky79w-e834fc6d28aaf724046a1856362d64ac\">\n#top .av-special-heading.av-mtlky79w-e834fc6d28aaf724046a1856362d64ac{\nmargin:0 0 0 0;\npadding-bottom:10px;\ncolor:#ffffff;\nfont-size:45px;\n}\nbody .av-special-heading.av-mtlky79w-e834fc6d28aaf724046a1856362d64ac .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-mtlky79w-e834fc6d28aaf724046a1856362d64ac .av-special-heading-tag{\nfont-size:45px;\npadding:10px 0 0 0;\n}\n.av-special-heading.av-mtlky79w-e834fc6d28aaf724046a1856362d64ac .special-heading-inner-border{\nborder-color:#ffffff;\n}\n.av-special-heading.av-mtlky79w-e834fc6d28aaf724046a1856362d64ac .av-subheading{\nfont-size:15px;\n}\n\n@media only screen and (max-width: 479px){ \n#top #wrap_all .av-special-heading.av-mtlky79w-e834fc6d28aaf724046a1856362d64ac .av-special-heading-tag{\nfont-size:29px;\n}\n}\n\n@media only screen and (min-width: 480px) and (max-width: 767px){ \n#top #wrap_all .av-special-heading.av-mtlky79w-e834fc6d28aaf724046a1856362d64ac .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n<\/style>\n<div  class='av-special-heading av-mtlky79w-e834fc6d28aaf724046a1856362d64ac av-special-heading-h2 custom-color-heading blockquote modern-quote modern-centered  avia-builder-el-98  el_after_av_textblock  el_before_av_textblock  av-inherit-size'><h2 class='av-special-heading-tag '  >Ready to talk about your skin with a physician who actually specializes in this?<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-9u5lf-5506be39c6d60b1d5bcb8721149c570d\">\n#top .av_textblock_section.av-9u5lf-5506be39c6d60b1d5bcb8721149c570d .avia_textblock{\ncolor:#9a9a9a;\ntext-align:center;\n}\n<\/style>\n<section  class='av_textblock_section av-9u5lf-5506be39c6d60b1d5bcb8721149c570d '  ><div class='avia_textblock av_inherit_color' ><p>Dr. Tan sees every pigmentation patient personally \u2014 assessing your skin type, your pigmentation pattern, your Hawaii lifestyle, and your history of prior treatments. The plan you leave with is built for your skin specifically.<\/p>\n<\/div><\/section><br \/>\n<div  class='avia-buttonrow-wrap av-mv14bi2t-b1214a4c0b49ba7f37259097ba4a049c avia-buttonrow-center  avia-builder-el-100  el_after_av_textblock  el_before_av_textblock '>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv14bft3-627b336c02a80f959ef16d73aeb28b61\">\n#top #wrap_all .avia-button.av-mv14bft3-627b336c02a80f959ef16d73aeb28b61{\nbackground-color:#ffffff;\nborder-color:#ffffff;\ncolor:#000000;\ntransition:all 0.4s ease-in-out;\nmargin-bottom:5px;\nmargin-right:3px;\nmargin-left:3px;\n}\n#top #wrap_all .avia-button.av-mv14bft3-627b336c02a80f959ef16d73aeb28b61:hover{\ncolor:white;\ntransition:all 0.4s ease-in-out;\n}\n#top #wrap_all .avia-button.av-mv14bft3-627b336c02a80f959ef16d73aeb28b61 .avia-svg-icon svg:first-child{\nfill:#000000;\nstroke:#000000;\n}\n#top #wrap_all .avia-button.av-mv14bft3-627b336c02a80f959ef16d73aeb28b61:hover .avia-svg-icon svg:first-child{\nfill:white;\nstroke:white;\n}\n<\/style>\n<a href='https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/contact-us\/'  class='avia-button av-mv14bft3-627b336c02a80f959ef16d73aeb28b61 avia-icon_select-no avia-size-large'   aria-label=\"Request a Consultation\"><span class='avia_iconbox_title' >Request a Consultation<\/span><span class='avia_button_background avia-button avia-color-theme-color-highlight' ><\/span><\/a>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mv14apsw-48f054d00946737ef22b08952925c850\">\n#top #wrap_all .avia-button.av-mv14apsw-48f054d00946737ef22b08952925c850{\ncolor:#ffffff;\nborder-style:solid;\nborder-width:2px 2px 2px 2px;\ntransition:all 0.4s ease-in-out;\nmargin-bottom:5px;\nmargin-right:3px;\nmargin-left:3px;\n}\n#top #wrap_all .avia-button.av-mv14apsw-48f054d00946737ef22b08952925c850:hover{\ncolor:white;\ntransition:all 0.4s ease-in-out;\n}\n#top #wrap_all .avia-button.av-mv14apsw-48f054d00946737ef22b08952925c850 .avia-svg-icon svg:first-child{\nfill:#ffffff;\nstroke:#ffffff;\n}\n#top #wrap_all .avia-button.av-mv14apsw-48f054d00946737ef22b08952925c850:hover .avia-svg-icon svg:first-child{\nfill:white;\nstroke:white;\n}\n<\/style>\n<a href='https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/acne-scar-treatment\/'  class='avia-button av-mv14apsw-48f054d00946737ef22b08952925c850 avia-icon_select-no avia-size-large avia-color-light'   aria-label=\"HFPS Skin Membership \u2192\"><span class='avia_iconbox_title' >HFPS Skin Membership \u2192<\/span><span class='avia_button_background avia-button avia-color-theme-color-highlight' ><\/span><\/a>\n<\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mtlkydll-ae1c27e069713dbdf7b6c147326e0798\">\n#top .av_textblock_section.av-mtlkydll-ae1c27e069713dbdf7b6c147326e0798 .avia_textblock{\ncolor:#9a9a9a;\ntext-align:center;\n}\n<\/style>\n<section  class='av_textblock_section av-mtlkydll-ae1c27e069713dbdf7b6c147326e0798 '  ><div class='avia_textblock av_inherit_color' ><p>1150 S King Street, Suite 504 \u00b7 Honolulu, Hawai\u02bbi 96814 \u00b7 (808) 636-9084<\/p>\n<\/div><\/section><\/p><\/div>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"footnotes":""},"class_list":["post-475","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Melasma Treatment | Hyperpigmentation | Susan Tan, MD<\/title>\n<meta name=\"description\" content=\"From laser therapy &amp; micro-needling to chemical peels &amp; more, learn about the hyperpigmentation &amp; melasma treatments Dr. Susan Tan offers.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Melasma Treatment | Hyperpigmentation | Susan Tan, MD\" \/>\n<meta property=\"og:description\" content=\"From laser therapy &amp; micro-needling to chemical peels &amp; more, learn about the hyperpigmentation &amp; melasma treatments Dr. Susan Tan offers.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/melasma-treatment\/\" \/>\n<meta property=\"og:site_name\" content=\"Hawaii Facial Plastic Surgery\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/p\/Hawaii-Facial-Plastic-Surgery-100085034047630\/\" \/>\n<meta property=\"article:modified_time\" content=\"2026-10-09T15:29:41+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"11 minutes\" \/>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Melasma Treatment | Hyperpigmentation | Susan Tan, MD","description":"From laser therapy & micro-needling to chemical peels & more, learn about the hyperpigmentation & melasma treatments Dr. Susan Tan offers.","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"Melasma Treatment | Hyperpigmentation | Susan Tan, MD","og_description":"From laser therapy & micro-needling to chemical peels & more, learn about the hyperpigmentation & melasma treatments Dr. Susan Tan offers.","og_url":"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/melasma-treatment\/","og_site_name":"Hawaii Facial Plastic Surgery","article_publisher":"https:\/\/www.facebook.com\/p\/Hawaii-Facial-Plastic-Surgery-100085034047630\/","article_modified_time":"2026-10-09T15:29:41+00:00","twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"11 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/melasma-treatment\/","url":"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/melasma-treatment\/","name":"Melasma Treatment | Hyperpigmentation | Susan Tan, MD","isPartOf":{"@id":"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/#website"},"datePublished":"2024-11-16T14:21:11+00:00","dateModified":"2026-10-09T15:29:41+00:00","description":"From laser therapy & micro-needling to chemical peels & more, learn about the hyperpigmentation & melasma treatments Dr. Susan Tan offers.","breadcrumb":{"@id":"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/melasma-treatment\/#breadcrumb"},"inLanguage":"en","potentialAction":[{"@type":"ReadAction","target":["https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/melasma-treatment\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/melasma-treatment\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/"},{"@type":"ListItem","position":2,"name":"Melasma Treatment"}]},{"@type":"WebSite","@id":"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/#website","url":"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/","name":"Hawaii Facial Plastic Surgery","description":"Oahu&#039;s Best Plastic Surgeon","publisher":{"@id":"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en"},{"@type":"Organization","@id":"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/#organization","name":"Hawaii Facial Plastic Surgery","url":"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/","logo":{"@type":"ImageObject","inLanguage":"en","@id":"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/#\/schema\/logo\/image\/","url":"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/wp-content\/uploads\/2024\/12\/Logo.webp","contentUrl":"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/wp-content\/uploads\/2024\/12\/Logo.webp","width":420,"height":108,"caption":"Hawaii Facial Plastic Surgery"},"image":{"@id":"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/p\/Hawaii-Facial-Plastic-Surgery-100085034047630\/","https:\/\/www.instagram.com\/drsusantan\/","https:\/\/www.linkedin.com\/in\/susan-tan-9270ba203\/"]}]}},"_links":{"self":[{"href":"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/wp-json\/wp\/v2\/pages\/475","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/wp-json\/wp\/v2\/comments?post=475"}],"version-history":[{"count":22,"href":"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/wp-json\/wp\/v2\/pages\/475\/revisions"}],"predecessor-version":[{"id":3607,"href":"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/wp-json\/wp\/v2\/pages\/475\/revisions\/3607"}],"wp:attachment":[{"href":"https:\/\/ecommerceseo.us\/hawaiifacialplasticsurgery\/wp-json\/wp\/v2\/media?parent=475"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}