Why I Told My Long-Time Client to See a Doctor — Some Melasma Isn't a Skin Problem
A long-time client came in recently and said, "My melasma seems to be getting worse with treatments — maybe your equipment isn't right for me." I examined her skin carefully — the pattern, distribution, and timing of the pigmentation. Then I told her honestly: "It's not the equipment. I think you should see a doctor." A few weeks later, she came back with a diagnosis — one that requires long-term medication. This post is about what I saw that day, and why some pigmentation isn't really a skin problem at all. ⚠️ Important: This post is for informational purposes only and is not medical advice. If you have concerns about skin pigmentation, please consult a dermatologist or physician. Not All Melasma Is the Same Melasma is one of the most common concerns I see in my studio — especially among women over 40 in California. But after nearly 20 years of practice, I've come to understand something important: some melasma responds beautifully to...