Melasma that got worse after peels elsewhere
Melasma is hormonally driven and sits deep. It is routinely treated as though it were surface pigment, and aggressive peeling provokes exactly the rebound darkening it was meant to clear.
- A peel is not the primary treatment — PRX is a poor choice for melasma specifically
- A prescription compounded melasma cream, dispensed for use at home
- Strict daily SPF made a condition of treatment, not a suggestion
- Reviewed before anything resurfacing is considered at all
Managed rather than blitzed. Melasma recurs when the trigger is still present, so the plan is long-term control, not a course with an end date.




