Does a sauna make melasma pigmentation worse?

Thank you for your question, Melasma needs a combination approach to get the best improvement and will need a series of treatments. In our practice, we combine Clear + Brilliant, peels, microneedling/PRP, Aerolase, and sometimes Erbium (Cool Laser) to get the best results. See an expert for a formal evaluation. Best, Dr. Emer

Heat my worsen melasma. Start with Melarase creams followed by Clear and Brilliant laser and low dose Limelight to reduce the pigmentation and keep it away. Best, Dr. KaramanoukianLos Angeles

I agree that heat may flare the hyperpigmentation of melasma.A multimodality approach to melasma is key to successful reduction in hyperpigmentation and ongoing maintenance. You would need an in person examination but Melasma can be treated with a comprehensive approach.  Before you spend $$$$ on IPL and laser therapy or peels, you should avoid sun exposure with wide spectrum high SPF sun block and Spectrase is a great product for this. Consideration should be given to stopping birth control pills. As well, topical creams that are non hydroquinone based. Sclerovase. Melarase AM and Melarase PM are hydroquinone based products that relieve melasma pigmentation. I have been shown to be very effective in our practice.