Dark melasma patches around my areolas - how can I get rid of it?

I hear your concern, and I want you to know that what you’re experiencing is more common than you might think. Dark patches of pigmentation around the areolas can happen for several reasons melasma, hormonal influences, post-inflammatory pigmentation (from irritation or friction), or simply natural variations in skin tone. Even without pregnancy, melasma-like changes can still occur due to sun exposure, genetics, or hormonal fluctuations.

The good news is that these patches are not harmful, though I completely understand how they can feel bothersome and affect your confidence. Treatments usually focus on gradually lightening the pigment and improving skin texture. Options may include:

Topical creams with ingredients like hydroquinone, tranexamic acid, azelaic acid, or retinoids, which help fade pigmentation.

Gentle chemical peels or laser treatments, which can even out tone over time.

Daily sun protection, even in areas not typically exposed, because UV light can worsen pigmentation.

It’s also worth remembering that areolas naturally vary in size, color, and shape, and yours are not “ugly” they are simply unique to you. But if you’d like to reduce the pigmentation, there are safe, effective strategies to help improve the appearance.

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best,
Dr. Karamanoukian
Realself100 Surgeon

HiPicosure laser would be an ideal way to manage As this is a sensitive area I usually start with low fluence Therefore several treatment is needed I do not think chemical peel is a good option