Top Melasma Treatments: How to Safely Manage and Control Melasma with Moxi, Carboxy Therapy, and Even Tone Skincare
Introduction
Melasma is more than a skin condition—it's a chronic pigmentation challenge that affects confidence, routine, and even lifestyle. At The Piazza Center, we approach melasma not with the illusion of a permanent “fix,” but with long-term, strategic control . The goal isn’t just clearer skin—it’s learning how to understand your triggers, cool inflammation quickly, and choose treatments that work with your skin—not against it .
What Is Melasma—and Why You Can’t Just “Cure” It
Melasma typically appears as blotchy brown or grayish patches, often across the forehead, cheeks, or upper lip. It’s most common in women and often linked to hormones, sun, and heat exposure . But here’s what I tell every patient: melasma doesn’t disappear—it’s something you learn to manage .
Even with great improvement, melasma can come back. Our goal is to educate you , give you the right tools, and help you develop an intuition about what might cause your flare-ups.
Learn more from the Cleveland Clinic’s overview on melasma or the American Academy of Dermatology .
Moxi® Laser – Safe, Smart, and Built for Melasma-Prone Skin
We use the Moxi® laser at The Piazza Center because it’s non-ablative, low-heat, and ideal for ongoing melasma management . It resurfaces the skin and fades pigmentation gradually, with little downtime and a reduced risk of flare-ups.
Why Moxi is a top choice:
Minimal heat = minimal pigment activation
Safe for all skin tones
Excellent for seasonal or hormonal melasma maintenance
Moxi Melasma Treatment: Before and After
Treat Melasma With A Cooling Mask: Mediplorer By Dr. Medion
After any laser treatment—especially Moxi —cooling the skin immediately is crucial to prevent post-treatment melasma flare-ups. At The Piazza Center, we recommend the Mediplorer Sheet Mask , a medical-grade oxygenating mask designed to soothe inflammation, restore hydration, and support skin healing.
💡 Protocol: Your clinician will apply the first mask immediately after treatment, followed by a second application the same evening to continue cooling. Then, use the remaining masks in the pack once daily for 5 days to maintain skin calmness and prevent pigment activation.
This cooling regimen is a powerful part of our melasma-safe laser protocol —and it’s key to preserving your glow.
"Cooling the skin immediately after treatment is one of the most critical steps in managing melasma. Heat is a known trigger for flare-ups, and if we don’t reduce that post-procedure inflammation quickly, we risk undoing all the progress we’ve made. By cooling the skin effectively, we’re not just soothing the surface—we're protecting the deeper layers where pigment is produced." - Dr Rocco Piazza, MD FACS
RECOMMENDED LASER COOLING PRODUCTS
Prescription Melasma Treatment Option: Musely’s Spot Cream
While not sold at The Piazza Center, I sometimes recommend Musely’s prescription-grade Spot Cream for appropriate patients. It contains prescription-strength ingredients like hydroquinone and tretinoin for short-term pigment reduction .
➡️ View the Musely product here
Important: These stronger topicals should only be used under medical guidance and not long-term , especially if you’ve had previous irritation. Musely syncs you with a dermatologist to find a cream solution.
Skincare To Treat Melasma
At-Home Support: SkinBetter Science Even Tone Correcting Serum
We recommend this to almost every melasma patient. The SkinBetter Science Even Tone Correcting Serum is:
Hydroquinone-free
Packed with gentle brightening agents like alpha-arbutin , hexylresorcinol , and diglucosyl gallic acid
Safe for daily use and supports long-term melasma management
You can find it directly through The Piazza Center .
How to Avoid Melasma Flares: Know Your Triggers
Here’s where your intuition becomes your best tool. If you’ve had melasma, you’ve likely noticed a connection between flare-ups and things like heat, sunlight, or stress.
Avoid hot yoga, saunas, steam rooms
Skip hot baths and long exposure to direct sun
Always apply and reapply physical sunscreen
Cool the skin immediately after laser or treatment
Use antioxidant and anti-inflammatory products daily
Follow with SPF during the day to protect renewed skin.
Frequently Asked Questions
Can I cure melasma?
Melasma can’t be cured—but it can be managed. The key is building a smart, ongoing routine and staying consistent.
What’s the difference between Moxi and BBL?
Moxi laser is safe for melasma and uses minimal heat. BBL can cause flare-ups due to its intense light and heat.
Do you offer prescription creams?
We do not dispense prescription hydroquinone, but may recommend trusted external options like Musely if appropriate.
What can I use at home for melasma tratment?
The SkinBetter Even Tone Serum and Mediplorer Masks are my top at-home recommendations for melasma patients.
Why is post treatment cooling so important to treat melasma?
Heat activates melanin. Cooling right away helps prevent pigmentation and keeps your results intact.
Final Thoughts on Melasma Treatments
Controlling melasma is a journey. It’s not about chasing perfection—it’s about understanding your skin , responding to its needs, and building long-term consistency. Whether it's through Moxi , post-treatment cooling , or skincare that respects your skin barrier , we’re here to help you take charge.
Visit shop.thepiazzacenter.com or book a consultation with our team to start your personalized protocol. With the right support, you can live confidently with melasma—and know exactly how to keep it calm .
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The Author : Dr Rocco Piazza
Live Confidently with Science-Backed Skincare & Wellness
At The Piazza Center, we believe that confidence isn’t just about how you look—it’s about how you live.
Founded by Dr. Rocco Piazza, a board-certified plastic surgeon based in Austin, Texas , our practice has earned a reputation for excellence in plastic surgery and regenerative aesthetics. Now, that same clinical expertise powers our online store, offering medical-grade skincare and biohacking solutions you can trust.
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