Obagi for Melasma: Treatment Options, Results, and Protocols

Obagi for Melasma: Treatment Options, Results, and Protocols

Understanding Melasma: The Stubborn Pigmentation Challenge

Melasma is one of the most frustrating pigmentation conditions—dark, patchy discoloration that appears primarily on the face and is notoriously difficult to treat. Triggered by hormones, sun exposure, and genetics, melasma requires a comprehensive, medical-grade approach.

Obagi's targeted systems are considered the gold standard by dermatologists worldwide for melasma treatment. Unlike simple sun spots or post-inflammatory hyperpigmentation, melasma is deeply embedded in the skin and prone to recurrence. Success requires both aggressive treatment and diligent maintenance.

 

Why Obagi Works for Melasma

The Obagi Nu-Derm System with hydroquinone remains the most clinically-proven approach to melasma because it addresses the condition at multiple levels:

Inhibits melanin production: 4% prescription hydroquinone stops new pigment formation

Accelerates cell turnover: Tretinoin brings pigmented cells to the surface faster

Exfoliates effectively: Physical and chemical exfoliants remove pigmented cells

Provides antioxidant protection: Vitamin C prevents oxidative triggers

Blocks UV damage: Medical-grade sunscreen prevents worsening

For those who cannot use hydroquinone (pregnancy, sensitivity, or personal preference), the Obagi Nu-Derm Fx System offers an effective alternative with arbutin and other brightening agents.

 

The Complete Melasma Treatment Protocol

Weeks 1-6: Initial Treatment Phase - Start with Obagi Gentle Cleanser, followed by Obagi Toner, Professional-C Serum 20%, Obagi Clear (hydroquinone 4%), and SPF 50 in the morning. In the evening, use Obagi Foaming Gel, Toner, Clear, and Tretinoin 0.05% or 0.1%. Expect some dryness and peeling—this is normal.

Weeks 7-18: Transformation Phase - Continue the same protocol. By week 12, most patients see dramatic improvement. Maximum results typically appear around week 18. Strict sun protection remains essential throughout treatment and beyond.

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