Melasma in Midlife: What Every Woman Needs to Know

In this episode of Menopause Rescue, Dr. Polly Watson and Kate Willis NP-C continue their skin and hair series, focusing on melasma, a chronic skin condition that causes hyperpigmentation. Together, they unpack the underlying causes, treatment options, and long-term strategies to manage this frustrating and often recurrent condition. Kate explains why melasma is so difficult to treat, the role of hormones, genetics, and UV exposure, and highlights both traditional therapies and exciting newer options like oral and topical tranexamic acid. The conversation also covers layering therapies, the importance of sun protection, and how patients can make practical decisions about short-term versus maintenance treatments.

Quotes

• “Melasma is a tough and chronic pigment condition that’s triggered by UV, heat, hormones, and genetics.” - Kate Willis NP-C
• “We’re not just treating the surface of the skin. Melasma has deeper layers and even a vascular component.” - Kate Willis NP-C
• “Melasma is not a one-and-done condition. It requires lifelong prevention, ongoing treatment, and a long-term mindset.” - Dr. Polly Watson

Connect with Dr. Polly Watson and Kate Willis NP-C

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