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Reveal Your Natural Beauty

Patient Reviews


Melasma is a common, usually chronic, skin condition. It primarily affects the face, causing brown or grayish-brown symmetrical patches on the forehead, cheeks, nose bridge, upper lip and/or chin. It sometimes also appears on the forearms and neck, because these body areas are often exposed to the sun.

Melasma usually appears in healthy adults in their 20s to 40s, but it can occur at any age. It affects both men and women, although it is much more common in women. Pregnant women develop melasma so often, it is sometimes called “the mask of pregnancy,” although in these cases the condition is usually temporary and goes away after delivery. Melasma is also more common in those who have naturally brown skin – as opposed to fair or black skin – and people who tan easily.

You may be genetically predisposed to melasma, as more than a third of patients report the condition runs in their family.

What Triggers Melasma?

  • Long-term exposure to the sun.
  • Hormonal changes such as those that occur during pregnancy.
  • Hormone treatments such as birth control pills or devices or hormone replacement medications.
  • Hypothyroidism (low thyroid levels).
  • Some toiletries, cosmetics, scented or deodorant soaps and certain medications, which can cause a phototoxic reaction that results in melasma.

Because it mainly affects the face, melasma often makes people feel self-conscious about their appearance.

Reducing the Risks and Symptoms

The easiest way to reduce risk of melasma and its effects is to protect your skin from the sun. Use sunscreen every day, and wear a wide-brimmed hat when outdoors. Professional skin care products containing kojic acid, azelaic acid, hydroquinone, retinol, antioxidants and high sun protection factor (SPF) are recommended along with a combination of the treatment options below to reduce the short-term or chronic symptoms of melasma. Schedule a free consultation to discuss the treatment option that is right for you.

Melasma Treatments Offered by Southern Surgical Arts:

HALO Laser Treatments

HALO™ is a one-of-a-kind hybrid fractional laser system that is customizable to remove surface and sub-surface facial skin damage using two targeted lasers simultaneously. The HALO laser is now the gold-standard in reducing Melasma discoloration and improving skin tone and texture with little or no downtime in just one or two treatments.

HALO Laser Before & After

To view more before and after photos, please visit our gallery.

Photo of patient before HALO laser treatment at Southern Surgical Arts Photo of patient after HALO laser treatment at Southern Surgical Arts

Procedure(s): HALO Laser
Aesthetician: Felicia Wright

Photo of patient before HALO Laser treatment at Southern Surgical Arts Photo of patient after HALO Laser treatment at Southern Surgical Arts

Procedure(s): HALO Laser
Aesthetician: Felicia Wright


Melasma Peel/Mask

This moisturizing mask base gently treats dry skin and provides for great absorption of the active ingredients necessary to lighten/correct melasma. The mask is applied for several hours, depending on your skin type/color. After removing the mask, your skin will be red and react like a typical chemical peel with sloughing for several days. These custom treatments have proven to be very effective.

Advanced Intense Pulse Light (IPL)

The IPL treats hyperpigmentation and sun damage so it can help with melasma. This advanced technology uses quick bursts of very bright light to reduce discoloration. It is safe and very effective. Typically, treatment includes a series of three to five treatments, one every four weeks, then a maintenance regimen of one treatment every three to four months.

IPL Before & After

To view more before and after photos, please visit our gallery.

Photo of patient before IPL treatment at Southern Surgical Arts Photo of patient after IPL treatment at Southern Surgical Arts

Procedure(s): IPL
Aesthetician: Felicia Wright

Procedure(s): IPL
Aesthetician: Tammy Capel


Our Doctors

Dr. Deal, Dr. Gardner, Dr. Nease, and Dr. Gusching are fellowship-trained and Board Certified Cosmetic Surgeons. Dr. Nease also holds a board certification in Facial Plastic and Reconstructive Surgery. Combined, our four doctors have more than 23 years experience. Their practice at Southern Surgical Arts is 100% committed, focused, and dedicated to cosmetic and facial plastic surgery. Since 2004, they have performed more than 18,000 major cosmetic procedures.

SSA's Licensed Aestheticians

At Southern Surgical Arts, our team of physicians and licensed aestheticians can evaluate your skin’s current health and needs during a free consultation. Together, we can create a treatment plan that can help you achieve your cosmetic goals.

Spa Access Membership

Spa Access Membership Can Save You $1,000 or More Each Year

Have you signed up for our loyalty program? Why not? It's $199/year and you automatically get a laser treatment or chemical peel worth up to $149. And that's not all, this exclusive membership entitles you to:

  • One free upgrade, up to $50, each month on any spa service
  • 15% off all regularly priced spa & laser services (exclueds BodyTite, Exilis, Halo, Infini, Picosure, and Ultherapy)
  • 10% off all regularly priced retail products fillers & Botox®
  • One $50 referral card per year for a friend or family member (new patients only)

Spa Access Membership deals cannot be combined with other discounts, promotions or special offers. Other conditions may apply.

Call our Chattanooga or Calhoun location to find out how you can sign up today!

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