Stubborn melasma demands specialized care. We combine cosmelan, microneedling, and tranexamic acid for results that actually last.
Melasma is a chronic skin condition that causes brown, gray-brown, or blue-gray patches — typically on the cheeks, upper lip, forehead, chin, and along the jawline. It affects an estimated 5 million Americans, and over 90% of those affected are women, often during or after pregnancy ("the mask of pregnancy"), with hormonal birth control, or simply with prolonged sun and heat exposure.
Unlike sun spots or freckles, melasma involves overactive pigment-producing cells (melanocytes) deep in the skin. The pigmentation can sit at multiple depths — epidermal, dermal, or mixed — which is why generic spot treatments rarely work. Melasma is also notoriously stubborn: it requires specialized protocols, sun protection, and an ongoing maintenance plan to keep it under control long-term.
At Nova, we approach melasma the way it deserves to be approached — as a complex pigment disorder that requires layered, professional intervention. Generic at-home remedies usually fail. Our protocols combine in-clinic depigmentation peels, prescription-grade topicals, controlled microneedling, and rigorous SPF discipline to give you real, lasting clarity.
Considered the gold standard for melasma. A clinically-applied depigmentation mask suppresses tyrosinase — the enzyme responsible for melanin production — at the source. Followed by a take-home phase to maintain pigment suppression.
Applied topically or microneedled into the skin, tranexamic acid blocks the inflammatory signals that trigger melasma flares — making it one of the most evidence-backed melasma treatments available today.
Gentle controlled microneedling enhances penetration of brightening serums and stimulates healthy cellular turnover — without aggravating pigment-producing cells the way harsh lasers can.
A personalized take-home regimen — typically including a medical-grade tinted SPF 50+, antioxidants, and prescription brighteners — to keep your results and prevent rebound pigmentation.
Most pigmentation treatments make melasma worse. IPL, aggressive lasers, and hydroquinone overuse can all trigger rebound pigmentation that's darker and more stubborn than the original. This is why so many people spend years trying products that promise results, only to watch their melasma return darker.
The right protocol respects how sensitive melanocytes really are. We start gentle, we layer treatments intentionally, and we prioritize long-term suppression over short-term whitening. Most importantly — we focus on the maintenance phase as much as the active treatment phase, because melasma management is a lifestyle, not a one-time fix.
Real before & after of stubborn facial melasma — addressed with our multi-phase protocol over several months of consistent treatment.
Patchy hyperpigmentation across the cheeks, forehead, and upper lip — typical of hormone-driven melasma.
Even tone, brightened skin, and dramatic reduction of pigment after a customized depigmentation protocol.
Photo used with client consent · Individual results vary · Maintenance protocol required
Combines multiple proven modalities
Our team specializes in stubborn pigmentation
When light treatments fail, we succeed
Includes home care to prevent return
Every client is different. We design your treatment plan and pricing during your complimentary consultation — based on your goals, skin, and what truly fits you. No pressure. No upsells. Just real, transparent guidance from licensed NP/RN.
Determine melasma type, depth, triggers, history.
Cosmelan peel or laser + maintenance plan.
Spaced 4-6 weeks apart for optimal results.
Daily SPF + prescription topical to prevent return.
"Absolutely the best decision I made. The team is professional, the space is beautiful, and the results speak for themselves. Will definitely be back."
"I drive 30 minutes to come here and it's worth every mile. The attention to detail, the quality of work, the ambiance — everything is top tier."
"Finally found my forever med spa. The results are incredible and the team really listens to what you want. Highly recommend to anyone on Long Island."
Book your complimentary consultation today. Our team will design a personalized treatment plan around your goals.
1451 Old Country Rd, Plainview NY 11803 · Mon-Fri 9am-6pm · Sat 10am-4pm