SOM Melasma Eraser
A careful, layered plan to fade melasma and keep it controlled — combining Sylfirm X RF microneedling with exosomes, low-energy Moxi laser, Tixel, and prescription brightening. Designed by dermatologist-trained SOM providers at SOM Aesthetics in Encinitas.
How does the SOM Melasma Eraser plan work in San Diego?
The SOM Melasma Eraser is a signature, layered plan at SOM Aesthetics in Encinitas, designed by dermatologist-trained SOM providers, a dermatology specialist. Melasma is chronic and heat-sensitive, so the plan uses melasma-appropriate tools: Sylfirm X RF microneedling with exosomes, low-energy Moxi laser, Tixel for product absorption, and prescription brightening (hydroquinone), with strict daily SPF. The goal is to fade pigment and maintain control, not a one-time cure.
In consult
Sylfirm X + Moxi + Tixel + Rx
Melasma + pigment
Ongoing plan
Daily sun protection
Dermatologist-trained provider
Weeks to months
Ongoing control
Minimal
Daily SPF
Sylfirm X, Moxi, Tixel, Rx
Dermatologist-trained provider
A gentle, layered plan for stubborn melasma.
Melasma is a chronic pigment condition that flares with sun, heat, and hormones. Aggressive treatment can make it worse, so the SOM Melasma Eraser uses melasma-appropriate tools: prescription brightening, Sylfirm X RF microneedling with exosomes, low-energy Moxi laser, and Tixel — sequenced gently for your skin.
A dermatologist-trained SOM provider sequences each step safely and pairs it with strict daily sun protection, the single most important part of keeping melasma under control.
✓ Dermatologist-led
Melasma is medical; a dermatologist-trained SOM provider leads the plan.
✓ Gentle by design
Avoids the heat and aggression that worsen melasma.
✓ Layered approach
Brightening, Sylfirm X, Moxi, and Tixel in the right order.
✓ Prevention built in
Sun protection and maintenance keep it away.
✓ Realistic goals
Fade and manage, not a one-time cure.
Is the SOM Melasma Eraser right for you?
✓ Good Candidates
• Brown or gray-brown facial patches
• Melasma worsened by sun or hormones
• Pigment that returns after other treatments
• Want a safe, dermatologist-led plan
• Ready to commit to daily sun protection
• All skin tones, including deeper skin
✗ May Not Be Right For
• Pregnant (some prescriptions not allowed)
• Expecting a single-session cure
• Unable to avoid sun or wear SPF daily
• Active skin infection or irritation
• Recent isotretinoin (timing matters)
• Wanting aggressive laser (can worsen melasma)
A consultation with a dermatologist-trained SOM provider determines the safest plan for your skin tone and melasma.
Melasma approaches compared.
Melasma Eraser guided by dermatologist-led standards and the SOM Method.
Dermatologist-trained SOM providers plan and deliver Melasma Eraser through the SOM Method, with consultation, candidacy review, individualized treatment planning, documentation, and follow-up.
How much does the SOM Melasma Eraser cost in San Diego?
Prescriptions + plan
First brightening phase
Layered, staged plan
Best long-term control
Member pricing + take-home brighteners
Pricing depends on the prescriptions and treatments in your plan; confirmed in consultation
Approximate, plan-based pricing confirmed in consultation. 0% APR financing through Cherry and CareCredit for qualifying patients.
Four steps. One careful plan.
A dermatologist-trained SOM provider assesses your melasma, skin tone, and triggers.
We begin with prescription brightening and daily SPF.
Careful peels and low-energy laser are added as tolerated.
Maintenance and sun protection keep pigment from returning.
Before · During · After
How to prepare for your consultation
Note when your melasma started and what triggers it (sun, pregnancy, heat). List current skincare and any past treatments. Start daily SPF now if you have not.
• Note triggers (sun, hormones, heat)
• List current skincare and treatments
• Share pregnancy or hormone history
• Start daily SPF before your visit
• Avoid sunburn and tanning
What happens during the melasma plan
Melasma is managed with a gentle, layered plan: prescription brightening, mild peels, and low-energy laser like ClearSilk, staged carefully to avoid triggering pigment. Each visit is about 30 minutes. A dermatologist-trained SOM provider keeps energy conservative for your skin type.
• Gentle, layered plan
• Rx brightening + mild peels
• Low-energy laser (ClearSilk)
• ~30 minutes per visit
• Conservative for your skin
Melasma aftercare
Strict daily SPF and sun avoidance are essential, melasma is driven by sun and heat. Use your prescribed creams as directed; mild flaking can occur after peels. Melasma is managed, not cured; pigment fades gradually and maintenance prevents relapse.
• Strict daily SPF + sun avoidance
• Use prescribed creams as directed
• Mild flaking after peels
• Managed, not cured
• Maintenance prevents relapse
Is the SOM Melasma Eraser safe?
✓ Do
• Wear broad-spectrum SPF every single day
• Use prescriptions exactly as directed
• Reapply sunscreen and wear a hat outdoors
• Go slow; gentle is safer for melasma
• Report irritation so we can adjust
• Keep your maintenance routine long term
✗ Don't
• Do not use aggressive lasers or heat on melasma
• Do not sunbathe or use tanning beds
• Do not over-exfoliate or pick at skin
• Do not use prescription brighteners while pregnant
• Do not expect a permanent, one-time cure
• Do not stop SPF once pigment fades
Melasma questions patients ask
Explore other Signature treatments
Discover other SOM Signature services.
Melasma treatment in Encinitas / North County San Diego.
SOM Aesthetics is at 25 E E St, Encinitas, CA 92024, accessible from Del Mar, La Jolla, Carlsbad, Solana Beach, and Rancho Santa Fe. Call (760) 766-7546.
