Specialized FacialTo address concerns with acne, rosacea, and sensitive skin.
Massage
Swedish Massage TherapyThis is the most common type of massage therapy in the united states. Massage therapists use long smooth strokes, kneading, and circular movements on superficial layers of muscle using massage lotion or oil. Swedish massage therapy can be very gentle and relaxing. If you've never had massage before, this is a good one to try first.
Aromatherapy MassageAromatherapy massage is massage with the addition of one or more scented plant oils called essential oils to address specific needs. The massage therapist can select oils that are relaxing, energizing, stress-reducing, balancing, etc. One of the most common essential oils used in aromatherapy massage is lavender. Aromatherapy massage is particularly suited to stress-related conditions or conditions with an emotional component.
Deep Tissue MassageDeep tissue massage targets the deeper layers of muscle and connective tissue. The massage therapist uses slower strokes or friction techniques across the grain of the muscle. Deep tissue massage is used for chronically tight or painful muscles, repetitive strain, postural problems, or recovery from injury. People can potentially feel sore for one to two days after deep tissue massage.
Prenatal MassageAlso called pregnancy massage, prenatal massage is becoming increasingly popular with expectant mothers. This type of massage utilizes bolsters and modified positioning for support, to ensure optimal comfort and incorporates gentle techniques for the mother’s changing body. Pregnancy massage is used to reduce stress, decrease swelling, relieve aches and pains, and reduce anxiety and depression.
ReflexologyAlthough reflexology is sometimes called foot massage, it is more than simple foot massage. Reflexology involves applying pressure to certain points on the foot that correspond to organs and systems in the body. Reflexology is very relaxing, especially for people who stand on their feet all day or just have tired, achy feet.
Sports MassageSports massage is specifically designed for people who are involved in physical activity. But you don't have to be a professional athlete to have one-it's also used by people who are active and work out often. The focus isn't on relaxation but on preventing and treating injury and enhancing athletic performance. A combination of techniques is used. The strokes are generally faster than swedish massage. Facilitated stretching is a common technique. It helps to loosen muscles and increase flexibility.
Eye Brow and Lash Tinting
Waxing
Products
Latisse Eye Treatment
LatissePromotes the growth of eyelashes. The first and only prescription treatment approved by the fda, apply nightly and see results starting in four weeks with full results in 16 weeks.
While LatisseIs a new treatment in eyelash growth, it was developed through years of research by allergan, a pharmaceutical leader with over 60 years of expertise in prescription eye care products.
Blince Cosmetics
Blince CosmeticsWhere innovation meets beauty
Jane Iredale Mineral Makeup
Jane IredaleIs a skin care makeup line made from minerals that are crushed to form microscopic crystals. These crystals overlap each other to form a filter that protects the skin while allowing the skin to breathe and function normally.
Jane IredaleIs healthy for the skin because it does not clog pores, contains no talc and has virtually no allergy risk. It also provides broad-spectrum uva and uvb protection up to spf 20. jane iredale offers complete coverage of skin conditions such as acne, rosacea and redness. Also, the minerals do not support the growth of bacteria like other makeup can.
Obagi Medical
ObagiIs a prescription strength product that transforms your skin. The main obagi skin care lines are obagi nu-derm, obagi-c rx, clenziderm, and a new product, elastiderm. The obagi nu-derm system accelerates cellular turnover for sun damaged skin. The
ObagiC rx system is for brighter skin with mild to moderate sun damage. Clenziderm helps prevent and treat acne prone skin.
What Is the Difference Between Obagi and Products Purchased at StoresThe difference is that obagi products are prescription strength. Other products do not correct skin problems but only mask them. Obagi corrects problems and leaves you with new, healthy skin.
Why Should Obagi Products Be Used TogetherEach obagi product is designed to complement the others to transform your skin. When used as a system, the products work together to balance the ph level and penetrate the layers of skin effectively.
What Can Be Expected While Using Obagi ProductsYour skin will go through several stages. The first stage involves exfoliation, so some redness, flaking and peeling will occur for four to six weeks. During the second phase, your skin will build up a tolerance against flaking and peeling. Once this process is completed, fresh, smooth skin will be revealed. The third stage involves an increase of collagen and elastin, and skin will look refreshed and renewed. Skin tone is balanced, and your face looks younger and healthier.
What Can Be Expected with Obagi ElastidermElastiderm uses a breakthrough bi-mineral complex with malonic acid to help replenish and crosslink elastin, as well as build collagen to create functional elasticity. Obagi elastiderm eye cream or gel can provide patients with new lift, snap resilience, increased elasticity and firmness, fast reduction in the number of wrinkles.
Cosmelan Md
CosmelanTreatment consists of two phases. It is imperative that both be used according to the following directions to achieve complete success.
Phase 1For professional use only. Cosmelan 1 mask is applied in office and left on the skin for a period of time which is determined by the professional according to skin color and type.
Phase 2At home maintenance; the mask is removed with mesoestetic USA cleansing milk and followed by an application of hydravital factor k cream. Cosmelan2 maintenance cream is applied at home according to the recommended protocol of the professional. The objective of this highly effective maintenance cream is to ensure the continued brightening of the complexion and fading of skin discolorations while restoring luminosity. After applying the cosmelan 2, follow daily with hydravital factor k cream and complete moisturizing sunscreen or dermatological complete sunscreen spf 50.
Colorescience
Neova
Offers Superior Protection + Cosmetic Benefit in One Advanced Formula
Defends Against Broad Spectrum Uva/Uvb Rays.
Restricts the Appearance of Sun-Inflicted Damage
Illuminates and Brightens with a Tinted, Pearl Finish.
Water Resistant {80 Minutes)
Clarisonic
Eltamd
Luksus
Luksus SkinIs a biomedical approach, conceived of and created by dr. lili fan. Its formulations deliver microscopic lipopeptide chains that are easily absorbed for cumulative and long-lasting benefits. These patented peptides work synergistically to trigger a positive response in skin’s gene expression, stimulating growth factors and their boosters to help increase collagen and elastin production for greater resiliency and enhanced firmness.
LuksusHas harnessed patent-pending scs (stem cell stimulation) technology, creating a unique retinopeptide/lysodag/probiotic complex that increases protein genesis and decreases protease reaction. This extraordinary anti-aging skin care works with your body’s natural structure to help skin properly digest each product’s ingredient base, diminishing age factors, youthifying skin stem cells and nourishing your face with what’s needed, where it’s needed. Continued use shows that lines and wrinkles begin to diminish, the feel of elasticity returns, and discolorations and imperfections fade.
At GreenspringWe offer the luksus anti-aging foundation primer, the luksus cleanser, the luksus dual eye serum, the luksus phospholipid gf moisturizer, the luksus probiotic defense toner, the luksus scs biogel, the luksus ultra eyelash conditioner, the luksus ultra perform hydrating cream, and the luksus ultra sheer sunscreen spf 30.
Nia24 - Niacin Powered Skin Therapy
Skin Strengthening Complex
Eye Repair Complex
Intensive Recovery Complex
Gentle Cleansing Cream
Physical Cleansing Scrub
Sun Damage Repair for Decolletage and Hands
Sun Damage Prevention 100% Mineral Sunscreen
Rapid Exfoliating SerumNamed best anti-aging serum by self magazine!
Pca Skin
Pca SkinClinical care products are scientifically formulated using technically advanced, all-natural ingredients to nourish, hydrate and rejuvenate your skin. Pca home care products are free of color additives, synthetic fragrances, harsh alcohols, comedogenic oils and other known sensitizers and are designed to deliver results without irritation. Whether battling acne, rosacea, sun damage or aging skin, daily use of pca skin® clinical care products will dramatically improve skin health and help provide the glowing, radiant complexion you desire.
Vi Derm
Vi DermComplete care for normal to dry skin
Vi DermComplete care for oily skin
Vi DermCleanser for all skin types
Vi DermVitamin c 20% gel
Vi DermBleaching cream rx
Vi DermBodywash w 15% glycolic acid and azeliac acid
Vi DermExfoliating body lotion with 15% glycolic acid and retinol
Vi DermAdvanced firming lotion
Vi DermUltra a professional cream
Laser & IPL
Laser Hair Removal
Men
Face
Neck
Back
Buttocks
Chest
Abdomen
Shoulders
Ears
Nose
Hands
Knuckles
Women
Areolas (Nipples)
Bikini Area
Brazilian
Face
Legs
Toes
Arms
Underarms
Want to Know MoreHere at green spring, we feature two different lasers and three different ipl therapies to meet your personalized hair removal needs. With our vast array of technology, we can better treat all different skin and hair types.
Intense Pulse Light (Ipl) TherapiesIpl therapies are fda approved to permanently reduce hair. Technically, ipl is not a laser, though it functions similarly. True lasers emit a single wavelength of light, whereas ipl machines emit multiple wavelengths of light which can be selected for desired targets. For permanent hair removal, wavelengths of ipl are selected that specifically target the melanin (or pigment) in the hair follicle. The melanin absorbs the light, damaging the hair follicle and putting an end to hair growth. Because the light is selectively absorbed by melanin, the hair follicle is damaged while the skin is not.
Permanent Laser Hair Removal with Duet by Light SheerThe light sheer duet is a diode laser which emits optimal wavelengths of light to target and destroy the hair follicle. However, the duet laser stands apart from other permanent hair removal lasers in that the new duet hand piece utilizes vacuum-assisted technology to suction the skin slightly into the hand piece. The stretched skin allows the light wave a more precise interaction with the melanin in the hair follicle while reducing interference with other pigments in the skin. Additionally, the duet has an increased spot size, allowing greater depth of penetration into the hair follicle. The result is a laser that works in a fraction of the time without minimal or no discomfort.
Instructions Before Treatment:Do not tan or stay in the sun for extended periods of time before treatment. Avoid aspirin and other blood thinners.
Instructions After Treatment:Avoid any sun exposure for 48 hours and wear spf 30 sunscreen. You may apply cool compresses to reduce any redness and swelling.
Manscaping Laser Hair Removal
Face
Neck
Back
Buttocks
Chest
Abdomen
Shoulders
Ears
Nose
Hands
Knuckles
ManscapingManscaping or selective hair removal, has become increasingly popular among men who don’t want their body hair all off, but do want it shaped or reduced to fit a desired look or effect. Selective hair removal can be done with our laser and ipl machines to sculpt beards so the face appears slimmer or to sculpt the torso to accentuate muscles and make you look stronger, younger and fitter.
Fractional Lasers
Skin Rejuvenation
Reduction of Fine Lines and Wrinkles
Improvement of Deeper Wrinkles
Repair of Sun Damaged Skin on the Face, Neck, Hands
Reduction of Age Spots and Blemishes
Acne Scarring
The Palomar Lux1540 Fractional LaserThe Palomar lux1540 fractional laser is the latest generation in skin resurfacing technology. This fractional laser smoothes fine lines and wrinkles, improves skin discoloration as well as offers mild skin tightening, but without the downtime or the mild-to-moderate redness associated with other skin resurfacing technologies. Palomar fractional skin resurfacing treatments are effective only when performed in a series of sessions because each session treats only 20 to 25 percent of the skin. By treating just a percentage of the skin, the surrounding untreated skin drives the healing process, filling in the treated area with healthy, more youthful looking skin. The “fractional” treatment of the skin creates seamless, radiant skin without the unwanted side effects associated with other skin resurfacing technology
The Ultra Pulse Active Fx Co2 LaserThe ultra pulse active fx co2 laser is a deeper treatment with a slightly longer downtime. A superficial fractional ablation treatment, the active fx is designed to smooth fine lines, correct uneven texture, and address dyschromia and actinic keratosis.
The Ultra Pulse Deep Fx Co2 LaserThe ultra pulse deep fx co2 laser is our deepest treatment, targeting profound wrinkles. This laser goes deeper into the dermis to address more significant wrinkles.
What to Expect From TreatmentsTreatment expectations vary according to the laser and level of depth desired. Contact our staff for a free consultation to learn more.
Laser Vein Removal
Provides Superior Results for Spider Veins.Using our state of the art lasers, green spring can easily remove the veins on your nose, cheeks and other areas of your face, allowing you to feel confident and comfortable. You can resume your daily routine immediately following your treatment. The treatments are quick, convenient, safe and effective with little or no discomfort. Topical anesthesia is sometimes used to make it even more comfortable. Laser vein removal is the gold standard for treating and controlling rosacea. Laser treatment is also used on some leg veins in conjunction with sclerotherapy.
Ipl Photo Facial
Luminous, Clear, Soft, Skin Is Yours with Ipl Photo Facial.A photo facial treatment is a series of gentle intense pulsed light (ipl) treatments developed to improve the appearance of sun damaged and aged skin, as well as reduce redness and flushing, resulting in more youthful-looking skin. Photo facial treatments consistently and predictably improve the texture, tone and color of the skin with little to no down time. Ipl also stimulates the growth of collagen, decreases pore size and gives skin a youthful appearance. A photo facial’s short treatment time, quick effects and lack of downtime make it popular. A photo facial series gives skin a healthy, youthful look and decreases the appearance of blemishes such as brown spots and redness from rosacea. Noticeable results can appear after the first treatment. A session lasts about a half an hour. The effects of a photo facial series can be long-lasting if the skin is well cared for.
Instructions for Before Treatment:Discontinue use of accutane for six months, retina for two weeks and glycolic acid and alpha-hydroxy acid products for a week before your treatment. Avoid sun and sunless tanning for four weeks. Do not take aspirin or other blood thinners for at least three days before your treatment. You cannot be treated while you have infections or sores in the area.
Instructions for After Treatment:Protect your skin with moisturizers and sunscreen. Cold compresses and steroid creams may be used as necessary. Avoid irritating your skin, and keep away from the sun and sunless tanners for a couple of weeks.
Depigmenting Ipl Photo Facial
For All Skin Types with No Down Time.The depigmenting ipl photo facial treatment is a series of special intense pulsed light (ipl) treatments that specifically target hyper pigmentation (brown spots) on the skin’s surface. The depigmenting ipl photo facial was developed to improve the appearance of sun damaged and aged skin, targeting brown areas of pigmentation, resulting in more youthful-looking, even-toned skin. Depigmenting ipl photo facial treatments consistently and predictably improve the texture, tone and color of the skin with little to no down time. Ipl also stimulates the growth of collagen, decreases pore size and gives skin a youthful appearance. The depigmenting ipl photo facial has a short treatment time and little-to-no downtime. Noticeable results often appear after the first treatment. The effects of depigmenting ipl photo facial can be long-lasting if the skin is well cared for.
Instructions for Before Treatment:Discontinue use of accutane for six months, retina for two weeks and glycolic acid and alpha-hydroxy acid products for a week before your treatment. Avoid sun and sunless tanning for four weeks. Do not take aspirin or other blood thinners for at least three days before your treatment. You cannot be treated while you have infections or sores in the area.
Instructions for After Treatment:Protect your skin with moisturizers and sunscreen. Cold compresses and steroid creams may be used as necessary. Avoid irritating your skin, and keep away from the sun and sunless tanners for a couple of weeks.
Hand Rejuvenation
1. Over Time, the Skin on Your Hands Can Become Frail, Lax, Discolored, or Spotted Due to Chronic Sun Damage and Aging. These Problems Are Addressed Using Special Lasers That Reduce Brown and Red Lesions and Tighten the Skin.
2. The Volume of the Skin Declines with Age Leaving a “Bony” Appearance Where the Tendons on the Back of the Hand Become More Apparent. Dermal Fillers (the Same Ones That Are Used to Treat Facial Lines and Wrinkles Such as Juvederm or Radiesse) Are Injected in Small Amounts, and in Precise Locations, in Order to Restore the Original Volume to the Skin Resulting in a More Youthful Appearance to the Back of Your Hands. This Must Be Done Artistically by Dr. Cadoux in Order to Attain a Natural Appearing Result.
3. With Age, the Veins on the Back of Your Hands Often Get More Numerous. They Also Become Larger, More Distended, and More “Blue-Green” in Appearance. These Veins Can Be Reduced or Eliminated by Dr. Cadoux Using Sclerotherapy or Laser Vein Removal.
Stretch Marks
We Have Multiple Technologies to Suit Your NeedsAs our hormones shift and change in our body they interact with our skin and may result in stretch marks. Pregnancy, birth control pills, rapid weight gain or loss, topical steroid creams and rapid growing all cause stretch marks. Green spring rejuvenation offers the only laser that is fda approved for stretch marks. This laser can reduce red stretch marks, diminish white marks, improve skin texture. Stretch marks can be significantly improved, but they are not completely removed. A series of treatment sessions are usually needed to obtain the best results.
Treatment of Red Stretch MarksWhen the stretch marks are red, lasers can be highly effective at reducing the redness and stopping some of the inflammation. Lasers also induce collagen growth which improves the appearance of the skin.
Laser for White Stretch MarksGreen spring offers the only laser that is fda approved for these stretch marks. This laser is highly effective for stretch marks that are white or tissue-like in texture. There is some risk of post-inflammatory hyper pigmentation in darker individuals that may take some time to fade.
Venus FreezeThe multi-polar radio frequency causes a thermal response in the tissue which causes skin tightening and reduces the appearance of stretch marks.
Medical Cosmetic
Chemical Peels
Refresh and Rejuvenate Your Skin.We offer a variety of chemical peels to best suit the specific needs of your skin. Browse your options or schedule a free consultation to discuss which peel is right for you.
Cosmelan PeelWe use cosmelan md – the top level of cosmelan which allows us to individually customize the levels of lightening ingredients best suited to your needs. Cosmelan md is designed to treat melasma (pregnancy mask), age spots, sun spots and other pigmentation issues. You are not limited to the use of cosmelan because of skin type or time of year. Cosmelan is effective for both men and women who suffer from discoloration caused by excess pigmentation the forehead, cheeks, upper lip or neck. Cosmelan is the answer to dark spots and mottled pigmentation, especially on the face. These discolorations are one of the greatest aesthetic concerns facing men and women today. Instead of covering your face with heavy make-up or foundation, return your skin to its natural tone. The cosmelan depigmentation treatment is very effective. Only by affecting the skin's melanin (color-producing pigment) formation can a person suffering from brown spots obtain a clearing or blending of their skin. Cosmelan improves your skin tone in a safe, non-invasive manner. It's very effective for all types of melasma. The procedure is rapid and easy. The product is compatible with all skin types, and the light peeling effect rejuvenates and increases luminosity of the skin. Treatments can start and be used all year round. The process involves a versatile program easily adapted to the needs of each individual patient and is highly effective on hispanic skins.
Glycolic PeelsThe glycolic acid peel is a form of chemical peel which slowly resurfaces the skin and clears away acne-causing oil and toxins. Several sessions gradually increase the natural beauty and glow of your skin. The process takes about 15 or 20 minutes and can be repeated as often as twice a week. The peels can range from gentle to strong depending on the amount of layers applied and your skin type. There may be some mild stinging during the treatment, and over the next few days, peeling should occur.
Salicylic Acid PeelsChemical peeling continues to be the gold standard in cosmetic enhancement of facial skin. Chemical peeling of the face has been performed for many years. The ancient Egyptians used particles of alabaster mixed with milk and honey to abrade facial skin to create tightening. In Egypt Cleopatra is said to have bathed in sour milk, while French women have applied fermented wine to their faces to improve the quality of the skin. Salicylic acid is a beta-hydroxy acid and the only member of the beta-hydroxy acid family. Salicylic acid is beneficial for acne vulgaris, enlarged pores, rough and oily skin, melasma, post-inflammatory hyper pigmentation, and photo aging.
Power PeelIf you could remove the outermost layer of dry, dead skin cells, you would see just below the surface lies a fresher, younger looking face. That's exactly what power peel treatments can do for you. By gently and precisely exfoliating the surface of your skin over a course of sessions, power peel treatments whisk away years of dull build-up, revealing brighter, more evenly-toned skin in as little as 4 to 6 treatments. This process combines microdermabrasion with a glycolic or salicylic peel, using combination therapy of physical and chemical exfoliation to improve skin texture. Because layers of dead skin cells form a protective covering for bacteria to breed, power peels can help in reducing the incidence of break outs. Power peels are also indicated for the treatment of superficial lines and wrinkles, sun damage, uneven skin tones, superficial scars, acne and acne scarring. Over four to six appropriately timed treatments, this repeated process stimulates production of a new layer of skin cells, bringing with it an increased level of collagen and elastin, the building blocks of supple healthy skin. This procedure is safe for all skin types, including Asian and African American skin.
Cosmelan Peel
Cosmelan MdThe top level of cosmelan which allows us to individually customize the levels of lightening ingredients best suited to your needs. Cosmelan md is designed to treat melasma (pregnancy mask), age spots, sun spots and other pigmentation issues.
Microdermabrasion
The Perfect Skin Treatment for a Natural, Youthful Glow.Microdermabrasion cleans and renews skin. The skin is washed to remove excess oil and dirt. Then, a medical professional targets a stream of aluminum oxide crystals over the area. The crystals abrade away old, dead skin cells, which the vacuum then picks up with gentle suction. This promotes the growth of collagen and new, rejuvenated skin. Moisturizers and sun block are then applied to the treated area.
Instructions for Before TreatmentAvoid retina, sun tanning or tanning creams for at least a week before treatment. Do not have other facial procedures, such as chemical peels, before treatment.
Instructions for After TreatmentSun block and moisturizers should be applied after treatment. Anti-inflammatory creams or cold compresses may be used as necessary. Avoid irritating the treated skin with harsh chemicals, rubbing or sun tanning for one week. Contact your doctor immediately in the event of any rare effects such as blistering, scabbing or infection.
Acne Treatments
What Causes AcneAcne is caused by pores which become clogged and then infected with bacteria. It is not necessarily caused by diet or lack of hygiene. Acne treatments typically aim to destroy the bacteria or improve the function of the skin so it does not become clogged.
How Can Acne Be TreatedThere are several different methods for treating acne.
Chemical PeelsChemical peels are a category of advanced clinical skin rejuvenation treatments that aid in reversing damaged skin due to factors such as aging, sun exposure and acne. We utilize two levels of chemical peels ranging in intensity and strength:
Alphahydroxy Acids (Aha)These are the mildest form of chemical peels and provide smoother, brighter-looking skin with no downtime. The peels' ingredients originate from glycolic, lactic and fruit acids.
Trichloracetic Acids (Tca)This type is a medium-depth peeling system that may be performed in different variations. Fine surface wrinkles, superficial blemishes and pigmentation problems are commonly treated with this type of chemical peel.
Age Spots
You Will Be Amazed at the Difference.Age spots have many names: sun spots, liver spots, brown spots, or maturity spots. Whatever you call them, they are unsightly skin blemishes and people feel these spots show their age. These spots are harmless patches of increased pigmentation that range from freckle size to a few inches across. They appear as flat spots found on sun-exposed skin particularly the hands, face, shoulders, arms and forehead. The color of these spots range from light brown to black and can appear on nearly all skin types. These skin discolorations are associated with aging and exposure to ultra-violet radiation from the sun.
Sun DamageYou may have exposed unprotected skin to ultraviolet rays, whether from a tanning booth, a sunlamp or years of sun exposure with or without sunscreen. In response, your skin has tried to protect itself by producing an overabundance of melanin--the pigmented cells in your skin--in uneven patches. The release of melanin is part of the body's immune response. It is nature's way of protecting the skin from further damage after it has been exposed to an excess of ultra violet rays. Darker discoloration usually indicates damage within the deeper layers of the skin and may be more difficult to treat.
Chemical CausesCertain substances that come in contact with your skin may cause brown spots. Chemicals called psoralens are present in foods such as parsley, limes and parsnips. When you handle these foods and then go out in the sun, your skin may be more sensitive and burn more easily where the psoralens touched it. When the little blisters from the burns have healed, brown spots may appear in their places.
Other Causes of Age SpotsAntibiotics such as tetracycline (achromycin), some diuretics (water pills) and antipsychotic medicines such as chlorpromazine (thorazine) will also tend to cause your skin to produce brown spots especially when it is not protected from the sun. Perfumes or lotions containing musk or bergamot oil also have been known to cause spots.
Treatments for Age Spots and Brown SpotsAt green spring, we use a variety of methods to address age spots depending on an individual skin analysis. Our most common treatment methods are ipl photo facial, depigmenting photo facial, fractional lasers, and chemical peels.
Latisse Eyelash Treatment
Yes You Can Have Longer, Fuller Eyelashes Again.Latisse solution is a prescription treatment for hypotrichosis used to grow eyelashes, making them longer, thicker and darker. It's the first and only prescription treatment approved by the fda. Apply nightly and see results starting in four weeks with full results in 16 weeks.
25% Increase in Lash Length
106% Increase in Lash Thickness/Fullness
18% Increase in Lash Darkness
Melasma Treatments
Pregnancy Mask Can Be Resolved So Easily.Melasma, also known as cholasma, is characterized by irregular patches of dark skin on the face. These tan or brown patches usually occur symmetrically on the cheeks, upper lip, nose, or forehead. The symmetry of melasma distinguishes it from other conditions that cause darkening of the skin.