Melasma

Do you have melasma and need a reliable treatment option? Tranexamic acid is a safe and effective therapy that can help reduce hyperpigmentation and improve your skin tone.

Get tranexamic acid treatment for melasma today

$49

/chat visit
  • Self-pay visits - insurance not accepted or needed, FSA/HSA eligible
  • No appointment needed
  • Your health data is secure and protected by our practices and by law

How it works

  1. Connect with the doctor through instant messaging
  2. Pick up any prescribed medication at a pharmacy of your choice or have it delivered
  3. Your care team is available 7 days a week

What is melasma?

Melasma is a skin condition characterized by brown or gray-brown patches, typically on the face. It is caused by overproduction of melanin due to hormonal changes, sun exposure, or genetic factors. Common triggers include pregnancy, oral contraceptives, and sun damage.

How is melasma treated?

Treatment focuses on reducing hyperpigmentation and preventing further skin discoloration. Tranexamic acid is a proven treatment that works by inhibiting the production of melanin, offering an effective option for managing melasma.

Learn more at Discover Tranexamic Acid: Affordable Melasma Relief That Works

Is a chat-visit right for me?

You may be a good candidate for a chat-visit with Well Revolution if:

  • You're 18-64 years old.
  • You have a prior diagnosis of melasma.
  • You aren't pregnant or breastfeeding.
  • You don't have severe or widespread skin discoloration requiring in-person evaluation.
  • You haven't experienced adverse reactions to skin treatments in the past.

If you’re experiencing severe symptoms or uncertain about your diagnosis, please seek in-person care immediately.

Common treatments for melasma

Your Well Revolution provider will determine which (if any) treatment is medically appropriate based on your symptoms and health history. If prescribed medication, you can pick it up at a pharmacy of your choice or your nearest Well Revolution Care Location. The cost of your medication may be covered by health insurance.

Treatment for melasma often includes:

  • Topical Tranexamic Acid: Available in creams or serums to lighten hyperpigmentation.
  • Oral Tranexamic Acid: A prescription option for more stubborn or widespread melasma.
  • Skin Lightening Agents: Hydroquinone, azelaic acid, or kojic acid creams to reduce pigmentation.
  • Sun Protection: Daily use of broad-spectrum sunscreen (SPF 30 or higher) to prevent further discoloration.
  • Other Treatments: Chemical peels or laser therapy may be recommended for resistant cases.

Laser treatments and chemical peels are not available through Chat-visit.

Frequently Asked Questions

About Melasma

How does tranexamic acid treat melasma?

Tranexamic acid reduces melanin production by inhibiting a key enzyme in the pigmentation process, helping to lighten dark patches.

Can I use tranexamic acid during pregnancy?

No, tranexamic acid is not recommended during pregnancy or while breastfeeding.

Are there side effects of tranexamic acid?

Possible side effects include mild skin irritation, redness, or dryness when used topically. Oral tranexamic acid may rarely cause gastrointestinal discomfort.

Is tranexamic acid safe for long-term use?

Yes, tranexamic acid is generally safe for long-term use when prescribed and monitored by a healthcare provider.

How long does it take for tranexamic acid to work?

Most people notice an improvement in skin discoloration within 8-12 weeks of consistent use.

Do I still need sunscreen while using tranexamic acid?

Yes, sunscreen is essential to protect your skin and prevent further melasma development or darkening.

About Well Revolution

What does it cost?

Most visits cost $49 between 7 am and 9 pm 7 days (Mon-Sun).

See our pricing page for more information.

How do visits work in Well Revolution?

Start a private and secure instant message with a Well Revolution doctor right here from your phone or desktop.

You can send text, voice and video messages, share images, videos and documents, and have voice and video calls all from inside the Well Revolution instant messenger.

Do I need to make an appointment?

No appointment is needed with Well Revolution. Start a private chat with a doctor at any time.

What's included with my visit?

A visit with a Well Revolution doctor. The doctor will decide on what care is appropriate for you.

Can I use my health insurance for my visit?

Well Revolution doesn't accept health insurance for visits.

You can submit a claim to your insurance provider for reimbursement, but we can’t guarantee they’ll reimburse you for your chat visit.

If you normally use insurance to pay for your medications, you can do that with medications prescribed through all Well Revolution services. Please talk with your pharmacy directly about insurance coverage.

The cost of medication isn’t included in the cost of your visit.

How do prescriptions work?

The doctor creates and sends paperless prescriptions for you. They will send your prescription to your favourite or nearest pharmacy for the most convenient pick-up location, or you can choose home delivery.

Free Home Delivery: Prescriptions can be sent to our pharmacy partner for convenient, affordable and free home delivery. Many medications are available to you for $24 or less - with or without insurance.

Pick up: Your out-of-pocket medication costs will depend on your insurance and where you decide to get your prescription filled.