Where is your melasma most noticeable?
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Cheeks
Forehead
Upper lip
Several areas of my face
How long have you had melasma?
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Less than a year
One to three years
More than three years
I'm not sure it's melasma
What have you tried so far?
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Nothing yet
Prescription or over-the-counter creams
Chemical peels or facials
Other laser treatments
What seems to make your dark patches worse?
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Sun exposure
Hormonal changes
Heat or exercise
I'm not sure
What is your main goal?
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Fade my dark patches
Get a more even skin tone overall
Rely less on makeup to cover them
Keep pigment from coming back
When would you like to start?
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As soon as possible
Within the next month
In one to three months
I'm just researching for now
Your answers help our team prepare a plan for your skin before your consultation.
Full Name
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Phone
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Email
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