David B. Reath, MD
Knoxville, TN (865) 450-9253


If you have dark patches on your skin from Melasma, there is actually good news for you. Our Skin Lightening RealPeel is specifically designed to treat Melasma, which is much different than other types of hyperpigmentation.

What is melasma?
It is a darkening of the skin caused by excessive production of melanin—the pigment that causes skin to tan. It mostly effects women. Unlike most other forms of hyperpigmentation, Melasma occurs almost instantly on areas of skin that are exposed to the sun. It ranges from mild to severe.

What are the signs?
Brown patches on your cheeks, forehead, or chin are typical signs of melasma. This discoloration frequently occurs on both sides of the face. Experts believe melasma can be triggered by a number of different things, including hormonal changes that occur when a woman begins taking birth control pills or hormone replacement therapy. It can also occur during the second or third trimester of pregnancy, which is why it is sometimes called the “mask of pregnancy.” The sun, which increases melanin production, makes melasma worse.

Before & After Photos

Keep in mind that each patient is unique and your results may vary.
  • Melanage-peel-before Melanage-peel-after
    Before After
    Melanage-peel-before2 Melanage-peel-after2
    Before After

    Before & After Skin Lightening RealPeel- Here is a 54-year-old woman before and six weeks after her Skin Lightening RealPeel. What a difference.

  • Before Melage Peel
    Before After

    Before & After Skin Lightening RealPeel- Here is a 49 year old who wanted to get rid of hormonal pigmentation that appeared last year on her cheeks and nose despite wearing daily sunscreen. She is pictured here before and just two weeks after her peel.

  • before Melanage Peel 2 months after Melanage Peel
    Before After

    Before & After Skin Lightening RealPeel- Here is a 59 year old mother of three who loves to garden and spend time outdoors. Licensed Aesthetician Heather McNeal did a Melanage Peel with the at-home skin care regimen. Here she is before and two months after her procedure.

The Solution: Our Melasma Skin Lightening RealPeel

We call it a “RealPeel” because it includes both an in-office treatment and medical-grade skin care products you take with you to use at home.

If you just have Melasma, you will see better results with this peel than with laser treatments. Although the Excel V is the go-to treatment for hyperpigmentation from sun damage, it is not as effective on the hormonal pigmentation.

If you have both Melasma and Hyperpigmentation, the Skin Lightening RealPeel can certainly be combined with Excel V laser for dramatic results.

First the Peel

The peel itself is a medical-grade skin-lightening mask. Our Licensed Aesthetician Christy Ledford compounds it the day of your procedure to ensure it is fresh and ready-to-go.

Good to know: You will leave our office with the mask on your face, and will wear it for eight to ten hours depending on your skin type. It’s bright white so you’ll want to schedule your peel a time when you won’t have to be out in public afterwards!

Then the Products

You will be given an at-home regimen of five Melasma Real Medical skin care products, some of which you use in the morning and some at night. It is important to use these as instructed if you want to get a result like the our patient has in the pictures.

You will want to have your peel done when you can take some time to recover and most importantly when you will not be outside in the sun. You will have redness and some peeling that may last a couple of weeks but it can be covered by makeup. (We have Glo Mineral Makeup in our store that is perfect for this.)

Christy says that having a peel on a Thursday, for example, and taking Friday and the weekend to recover works for most patients. It’s also possible that you won’t have actual peeling, but you will still get the full benefits of the powerful skin lightening properties.

RealPeel Number of Treatments Price
Skin Lightening RealPeel 1 $750

(includes all at-home skin care products)

Baby Steps: The Mini RealPeel The Mini RealPeel is an option if you want a skin lightening peel without the downtime of the full-strength Skin Lightening RealPeel. It is a great introduction to chemical peels because it is a Hydroquinone-free and brightens your skin with less redness and peeling. Like the Melasma Peel, it also comes with an after-care Take Home Kit included. If you are looking for powerful results, the Melasma Mini-Peel can be performed in a series of 4-6 treatments to achieve comparable results to our full strength Melasma Peel.

RealPeel Number of Treatments Price
Mini-RealPeel 4-6 $250 each

(includes all at-home skin care products)


The Latest Skin Care Posts from Dr. Reath's Blog

  • The Wrong Time For Your Skin Care Treatment

    From the Blog

    Want to know one thing you can do to maximize your skin care results? Hint: It’s not just about picking the right procedure. As the old saying goes, “The right thing at the wrong time becomes the wrong thing.” Licensed Aesthetician Christy Ledford explains why the timing of your treatment is so important, and what … Read more »
  • Plastic Surgery Award Winners 2018

    From the Blog

    It’s official. New Beauty Magazine’s Spring/Summer “Best of the Best” is out. We haven’t noticed any of the editors hanging out at our practice lately, still it’s uncanny how many of our procedures were named “Industry Breakthroughs” and “Best In-Office Treatments”. Many of our favorite skin care products made the list as well. It’s always nice … Read more »
  • Our Game-Changing SkinPen Procedure: Yay! No Blood Required. Part 2

    From the Blog

    A better way to get your growth factors. I left off Part 1 of my last (vampirish) article with the question of whether there was an easier way to acquire and use growth factors for microneedling than drawing blood and using Platelet Rich Plasma (PRP). Could we find a product with a consistent yield of the growth … Read more »

Meet Christy Ledford, Licensed Aesthetician

Wondering what you need to do to get great skin? Then you’ll want to meet Christy Ledford, our wonderful Medical Aesthetician and Skincare Specialist.Christy Ledford Licensed Aesthetician Knoxville

If you haven’t met Christy yet, you are in for a real treat. Charming, professional and kind, Christy demonstrates a sincere interest in the well-being of our patients and the overall results of their treatments. She is quickly becoming a favorite of patients and staff alike.

Her 11 years experience as a Licensed Aesthetician have given Christy an extensive understanding of medical-grade skin care products and procedures.

Helping patients design their perfect, personalized skincare plan is Christy’s specialty. She has a talent for finding just the right mix of treatments to achieve great results. Her extensive knowledge in combating aging, hyperpigmentation, redness and acne is what sets her apart.

Dr. Reath is a true believer in aesthetic skin care and the impact it can have on our surgical procedures. Together, Christy and Dr. Reath stay up to date on the newest technologies and ingredients to give the best results to our patients. Whatever your unique concerns, skin type and budget, you’ll love your time with Christy almost as much as you’ll love your results.

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