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Melasma is a common pigmentation disorder that causes symmetrical patches of brown, tan, or gray discoloration on the face most often affecting the cheeks, forehead, upper lip, nose, and chin. It can also appear on the neck and forearms. Melasma is more prevalent in women and individuals with medium to darker skin tones and is triggered or worsened by sun exposure, hormonal changes (including pregnancy, perimenopause, and menopause), and certain medications.
At Hagen Health & Absolute Aesthetics in Mukilteo, we offer evidence-based melasma treatment plans using:
Each treatment plan is tailored to your skin type, pigmentation depth (epidermal vs. dermal), and contributing factors such as hormones or sun exposure. Melasma is a chronic condition, and successful management focuses on gradual improvement, maintenance therapy, and prevention of flare-ups. Schedule an appointment today to start your melasma treatment!
With consistent treatment and adherence to a customized home-care regimen, many patients experience:
If you’re struggling with melasma or uneven skin tone, schedule a consultation at Hagen Health & Absolute Aesthetics in Mukilteo, WA to develop a personalized treatment plan designed to safely restore a more even, radiant complexion. Contact us today and schedule an appointment.


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Elizabeth creates customized treatment plans to address each patient's specific needs. Elizabeth is passionate about helping her patients look and feel their best.

Medical weight management with personalized care plans, GLP-1/GIP therapy, nutrition guidance, and ongoing support for sustainable fat loss and metabolic health.
Sculptra can decrease the look of fine to deep lines and wrinkles, including the nasolabial folds (also called laugh or smile lines) that go from the sides of the nose down to the corners of the mouth.

Our team provides a wide range of injectable treatments designed to address visible signs of facial aging, including volume loss, fine lines, and wrinkles. In addition to dermal fillers, we offer advanced wrinkle relaxer treatments such as Daxxify®, a nonsurgical injectable formulated to soften dynamic facial creases caused by repeated muscle movement, including the frown lines between the brows (“11 lines”).

Tattoos are a personalized reflection of your identity, but when you no longer want a tattoo, we can offer a solution to remove it.

Our team at Hagen Health & Absolute Aesthetics offers Xeomin® along with a wide range of cosmetic skin treatments that refresh and rejuvenate your look by restoring lost volume, and softening lines and wrinkles. We offer advanced treatments like Xeomin® that reduce the appearance of dynamic lines and wrinkles.

