What is Melasma?

Melasma is a common skin condition that appears as a brown or tan patch of pigmentation on the facial skin. It is often confused with freckles. Melasma almost always triggered by sun, hormonal therapy and pregnancy. Women especially pregnant lady and those with darker skin types who constantly exposed to the sun are far more likely to get melasma. It is also more common among family members. Treatment for melasma needs to be tailored specifically for each individual and patience is the key in treating melasma.

Q-switched Nd:YAG Laser therapy

It is by far the most effective laser therapy in treating melasma. It uses a specific wavelength to target and breaks down pigmented cells gradually. Multiple sessions are required and therefore self-discipline is important in all patients. The procedure has no downtime and is recommended to do it 2 weekly.

Topical Cream

  • Hydroquinone cream is most commonly used in treating melasma. It works as a lightening agent and the results are often seen in short period of time. However it is not for long term usage and so it is recommended to treat concurrent with laser therapy.

  • Sunscreen is vital in preventing the skin from further sun damage.


Is melasma hereditary?

No. However it is commoner among family members

Will my melasma worsen if left untreated?

Yes. It will increase in size and darken gradually.

How long does it takes to treat melasma?

Melasma is a complicated skin condition and it might require 2-3 years to treat. There is no fast and good method in treating melasma and a combination of laser and cream are at times recommended.