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Dermatologist-Led · Hormonal Pigmentation

Melasma Treatment

Melasma is hormonally driven facial pigmentation: the symmetrical brown or grey-brown patches that settle across the cheeks, forehead, nose bridge and upper lip. It behaves differently from ordinary sun spots, which is exactly why it needs dermatologist-led care rather than a generic brightening treatment.

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What it is

Understanding Melasma

Melasma sits deeper and reacts to heat, sunlight and hormones. Pregnancy, oral contraceptives and thyroid changes are common triggers, and Pakistani weather keeps it active for most of the year. Because the pigment is driven from within, creams alone rarely hold it, and aggressive lasers can make it visibly worse.

Signs we treat

Come in if you recognise any of these

  • Symmetrical patches across both cheeks
  • Pigmentation that appeared during or after pregnancy
  • Darkening that returns every summer
  • Patches that worsened after a previous laser or peel
  • Upper lip or forehead shadowing that makeup no longer covers
How we treat it

Your plan, step by step

1

Diagnosis first

Your dermatologist confirms it is melasma rather than sun damage or post-inflammatory pigmentation, and identifies what is driving it.

2

Medical-grade depigmentation

A prescribed topical plan calms pigment production, applied on a schedule your skin can tolerate.

3

Gentle technology only where it helps

Where a device is appropriate, settings are kept deliberately conservative, because melasma punishes aggressive treatment.

4

Strict sun and heat protection

Daily broad-spectrum protection is not optional here. It is the single biggest factor in whether results hold.

5

Maintenance

Once clear, a light maintenance routine keeps it that way through the summer months.

FAQs

Melasma, answered honestly

How is melasma different from ordinary dark spots?
Melasma is hormonally driven, symmetrical and reactive to sun and heat, usually across both cheeks, the forehead or the upper lip. Ordinary dark spots are localised sun damage. The distinction matters because melasma can worsen with treatments that work perfectly well on ordinary pigmentation.
Can melasma be cured permanently?
Melasma is controlled rather than cured, but controlled well the skin stays visibly clear. Expect a fading phase of a few months, then simple maintenance. Anyone promising a permanent one-session cure is misleading you.
Will laser fix my melasma?
Sometimes, and only at carefully chosen settings. Melasma is one of the few conditions where the wrong laser makes things worse, which is why we assess before treating rather than booking you straight onto a device.
Does it come back after pregnancy?
It often fades on its own after pregnancy or after stopping hormonal contraception, but not always completely. A dermatologist can tell you which part of yours is likely to settle by itself and which part needs treatment.
Is sunscreen really that important?
Yes. For melasma it is the difference between a result that holds and a result that disappears by August. Heat matters as well as light, so we also talk about cooking, commuting and direct sun exposure.
How long before I see a change?
Most people see the first softening within a few weeks, with the clearest improvement over three to six months. Your doctor will set an honest timeline for your particular pattern at the consultation.

Worried about your skin?

Bring it to a doctor. Diagnosis first, honest plan second, treatment only when it genuinely helps.

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