Melasma and Pigmentation: What Actually Works
Those symmetric brown patches on the cheeks, forehead, or upper lip have a name - melasma - and in a sunny country they are one of the most common reasons women visit a skin clinic.
Why it happens
Melasma is pigment overproduction triggered by ultraviolet light and hormones. Pregnancy, oral contraceptives, and daily sun exposure are the classic drivers, and genetics load the dice.
The one non-negotiable
Sunscreen - broad spectrum, SPF 50, reapplied at midday - is the foundation of every melasma plan. Without it, no cream, peel, or laser will hold its result past the next sunny week.
What your dermatologist can add
- Topical lightening agents - prescription combinations built around ingredients like azelaic acid or hydroquinone, used in supervised courses.
- Chemical peels - a series of superficial peels can lift stubborn pigment once the skin is stabilised.
- Laser - with caution. In darker skin types the wrong laser can worsen pigmentation. This is specialist territory, not a spa decision.
What to avoid
Unregulated "whitening" creams bought online often contain steroids or high-dose hydroquinone that damage skin with long-term use. If the label isn't clear, don't put it on your face.
Book a dermatology consultation at our Obhur branch and get a plan matched to your skin type.
Why melasma comes back
Melasma is managed, not cured. Maintenance - daily sunscreen, periodic topical courses, and realistic expectations - is what keeps results. Anyone promising permanent erasure in one session is selling something.
Pregnancy and melasma
The "mask of pregnancy" often fades within a year after delivery. During pregnancy, treatment is limited to sun protection and pregnancy-safe topicals - schedule the heavier options for later.
