Understanding Pigmentation and Melasma
Skin pigmentation refers to darker patches or spots that can appear due to excess melanin production. Melasma is a common form of pigmentation that appears as brown or grey-brown patches, often on the cheeks, forehead, nose, chin, or upper lip. It may also develop on sun-exposed areas like the forearms and neck.
Melasma can be triggered by:
- Sun exposure – UV radiation is the most common factor.
- Hormonal changes – pregnancy, oral contraceptives, or hormone therapy.
- Genetics and skin type – more common in people with medium to darker skin tones.
Sun Protection – The First Step
Protecting your skin from UV exposure is essential for managing melasma. Daily use of broad-spectrum SPF 30+ sunscreen with zinc oxide or titanium dioxide is recommended, along with protective clothing, shade, and wide-brimmed hats.
Treatment Options at HEMAC
At HEMAC Aesthetic & Skin Clinic in Hawthorn East, our doctors tailor treatment plans based on the type and severity of pigmentation. Options may include:
- Topical treatments – prescription creams containing hydroquinone, tretinoin, corticosteroids, azelaic acid, or kojic acid.
- Oral supplements – in select cases, vitamins or antioxidants may be used alongside topical or procedural treatments.
- Procedures – such as chemical peels (e.g., glycolic acid), microdermabrasion, and light or laser therapies (Nd:YAG laser, Pastelle laser, or IPL).
- Combination therapy – often a mix of topical products, sun protection, and in-clinic procedures provides the best approach.
What to Expect
- Improvement usually requires consistent treatment over several months.
- Melasma can be persistent, and ongoing maintenance is often necessary to help reduce recurrence.
- Side effects such as redness, irritation, or changes in skin pigmentation may occur, depending on the treatment chosen.
- A personalised consultation is essential to determine suitability and discuss alternatives.
Pigmentation & Melasma – Frequently Asked Questions
Can melasma be cured?
There is no permanent cure for melasma. Treatments may help lighten pigmentation and reduce recurrence, but ongoing sun protection and maintenance are important.
How long before I see improvement?
Improvement usually develops gradually over weeks to months. Some treatments may require a series of sessions for best results.
Are pigmentation treatments safe for darker skin tones?
Yes, some laser and topical options are designed for use on darker skin. However, not all treatments are suitable for all skin types. Suitability is assessed during consultation.
What are the possible risks or side effects?
Temporary redness, irritation, peeling, or pigment changes can occur. Risks vary depending on the procedure and will be explained beforehand.
Will pigmentation return after treatment?
Melasma often recurs, especially if sun protection is not maintained. Maintenance therapy and lifestyle adjustments can help prolong results.
