What is it, and how can I fix it?

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What is melasma?

Melasma is a common pigmentation disorder. It causes brown or grey patches to appear on the skin, mainly on the face. Women with darker skin tones, or those who are pregnant, are at greater risks of developing melasma.

dermal clinician examining patient's skin with a magnifying scope

What causes it?

Melasma can be triggered by oestrogen productions, either from pregnancy or the contraceptive pill, hormone replacement therapy, or natural spikes in oestrogen production. Melasma is commonly linked with Polycystic Ovaries Syndrome (PCOS). PCOS causes significant hormonal imbalances.

dermal clinician examining patient's skin with a magnifying scope

How do you treat melasma?

At Victorian Dermal Group, we always recommend seeking medical advice before booking laser skin therapies. If your doctor is confident that cosmetic laser treatments are the most suitable option for your PCOS-related melasma, we can help.

We'll create a tailored treatment plan involving the use of Mesoestetic Dermamelan-Cosmelan skin solution and/or our RevLite laser. Book your consultation today.

Can I get rid of melasma pigmentations naturally?

If you have situational melasma, from pregnancy or hormonal pills, you can reduce the appearance of your pigmentation. But it won't go away completely. We prescribe you topical skin products. If you do try to get rid of your melasma naturally, beware of unsubstantiated methods like bathing in apple cider vinegar.

What's the difference between hyperpigmentation and melasma?

Hyperpigmentation is a broad term which refers to acne scarring, sun damage, and other skin conditions which cause the darkening of the skin. Melasma is its own skin disorder. It's thought to be triggered by UV exposure and hormonal fluctuations, which is what distinguishes it from hyperpigmentation.

If I stay out of the sun, will the signs of melasma fade?

If you have melasma, harm reduction and prevention isn't just about wearing sunscreen. You'll also need to wear a hat, try to avoid direct sunlight from 11 am to 2 pm — and you'll need to wear SPF 50 or above.

How long does it take to go away?

It takes time. It'll take a minimum of at least three months to see visible effects. And the amount of time it takes to reduce the appearance of melasma will depend on which treatment route you're going to take.


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Our approach to treating melasma

We see ourselves as highly ethical clinicians. Every new client is required to attend an initial skin assessment so we can find out more about your medical history and any past treatments you've tried. And your consultation fee is redeemable on the cost of your treatment.

We won't perform a skin service unless your doctor has approved it, first. We're a results-driven skin clinic, and we've treated hundreds of clients with melasma pigmentation. Our laser technologies are cutting-edge, with proven efficacy.

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Before and after

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How we treat melasma-related pigmentation

Consultation for melasma
Step 1

Visit us for a consultation

You'll need to attend an initial consultation where we'll assess your skin. We'll ask you about your medical history, any current medications you may be taking, and what your journey has been like living with melasma pigmentation. We won't perform any treatments on you without sending you to a partnered dermatologist or GP.

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treatment for melasma pigmentation
Step 2

How we treat melasma pigmentation

We have two methods for treating pigmentation relating to melasma. The first is a chemical mask treatment called Cosmelan or Dermamelan. The only difference between the two products is the strength of the solution.

We'll apply the mask in-clinic, and then you'll go home, and wash it off 8-12 hours later. It's made with salicylic acid, which helps dissolve your skin's natural keratin plugs and renew skin cells.

We also use RevLite, a Q-Switched laser. It uses PhotoAcoustic Technology to target specific spots on the body and face. You may experience temporary whitening, and then your skin will return to its natural colour.

Step 3

Preparing skin solution

Cosmelan or Dermamelan peel

You'll need to arrive at our clinic in Kew with no makeup on, and no sunscreen. We'll apply the initial mask for 15 minutes. After this, you'll be sent home with the mask on. Normally, we conduct these treatments in the morning, so the mask can be washed off by night time.

RevLite laser

You'll need to avoid natural or solarium tanning for one month prior to the treatment. Remove makeup and sunblock prior to the treatment.

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Step 4

How to take care of your skin post-treatment

Cosmelan or Dermamelan peel

The peel paralyses melanin production for a long period of time. However, when the enzymes start producing new melanin — particularly during sun exposure. You'll need to use the maintenance cream we give you every day, as per our instructions. And you'll need to wear sunblock SPF 50 (or higher) every day.

RevLite laser

You can use a cold compress to reduce potential swelling after a session with our RevLite laser. Your skin will start flaking and peeling off for the next 7-10 days. You'll need to wear sunscreen to minimise the risk of repigmentation.


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