Melasma & Pigmentation – Accurate Diagnosis for Effective Treatment
Pigmentation disorders are common skin concerns seen in aesthetic clinical practice. There are six main types of pigmentation frequently encountered, including sun (ageing) spots, freckles, melasma, nevus of Hori’s, birthmarks, and post-inflammatory hyperpigmentation (PIH). Each type presents differently and requires an accurate diagnosis to ensure effective and safe treatment outcomes.
At IDO’S Clinic, a trusted Skin, Laser & Aesthetic Clinic in Malaysia, pigmentation assessment is an essential first step before treatment begins. By identifying the exact type of pigmentation, treatment strategies can be customised to address the root cause of the condition while minimising the risk of recurrence or worsening pigmentation.
What Is Melasma?
Melasma is commonly seen among Asian individuals and is characterised by brown or greyish-brown patches on the face. These patches usually appear symmetrically on sun-exposed areas such as the cheeks, forehead, and upper lips. The causes of melasma are complex and multifactorial, involving genetic predisposition, hormonal changes, sun exposure, pregnancy, and the use of oral contraceptives.
Due to its chronic nature, melasma requires long-term management rather than a one-time solution. Understanding its triggers is crucial in controlling pigment formation and maintaining clearer, more even-toned skin.
Treatment Options for Melasma
Currently, there is no permanent cure for melasma, and many individuals may require ongoing treatment over several years. Treatment plans are individually tailored based on skin type, severity, and response to therapy. Commonly used treatment options include:
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Sun Protection
Consistent use of broad-spectrum sunblock is the cornerstone of melasma management to prevent further pigmentation. -
Whitening Creams
Topical whitening creams help control pigment production and support skin tone improvement. -
Oral Medication
Oral medicines may be prescribed as part of a comprehensive treatment approach. -
Chemical Peels
Chemical peels assist in improving pigmentation by exfoliating the skin and enhancing skin renewal. -
Phototherapy or Laser
Treatments using intense pulsed light (IPL) or laser help manage pigmentation by targeting excess melanin in the skin.
How Soon Can Results Be Seen?
Results vary depending on the severity of melasma, chosen treatment modalities, and—most importantly—compliance with post-treatment care. On average, most individuals begin to observe clinical improvement within 2 to 3 months after starting treatment.
