Melasma (Chloasma) is a common, chronic skin condition characterised by darker patches of pigmentation. It usually appears on the face and can be triggered by factors such as hormonal changes or UV exposure. Treatment options are available, subject to clinical suitability.

What is Skin Pigmentation?

Skin pigmentation refers to the areas where melanin becomes concentrated in the skin. (Melanin is responsible for skin colour.) Some pigmentation conditions are superficial, affecting the upper layers of the skin, while others affect deeper-lying pigmentation in the dermis.

What is Melasma?

Melasma is a chronic skin condition where pigment may be present in both the superficial and deep layers of the skin. ‘Chronic’ means it often requires ongoing management. It often appears in a darker, mask-like pattern across the forehead, cheeks and upper lip. However, it may also be isolated to a single facial area.

The cause of Melasma is not well understood, but several factors are commonly associated with the condition. For example, hormonal influences such as hormonal changes, the use of oral contraceptives and pregnancy are known triggers. Sun exposure may worsen the appearance of Melasma.

Often, there may be a vascular component to the condition. This means that small blood vessels may be present in the pigmented area.

Sometimes, another form of pigmentation that differs from Melasma may be present. Post-Inflammatory Hyperpigmentation (PIH) can occur following skin inflammation or injury. PIH may occur following chemical peels, acne, burns or surgical procedures. Sometimes PIH fades over time, although the pigmentation can persist in some individuals.

Melasma Treatments

Treatment of Melasma and other skin conditions involves first assessing individual skin characteristics, the depth of pigmentation and any underlying triggers.

At Bella Plastic Surgery, our treatment options include:

• Laser treatment with Skin Needling
• Cosmelan
• Dermamelan

All patients must start their journey with an initial consultation with a cosmetic nurse. After consultation and assessment, you’ll be recommended the most appropriate treatment plan, along with all associated costs.

Laser Treatment With Skin Needling

Pigmentation areas can be treated with Laser technology. The Laser delivers controlled energy into the pigmented area. This helps to break down pigment particles in the skin. Once fragmented, the particles can gradually be cleared by the body through its natural processes.

Multiple treatments are typically required to treat Melasma and other pigmentation conditions. The frequency and duration of treatments will depend on the depth of pigmentation and the individual’s response to treatment.

Sometimes, we may recommend Skin Needling as an adjunct treatment. During Skin Needling, controlled micro-injury is created in the skin, stimulating the skin’s natural repair processes. While healing, the body produces collagen and other components involved in tissue repair.

Dermamelan

Dermamelan is a medical-grade depigmentation treatment performed under medical supervision by qualified practitioners. It addresses more complex or persistent pigmentation conditions such as Melasma. Dermamelan targets the biological processes involved in melanin production. Regulating these processes helps manage skin pigmentation.

There are several stages in the Dermamelan treatment program: skin preparation with specific skin care products, an in-clinic depigmentation peel and a structured home care phase.

Cosmelan

Cosmelan is another depigmentation treatment created by the manufacturer of Dermamelan. It also targets the processes involved in melanin production and is designed to address pigmentation.

Cosmelan is commonly used in aesthetic settings and can be performed by trained skin therapists.

Dermelan or Cosmelan?

At Bella Plastic Surgery, we often recommend Dermelan for those with more persistent pigmentation, such as Melasma, as it is a medical-grade treatment.

How Many Treatments?

Every individual has different treatment requirements, and the number of treatments you may require depends on the type and depth of pigmentation in your skin.

Superficial pigmentation can respond more rapidly to treatment. Deeper pigmentation conditions, such as Melasma, usually require multiple treatments over time.

Treatment Comfort

Some pigmentation treatments may cause temporary discomfort, usually described as a tingling or warming sensation. If required, we can apply a topical anaesthetic before treatment to help numb the area.

Recovery & After-Care

The time it takes to recover after treatment depends on the procedure performed, the treatment area, and your skin’s individual response.

During your in-person consultation, your cosmetic nurse will explain your procedure and the recovery process. You’ll also be given written aftercare guidance to take with you.

Treatment Cost

The cost of your Melasma and pigmentation treatment will depend on the type of treatment performed, the size of the area and the number of sessions required. Your cosmetic nurse will provide you with these details during your consultation.

Potential Risks & Complications

All nonsurgical cosmetic procedures carry potential risks and side effects. These can include swelling, redness, delayed healing, temporary changes in pigmentation such as lightning or darkening of the treated area, infection, and, in rare cases, scarring.

Individual healing responses vary, and outcomes cannot be guaranteed.

A thorough discussion of potential risks, side effects, and recovery will take place during the initial consultation.

For more information, please see our Potential Risks and Complications page.