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Melasma is a common skin disorder characterized by the appearance of freckle-like spots, flat patches of brown, blue, or grey color, particularly on the face, leading to premature aging. In some cases, these patches can also appear red and inflamed. While melasma most commonly affects the face—including areas like the cheeks, nose, forehead, jawline, upper lip, and shoulders—it can also appear on other parts of the body. This condition is more prevalent in women than men, and sun exposure is a significant risk factor.
Fairer-skinned individuals are generally less likely to develop melasma compared to those with darker brown skin or those who tan easily. The uneven skin tone and stubborn flat patches caused by melasma can be particularly frustrating and challenging to manage.
Melasma is caused by melanocytes, the cells responsible for storing and producing melanin, the pigment that gives skin its color. In response to light, heat, ultraviolet radiation, or hormonal stimulation, melanocytes may produce excess melanin, leading to darkened areas on the skin. Dermatologists have categorized melasma into three types based on the depth of pigment and discoloration:
1. Epidermal Melasma:
This type occurs when excess pigment is deposited in the outermost layer of the skin, the epidermis. It typically presents as brownish patches that may darken with sun exposure and hormonal changes.
2. Dermal Melasma:
In this type, excess pigment is located deeper in the dermis, the second layer of the skin. Dermal melasma appears as greyish-brown or bluish patches and does not respond as well to treatment due to its deeper location.
3. Mixed Melasma:
This type involves a combination of both epidermal and dermal pigments, resulting in a mixed pattern of bluish and brown patches. Mixed melasma may respond to some treatments, though results can vary.
At Evenly, we understand the concerns that melasma brings and offer comprehensive treatment options through our board-certified dermatologists and advanced USFDA-approved equipment. Whether you’re noticing brownish or blue-grey patches on your face or other areas, our experts are here to help you achieve clearer, more even-toned skin.
UV rays from the sun can worsen the melasma disorder through excess melanin production.
Increased oestrogen and progesterone production during pregnancy can trigger melasma.
Those with a family history of melasma have more risk than others.
A darker skin tone has a higher risk of melasma.
Oral contraceptives, anti-seizures, and retinoids—can trigger the melasma.
Skin care products with harmful chemicals and fragrances can cause melasma.
Initial consultation to assess skin type, history, severity, triggers and address any hormonal imbalances contributing to melasma.
Develop a personalised treatment plan, considering the type of melasma and its triggers.
Discuss treatment options and perform in a soothing environment.
Schedule follow-ups to monitor the progress.
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Our dermatologists offer a comprehensive approach to melasma treatment, providing a range of topical and oral medications tailored to your needs. These may include:
Hydroquinone: A powerful lightening agent that reduces melanin production.
Retinoids (like tretinoin): Stimulate cell turnover, promoting a brighter and more even skin tone.
Azelaic acid, kojic acid, glycolic acid, and arbutin: These ingredients work in various ways to inhibit melanin production or promote cell turnover, leading to a gradual lightening effect.
Vitamin C: An antioxidant that can help reduce hyperpigmentation and brighten the skin.
Note: It’s important to consult a dermatologist before using any skin lightening products, especially hydroquinone, as some can have side effects or require specific usage instructions.
Chemical peel is a controlled skin resurfacing procedure that includes the application of a plant-based chemical solution to the affected area, which removes the dead skin and improves the tone by revealing smooth, undamaged skin and promoting the production of collagen and elastin. Chemical peels help eliminate melanin buildup, reduce pigment formation, and reveal visibly brighter skin. At Evenly Clinic, our approach to treating pigmentation with chemical peels is grounded in delivering comprehensive solutions tailored to each individual’s unique skin type and pigmentation severity. Whether you have sensitive skin or severe pigmentation concerns, our experienced dermatologists will tailor the peel to deliver optimal results while ensuring safety and comfort.
Laser Toning involves the use of an advanced USFDA-approved YAG laser device that emits gentle pulses of light energy onto the targeted area. This process helps eliminate excess melanin, gradually lightening and evening out the skin tone. Our expert dermatologists are highly trained to perform this procedure, ensuring optimal results and safety for our patients.
Glutathione acts as a strong anti-oxidant with additional anti melanogenic properties. Glutathione therapy involves the administration of glutathione through intravenous infusion with the aim of improving skin tone. Our experts are highly trained to administer Glutathione to avoid any risk.
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Experienced dermatologist
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Personalized care
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Convenient and safe treatment
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US-FDA approved machines
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Stringent (sterilization) and safety protocols
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Pre and post procedure care
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Still confused?
Ready to achieve clear, healthy skin? Book your appointment at Evenly Skin and Hair Clinic today and take the first step towards a blemish-free complexion. Our friendly staff is here to answer any questions and guide you through the process.
