Melasma Laser Treatment Program - Nititham Clinic

Our specialized laser treatment program for melasma is designed just for you. Whether you have superficial, deep, or mixed melasma, we can provide the right care. Our advanced laser technology helps reduce excess pigmentation and stimulates collagen production, giving you a smoother, brighter complexion. Get your confidence back and book your appointment now via LINE: @nititamclinic

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Melasma

What is melasma? Why does it occur?

Melasma is a skin condition characterized by dark or brownish patches on the face, caused by abnormal overproduction of melanin. The main triggering factors include:

Causes of Melasma

Sunlight (UV radiation) – the most important trigger, stimulating melanocytes to produce excess melanin.
Hormones – common in pregnant women (“pregnancy mask” or chloasma) or those using contraceptives/hormone replacement therapy.
Genetics – individuals with a family history of melasma have higher risk.
Skin inflammation – such as acne, aggressive exfoliation, or cosmetic allergies.
Environmental & lifestyle factors – heat, pollution, stress, lack of sleep.

Types of Melasma

Epidermal melasma

Dark brown, well-defined borders, responds well to treatment.

Dermal melasma

Grayish or bluish-brown, slower response to treatment.

Mixed type

The most common, a combination of both superficial and deep melasma.

Treatment Options

1. Prevention (most important)

Daily sunscreen SPF 30–50++ even indoors.
Avoid sunlight between 10:00–16:00.
Wear hats, sunglasses, or carry an umbrella.

2. Topical & Medical Therapy

Hydroquinone (HQ): inhibits melanin production (prescribed by doctors).
Tretinoin / Retinoids: accelerates skin cell turnover.
Topical corticosteroids: reduce inflammation (often combined in triple-combination creams).
Other agents: Tranexamic acid, Kojic acid, Azelaic acid, Arbutin, Vitamin C.

3. Clinical Procedures

Chemical peels: using AHAs or TCA to accelerate exfoliation.
Lasers & light-based treatments: Q-switched Nd:YAG, Picosecond laser, Fractional laser – must be done by specialists to avoid worsening pigmentation.
Microneedling with PRP / Polynucleotides: enhances skin regeneration and reduces chronic melasma.
Mesotherapy (skin booster): injecting vitamins or depigmenting agents directly into skin.

4. Adjunctive Therapies

Oral Tranexamic acid (under medical supervision).
Antioxidant supplements (Vitamin C, E, alpha-lipoic acid, Glutathione).

Key Principles in Melasma Treatment

Consistency is key: treatment usually takes 3–6 months or longer.
Control triggering factors: frequent sun exposure leads to recurrence.
Combination therapy works best: multiple approaches are more effective than a single method.
Follow-up is essential: regular monitoring helps tailor treatments to each individual.

3 Reasons Why Laser Treatment is Necessary for Melasma

1. Melanosome Clearance

Lasers help eliminate abnormal melanin accumulated in both superficial and deep skin layers, which cannot be removed by creams alone.

2. Telangiectatic Melasma

Lasers reduce vascular melasma, an underlying condition invisible to the naked eye but detected by magnification or skin analyzers. Enlarged blood vessels release substances that continuously stimulate melanocytes, making melasma difficult to control and prone to relapse.

3. Restore Collagen

Laser treatment rejuvenates aging or sun-damaged collagen, restoring its normal function. Healthy collagen regulates communication with melanocytes, preventing abnormal pigment production – one of the root causes of melasma and dark spots.