What is Melasma?
Melasma manifests as symmetrical, dark, or brownish patches, most commonly on the forehead, cheeks, and upper lip. Unlike sunspots, Melasma is deeply influenced by internal factors like estrogen and progesterone levels.
Key triggers include:
- Hormonal Shifts: Pregnancy, birth control pills, and thyroid imbalances.
- Heat & UV Exposure: High temperatures (even from cooking) can worsen Melasma in some patients.
- Stress: Cortisol can stimulate pigment-producing cells.
- Genetics: A family history significantly increases your likelihood of developing Melasma.
How We Treat Melasma
Melasma requires a "Low and Slow" approach to avoid PIH (Post-Inflammatory Hyperpigmentation).
| Treatment | Target | Clinical Benefit |
|---|---|---|
| Modified Kligman's Formula | Internal pigment production | Medical-grade depigmenting cream therapy |
| MelasPeels / Yellow Peels | Surface & Middle pigment layer | Lifts dark patches without irritation |
| Mesotherapy with TXA | Dermal pigment stabilization | Direct delivery of Tranexamic Acid |
| Low-Fluence clinical | Stubborn deep pigment | Gentle fragmentation of melanin clusters |
Dr. Manali's Advice
Melasma is a marathon, not a sprint. The "Quick Fix" bleaching creams sold at pharmacies often contain steroids and will damage your skin in the long run. Patience and strict sun protection—even while driving or working by a window—are your two best allies in this journey.