Melasma
Melasma behaves differently to general pigmentation. Managing it well means understanding what triggers it for you.
What melasma is
Melasma is a form of pigmentation that typically appears as symmetrical patches, most often across the cheeks, forehead, bridge of the nose or upper lip. Unlike a sun spot, the edges are usually diffuse rather than sharply defined.
It is strongly associated with hormonal influence — pregnancy, the contraceptive pill and hormonal therapy are common contexts — and is aggravated by UV exposure, visible light and heat. Genetics play a role in who develops it.
Melasma is considered a chronic, relapsing condition. That is not a reason for pessimism, but it does change how we plan: the aim is meaningful, visible improvement that is then actively maintained, rather than a one-off correction. We do not claim melasma can be permanently removed or cured.
If your pigmentation appears as defined spots on sun-exposed areas rather than symmetrical patches, it may be general pigmentation. Read about pigmentation & dark spots
How melasma commonly presents
Symmetrical patches
Similar patterns appearing on both sides of the face.
Diffuse edges
Patches that blend into surrounding skin rather than sitting as defined spots.
Brown to greyish tones
Colour can vary depending on how deep the pigment sits.
Seasonal fluctuation
Darkening through summer or after sun and heat exposure.
Hormonal timing
Onset or worsening during pregnancy or with hormonal medication.
Slow, gradual change
Melasma tends to build over time rather than appearing overnight.
How we manage melasma
Melasma rewards patience and a considered plan. Over-treating it is one of the most common reasons it flares.
Thorough consultation
We discuss hormonal context, medication, sun habits, heat exposure and previous treatments before recommending anything.
Conservative, controlled programs
Heat and inflammation can aggravate melasma. Where that risk exists, we work gently and progressively.
Homecare as the backbone
Professional homecare and rigorous daily sun protection do much of the long-term work. In-clinic treatment supports it.
Planned maintenance
Because recurrence is common, we plan for maintenance from the beginning rather than treating and hoping.
Pathways commonly used for melasma
Suitability is assessed individually, and not every option suits every skin.
Cosmelan
A professional depigmentation program frequently considered for melasma, delivered with structured homecare and review.
Learn about CosmelanDMK Programs
Used to support skin function and barrier health alongside a pigmentation-focused plan.
Learn about DMK ProgramsProfessional Homecare
Prescriptive homecare and daily SPF are central to holding melasma results long term.
Learn about Professional HomecareIs a melasma program right for me?
Your therapist will consider:
- Pattern, depth and duration of the pigmentation
- Hormonal context, including pregnancy and medication
- Skin type and reactivity
- Sun and heat exposure in daily life
- Previous pigmentation treatments and any flares
- Your capacity to commit to homecare and maintenance
Frequently Asked Questions
The Pines Shopping Centre, 181 Reynolds Road, Doncaster East VIC 3109
Visit the Doncaster East clinic pageNot sure where to start?
Book a complimentary skin consultation and your therapist will assess your skin and talk you through the options that suit it.
Book a Free Consultation