Treatment of melasma, a common and difficult-to-treat skin problem

Melasma is a common skin problem, especially in women aged 30 and above. For the most part, melasma does not have any effect on physical health, but it can affect confidence because it causes uneven skin tone depending on the severity of each type of melasma. Understanding melasma, its causes, prevention, and treatment is important to help you have beautiful, radiant, and healthy skin.

Melasma is a skin condition where certain areas become darker than normal due to an overproduction of melanin, causing uneven skin tone. While it does not affect physical health, it can significantly impact self-confidence and emotional well-being. Various factors can trigger this abnormal melanin production, including internal hormonal factors and external environmental factors.

Why

What is Melasma?

Melasma is caused by changes in the pigment in the skin (melanin). The accumulation of melanin in the skin causes dark spots, which will cause some areas of the skin to appear darker than normal or excess pigment, making the skin tone look uneven. There are different types of melasma as follows:
Epidermal melasma
Epidermal melasma

(Epidermal Type)
Occurs in the epidermis, has a dark color and clear edges, and is easy to treat.

Dermal melasma
Dermatitis type

(Dermal Type)
It occurs in the dermis, is lighter in color, and has indistinct boundaries. It is more difficult to treat deep melasma.

Mixed melasma
Mixed melasma

(Mixed Type)
This is a very common type and is a combination of both superficial and deep melasma.

Unlocated melasma
Non-specific melasma

(Indeterminate Type)
Found in people with dark skin, making it difficult to clearly identify which layer of skin the melasma is in. A specialist doctor must diagnose it.

How does melasma occur?

UVA and UVB
Sun exposure

In sunlight, there are both UVA and UVB that stimulate melanocytes, which are located below the epidermis, to produce more pigment called “melanin” in the skin layer.

Genetics
Genetics

Ethnicity and skin color have an impact. Europeans are more likely to tan than to develop melasma. People with darker skin tones, such as Indians and Africans, are at a lesser risk because they have higher melanin levels and stronger skin protective mechanisms.

Hormones
Hormonal changes

Most often, melasma becomes more noticeable as we age, which is due to hormonal changes such as female hormones and thyroid hormones. In addition, women who are pregnant or taking birth control pills also have hormones that stimulate the pigmentation.

Cosmetics
Certain cosmetics

Some substances cause the skin to darken when exposed to light, such as solaren, which is often found in some fragrances.

Laser
Laser treatments

Incorrect laser settings can cause burns and skin damage, leading to severe hyperpigmentation.

How to treat melasma at Sita Clinic

When the skin is stimulated to cause melasma, skin cells will start to produce abnormal pigments and accumulate in the upper skin layer until they become dense and dark and do not shed. There are many ways to treat melasma, such as treating melasma on the face, treating melasma on the nose, treating melasma on the face, treating melasma without pain, treating melasma without laser, treating melasma from the sun, treating deep melasma, treating thick melasma, treating melasma urgently, treating melasma by injection, treating melasma with laser. Each type of treatment is different. If the treatment is done incorrectly, does not treat all the problems, and does not treat the root cause of melasma from the entire melasma production path of the skin, it will cause the cells to produce more and more melasma and recur. Therefore, the best melasma treatment clinics usually have specialized dermatologists who can correctly diagnose the root cause of the problem in order to treat melasma effectively, accurately, and without recurrence.

Treatment procedures of Sita Clinic:

Sita Clinic, a melasma clinic, has doctors and a team of experts who will analyze various factors and plan a holistic treatment plan for each individual (Holistic care therapy for individual) for the best melasma treatment according to the following steps:

Build immunity, send blood circulation, oxygen, liquid nutrients, vitamins to make the skin healthy.

Boost immunity

Strengthen skin health with blood circulation, oxygen, liquid nutrients, and vitamins.

Enzyme therapy

Remove damaged skin cells and stimulate new skin cell growth from within.

2. Use enzymes to break down damaged skin tissue and stimulate the creation of new skin tissue from within the skin layer and from the patient himself.
Eliminate aberrant melanin caused by a variety of reasons, including product-induced and hormonal melasma, with personalized treatment plans tailored to your specific needs.

Dealing with pigmentation

Destroys pigments that are damaged by chemical-induced facial conditions and hormonal freckles by planning individual treatment plans to suit gender and problems.

Restore blood circulation

Create blood vessels to increase circulation and bring nutrients, vitamins and oxygen to the skin tissue through the process of cell therapy (cell repair and cell creation).

Create blood vessels to increase circulation and bring nutrients, vitamins and oxygen to the skin tissue through the process of cell therapy (cell repair and cell creation).
Stimulate new melanin production to replace the melanin that has been broken down.

Create pigments

Stimulate new melanin production to replace the melanin that has been broken down.

Prevent recurrence

When melasma treatment has yielded good results, the next step is to plan for prevention of recurrence and to restore new skin cells, as well as nourish the skin to be stronger.

Develop a long-term skincare plan, including skin rejuvenation and strengthening.
7. Stimulate the skin and the inside of the patient to be strong.

Maintain skin protection

Stimulate the patient's internal and external skin to be strong and to take care of themselves for sustainable recovery.

Before & After

Before and after treatment images

Before treatment photos for melasma at Sita Clinic Melasma
Before treating melasma 2 After-melasma treatment photos at Sita Clinic
Before treating melasma 1 After-melasma treatment photos at Sita Clinic
Photo before melasma treatment at Sita Clinic After-image of melasma treatment at Sita Clinic
Photo before melasma treatment at Sita Clinic After-melasma treatment photos at Sita Clinic
Before treatment photos for melasma at Sita Clinic After-treatment photos for melasma at Sita Clinic
Before treatment photos for melasma at Sita Clinic After-treatment photos for melasma at Sita Clinic
Before treatment photos for melasma at Sita Clinic After-treatment photos for melasma at Sita Clinic
Photo before melasma treatment at Sita Clinic After-image of melasma treatment at Sita Clinic
Photo before melasma treatment at Sita Clinic After-image of melasma treatment at Sita Clinic
Before treatment photos for melasma at Sita Clinic After-melasma treatment photos at Sita Clinic
Photo before melasma treatment at Sita Clinic After-image of melasma treatment at Sita Clinic
Photo before melasma treatment at Sita Clinic After-image of melasma treatment at Sita Clinic
Photo before melasma treatment at Sita Clinic After-image of melasma treatment at Sita Clinic
Photo before melasma treatment at Sita Clinic After-image of melasma treatment at Sita Clinic
Photo before melasma treatment at Sita Clinic After-image of melasma treatment at Sita Clinic
Treatment of melasma, Sita Clinic, review before treatment Treating melasma at Sita Clinic. Review after treatment. After
Treatment of melasma, Sita Clinic, review before treatment Treating melasma at Sita Clinic. Review after treatment. After
Treatment of melasma, Sita Clinic, review before treatment Treating melasma at Sita Clinic. Review after treatment. After
Treatment of melasma, Sita Clinic, review before treatment Treating melasma at Sita Clinic. Review after treatment. After
Before treatment photos for melasma at Sita Clinic After-treatment photos for melasma at Sita Clinic

Reviews

Reviews and feedback from our patients:

Review of melasma treatment at Sita Clinic
Review of melasma treatment at Sita Clinic
Review of melasma treatment at Sita Clinic
Review of melasma treatment at Sita Clinic
Review of melasma treatment at Sita Clinic
Review of melasma treatment at Sita Clinic
Review of melasma treatment at Sita Clinic
Review of melasma treatment at Sita Clinic
Review of melasma treatment at Sita Clinic

Treatment guidelines for melasma

Superficial exfoliation

Chemical peeling, microdermabrasion, and laser/light therapy

Stimulating the exfoliation of epidermal cells

Such as vitamin A acid, glycolic acid, salicylic acid.

Inhibition of melanin synthesis

Such as Arbutin, kojic acid, licorice, tranexamine.

Reduction of pigment transport, destruction of melanin pigments within cells

Reducing the transport of pigment from melanocytes to epidermal cells, destroying melanin pigments within cells (melanocytes, keratinocytes): Q-switched laser, Fractional laser, Picosecond Laser. This method is very sensitive to the skin of those with melasma. It must be under close supervision of a doctor.

Melasma treatment steps at Sita Clinic

Our doctors and experienced team examine numerous elements and build a holistic, tailored treatment plan (Holistic care therapy for individual) using the steps below:

Build immunity, send blood circulation, oxygen, liquid nutrients, vitamins to make the skin healthy.

Boost immunity

Build immunity, send blood circulation, oxygen, liquid nutrients, vitamins to make the skin healthy.

2. Use enzymes to break down damaged skin tissue and stimulate the creation of new skin tissue from within the skin layer and from the patient himself.

Enzyme exfoliation

Remove damaged skin cells and stimulate new skin cell growth from within.

Patients receive treatment using drug delivery devices

Destroys pigments from

Eliminate aberrant melanin caused by a variety of reasons, including product-induced and hormonal melasma, with personalized treatment plans tailored to your specific needs.

Create blood vessels to increase circulation and bring nutrients, vitamins and oxygen to the skin tissue through the process of cell therapy (cell repair and cell creation).

Blood vessel formation

Cell therapy (cell repair and regeneration) increases blood circulation and delivers minerals, vitamins, and oxygen to the skin.

Stimulate new melanin production to replace the melanin that has been broken down.

Use of pigment stimulants

Stimulate new melanin production to replace the melanin that has been broken down.

Develop a long-term skincare plan, including skin rejuvenation and strengthening.

Prevent recurrence

Develop a long-term skincare plan, including skin rejuvenation and strengthening.

7. Stimulate the skin and the inside of the patient to be strong.

Stimulates the skin

Encourage patients to adopt a healthy lifestyle and skincare routine for long-term results and self-care.

Preventing recurrence

The most effective treatment for melasma is to prevent it from recurring by following these guidelines:

Skin care: Use gentle products that are suitable for your skin type. Avoid using products that contain harsh chemicals.

Sun Protection: To completely cure melasma, you must use a sunscreen with an SPF of at least 50, wear a hat and sunglasses when exposed to a lot of sunlight, and choose a sunscreen that contains ingredients that protect against both UVA and UVB rays.

Behavior modification: Avoid strong sunlight and eat healthy foods such as vegetables and fruits that contain antioxidants.

Get enough sleep: Good rest allows your skin to regenerate better. Lack of sleep can throw your skin off balance and make it more susceptible to blemishes.

How to get treatment for melasma at Sita Clinic

If anyone wants to treat melasma urgently, coming to the clinic by yourself is the best way to treat melasma because the doctor will be able to directly assess the skin condition and plan the treatment clearly. This treatment method will give results relatively quickly with the clinic's medical technology equipment that can deliver specific drug formulas for each person's skin problems into the deepest layer of the skin. There is also treatment using cosmeceuticals and oral medication in conjunction.

In-clinic treatment

This method may result in slower results than going to the clinic 50% to 60%, depending on the skin condition and type of melasma of each person. Treating melasma on the face via video call may cause the doctor to not be able to see the true condition of the skin. In addition, the treatment requires mixing special medicines, some of which work better when in the correct time and temperature, so the results may be slower.

Video call/remote treatment

This step must be stated truthfully that it is not the best treatment for melasma because it takes a long time to treat. This is because the use of medical cosmetics or creams can only treat the top layer of the skin and cannot restore from the inside. Treatment or results may be slower than other steps, which can only be used to relieve in cases of chemical melasma or hormonal melasma. Laser burns and freckles cannot be treated.

Treated using the clinic's cosmetic medicine

Problems

If these are the problems you have encountered,

Problems with melasma

If you want to treat your melasma at the best clinic, don’t delay! Make an appointment for a consultation with a specialist at Sita Clinic today and start your journey to clear and healthy skin!

Travel to the clinic

Travel to the clinic

99/7 Moo. 3, Rahaeng, Lat Lum Kaeo, Pathum Thani

Business hours

Business hours

8:00 - 19:00 hrs.
(Closed on Wednesdays)