Melasma: Understanding the Complex Pigmentation Condition

Melasma is a chronic skin condition that causes patches of darkened skin, most commonly on the face. It typically appears on the cheeks, forehead, upper lip, and chin in a symmetrical pattern. While it isn’t harmful, it can be emotionally distressing and notoriously difficult to treat. At The Treatment Centre, we often see clients struggling with melasma who have tried multiple products without success—because treating melasma takes both the right approach and long-term commitment.

Melasma is often referred to as the “mask of pregnancy” because hormonal changes are a key trigger. However, it can affect anyone—especially women with medium to darker skin tones. The main causes include:

• Hormonal fluctuations : Pregnancy, oral contraceptives, hormone replacement therapy

• Sun exposure : UV radiation stimulates melanocytes (pigment-producing cells), worsening pigmentation

• Genetic predisposition : A family history of melasma can increase risk

• Heat and light : Infrared heat and even visible light can exacerbate melasma

• Skin inflammation : Sensitivities or reactions to harsh products can trigger pigment overproduction

Unlike sunspots or post-inflammatory hyperpigmentation, melasma isn’t just a surface-level concern. It originates deep in the dermis where overactive melanocytes (the cells that produce pigment) are chronically stimulated. This means even after successful treatment, melasma can reactivate quickly without proper prevention and maintenance.

There are three main types, based on how deep the pigment sits in the skin:

1. Epidermal : Pigment is closer to the surface—often easier to treat

2. Dermal : Pigment is deeper—harder to reach and slower to fade

3. Mixed : A combination of both—most common and requires multi-layered treatment

A professional assessment is essential to determine your melasma type and build a suitable treatment plan.

There is no instant cure, but melasma can be significantly improved with the right combination of professional treatments and disciplined home care.

• Sun protection is non-negotiable : Daily use of broad-spectrum SPF 50+ is critical—even indoors, as visible light can trigger pigment.

• Tyrosinase inhibitors : These ingredients (like kojic acid, azelaic acid, and niacinamide) reduce melanin production.

• Chemical peels : Mild peels help exfoliate surface pigment and increase skin turnover.

• Cosmelan Method : A professional depigmentation treatment offered here at The Treatment Centre, highly effective for managing melasma long-term.

One of the biggest misconceptions is that melasma can be cleared quickly. In reality, it needs long-term regulation , not just removal. Once treated, you’ll need to stay on a maintenance plan—often involving tyrosinase inhibitors, anti-inflammatory skincare, and ongoing sun protection—to keep results stable.

If you’re dealing with persistent pigmentation that worsens with heat or hormones, it’s time to seek expert guidance. A professional skin therapist can assess whether it’s melasma, identify your type, and guide you through evidence-based treatment options.

At The Treatment Centre, we specialise in managing complex pigmentation issues like melasma. Whether you're just starting your journey or have tried other methods without success, we’re here to support you with clinical treatments, advanced protocols like the Cosmelan Method, and personalised skincare guidance.

📞 Book your skin discovery session today and let’s take the first step toward clearer, more even-toned skin.