Pigmentation & Melasma
Sunspots, freckles, melasma, and post-inflammatory pigmentation respond to different treatment approaches. Our doctors classify your pigmentation pattern first, then select a protocol matched to your skin type and underlying cause.
Not all pigmentation is the same.
Pigmentation has several causes — sun (sunspots), inflammation (post-acne marks), hormones (melasma) and genetics (freckles). Each responds differently to laser and energy treatment.
Melasma is the cautious one: hormonally driven, symmetric, and prone to flaring if treated too aggressively — so we go gentler and more gradual. Surface sunspots often clear in a single targeted laser session.
Your doctor classifies your pattern and Fitzpatrick skin type at consultation, then sets the right intensity and maintenance plan.
Treatments we use most.
- Picosecond Laser — for sunspots, freckles and melasma; ultra-short pulses limit heat to surrounding skin.
- RF Microneedling (Sylfirm X®) — for melasma and vascular-tinged pigment that laser alone struggles with.
- Thulium Fractional Laser (Lavieen®) — gentle 1927nm resurfacing for surface pigment and overall tone.
Pigmentation & Melasma FAQ
Is melasma the same as pigmentation?
They overlap but aren't identical. Pigmentation is the umbrella term for any darkening — sunspots, post-inflammatory hyperpigmentation, freckles, melasma. Melasma is a specific condition: hormonally-influenced, symmetric, mainly on the cheekbones, forehead and upper lip — and it needs a gentler approach than sunspots, as it can flare with aggressive treatment.
Can pigmentation come back after treatment?
Yes — particularly melasma and sun-induced pigmentation, because the underlying cause (sun, hormones, inflammation) doesn't disappear. Long-term results depend on maintenance: daily SPF, avoiding triggers, and periodic in-clinic top-ups.
Which laser is best for melasma?
There's no single best device. Many doctors avoid aggressive Q-switched lasers for melasma because of rebound risk; picosecond laser at lower settings and selective RF microneedling are both commonly used. Your doctor selects based on your pattern and skin type.
How soon will I see results?
Surface sunspots can lighten within 1–2 weeks of a single picosecond session. Deeper or hormonal pigmentation improves gradually over 3–6 sessions, with ongoing maintenance.
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