Understanding Melasma
Melasma is a common pigmentation disorder that causes brown or gray-brown patches on the face, typically on the cheeks, forehead, bridge of the nose, and upper lip. It is more common in women and is often triggered by hormonal changes, sun exposure, and genetics. While melasma is harmless, it can cause significant cosmetic concern. At Dermacian Jaipur, we offer advanced treatments to lighten melasma and restore even skin tone.
Signs & Symptoms
Causes & Risk Factors
Hormonal changes — pregnancy (the mask of pregnancy), birth control pills, hormone therapy
Sun exposure — UV light stimulates melanin production, worsening melasma
Genetics — family history increases susceptibility
Female hormones — melasma is much more common in women than men
Thyroid disorders — may contribute to melasma development
Certain medications — photosensitizing drugs can trigger pigmentation
Skincare products — some fragrances and cosmetics can cause phototoxic reactions
When to See a Dermatologist
- You notice brown patches on your face that aren’t fading
- Pigmentation is affecting your appearance and confidence
- You are pregnant and developing facial pigmentation
- Over-the-counter lightening creams aren’t working
- Melasma recurs after initial treatment
- You want a proper diagnosis and treatment plan
Treatment Options at Dermacian
Topical Depigmenting Agents
Prescription creams containing hydroquinone, tretinoin, kojic acid, azelaic acid, or combination formulas (Kligman formula) to lighten pigmentation over 8–12 weeks.
Chemical Peels
Glycolic acid, mandelic acid, or TCA peels that exfoliate pigmented layers and promote new, even-toned skin. A series of 4–6 peels is recommended.
Laser Toning
Q-Switched Nd:YAG laser that targets melanin to break down pigmentation. Multiple sessions needed, spaced 1–2 weeks apart.
Oral Tranexamic Acid
A newer treatment for stubborn melasma that works by reducing melanocyte activation. Prescribed under medical supervision.
Microneedling with Depigmenting Serums
Enhances penetration of lightening agents while stimulating skin renewal for improved results.
Triple Combination Cream
A customized formulation combining hydroquinone, tretinoin, and a steroid for short-term intensive treatment under dermatologist supervision.
Prevention & Management Tips
Doctor's Note
"Melasma is stubborn and sun-sensitive. Sunscreen is non-negotiable, and results come with patience and consistency."
— Dr. Vivek Rungta, Dermatologist & Hair Transplant Specialist