Melasma is a common skin condition that causes patches of dark pigmentation on the face, often triggered by hormonal changes, sun exposure, or genetic factors. At The London Dermatology Centre, we provide expert diagnosis and advanced treatment options to help restore an even skin tone and boost your confidence.
Melasma appears as brown or greyish patches, typically on the cheeks, forehead, nose, and upper lip. It is more prevalent in women, especially during pregnancy or when taking hormonal medications. Although not harmful, melasma can be persistent and challenging to treat without professional care.
The exact cause of melasma isn’t always clear, but several factors can contribute to its development, including:
At The London Dermatology Centre, we offer a range of advanced treatments tailored to your skin type and severity of melasma. Our dermatologists create personalised treatment plans to achieve optimal results.
Topical treatments are often the first line of defence against melasma and work by gradually reducing pigmentation over time. Prescription creams containing hydroquinone, retinoids, and corticosteroids are commonly used to target excess melanin production and encourage skin renewal. Hydroquinone is a powerful skin-lightening agent that inhibits melanin formation, while retinoids help accelerate cell turnover to fade dark patches more effectively. Corticosteroids can also be included to reduce inflammation and enhance the overall efficacy of the treatment.
In addition to prescription creams, we offer medical-grade skincare products designed to complement and maintain the results of treatment. These formulations often include antioxidants, brightening agents like vitamin C, and gentle exfoliants to promote an even skin tone. Long-term skincare management is crucial, as melasma can be persistent and may return if not properly controlled. Our dermatologists will create a tailored regimen to ensure optimal results while minimising potential side effects.
Chemical peels are an effective way to improve melasma by removing damaged outer layers of skin and stimulating the regeneration of new, healthier cells. The procedure involves applying a carefully selected chemical solution to exfoliate the skin, revealing a more even complexion beneath. Superficial peels, such as those containing glycolic or lactic acid, are suitable for mild cases, while stronger peels with trichloroacetic acid (TCA) may be recommended for deeper pigmentation concerns. The choice of peel depends on skin type, sensitivity, and the severity of melasma.
Regular chemical peel treatments can help break down excess pigmentation while improving overall skin texture. While some patients may experience mild redness and peeling after the procedure, downtime is minimal, and results become more noticeable with repeated sessions. Our dermatologists will assess your skin condition and recommend the most appropriate peel strength to ensure both safety and effectiveness, helping to restore a radiant, more even complexion.
Laser therapy is an advanced treatment option for melasma, using targeted light energy to break down excess melanin without harming surrounding skin. This precise approach allows for gradual fading of pigmentation while promoting an even skin tone. Different types of lasers, such as Q-switched Nd:YAG and fractional lasers, can be used depending on the severity of the condition and individual skin type. These treatments work by selectively targeting pigmented areas, fragmenting melanin particles so they can be naturally eliminated by the body’s immune system.
One of the key benefits of laser therapy is its ability to penetrate deeper layers of the skin, making it particularly effective for stubborn or recurring melasma. While laser treatments can yield significant improvements, multiple sessions may be required to achieve the best results. Additionally, strict sun protection and a tailored skincare routine are essential after laser therapy to maintain results and prevent further pigmentation. Our specialists will customise a laser treatment plan to suit your specific needs, ensuring both safety and optimal outcomes.
Microneedling with Platelet-Rich Plasma (PRP) is a highly effective treatment that combines collagen stimulation with the regenerative properties of PRP to reduce pigmentation and improve skin texture. The microneedling process involves the use of fine needles to create controlled micro-injuries in the skin, triggering natural healing and collagen production. When combined with PRP—derived from the patient’s own blood—this treatment accelerates tissue repair and enhances skin rejuvenation.
For melasma, microneedling with PRP helps to break down pigmentation while promoting an even skin tone. Over time, the treatment can improve overall skin quality, reducing fine lines and enhancing hydration. Because PRP contains growth factors that boost healing, downtime is minimal, and most patients experience only mild redness for a short period. This natural, minimally invasive approach is an excellent option for individuals seeking long-term improvements in pigmentation and skin health.
Sun exposure is one of the primary triggers for melasma, making daily sun protection an essential part of managing and preventing pigmentation. UV rays stimulate melanin production, which can lead to darkening of existing melasma and the formation of new patches. We recommend broad-spectrum sunscreens with SPF 50 or higher, along with physical sun barriers like hats and sunglasses, to shield the skin from harmful UV exposure.
In addition to sunscreen, a tailored skincare routine plays a crucial role in controlling melasma. Using products containing antioxidants, niacinamide, and gentle exfoliants can help maintain an even skin tone while reducing the risk of recurrence. Regular dermatological assessments and professional treatments will ensure that your skincare approach is optimised for your specific needs. Our specialists at The London Dermatology Centre can guide you on the best products and habits to support long-term skin health and melasma prevention.
Melasma is a chronic condition, meaning it can be managed but may not be permanently cured. However, with the right treatment plan and ongoing skin maintenance, its appearance can be significantly reduced. Our dermatologists offer expert guidance on long-term management to keep pigmentation under control.
The timeframe for visible results depends on the treatment method used and the severity of the melasma. Topical treatments may take a few months to show improvement, while laser therapy and chemical peels can produce more noticeable changes in a few sessions. Our specialists will create a personalised treatment plan to suit your needs.
Melasma can return if triggers such as sun exposure and hormonal changes persist. That’s why a long-term skincare routine, including daily sun protection and maintenance treatments, is essential to prolong results and minimise recurrence.
Yes, but the choice of treatment must be tailored to your skin type and condition. Our dermatologists will assess your skin and recommend the safest and most effective options to achieve the best outcome while minimising the risk of irritation or side effects.
Yes, lifestyle adjustments can make a significant difference in managing melasma. Wearing high-SPF sunscreen daily, avoiding excessive sun exposure, and using gentle skincare products can help prevent worsening pigmentation. Additionally, a diet rich in antioxidants may support overall skin health.
While some over-the-counter products can help, professional treatments offer more reliable and long-lasting results. At-home remedies should be used as part of a dermatologist-recommended skincare routine rather than a sole treatment approach.
If you’re struggling with melasma, our dermatologists are here to help. Contact The London Dermatology Centre today to book a consultation and start your journey towards clearer, more radiant skin.
Located at 69 Wimpole Street within the Harley Medical District of Marylebone, in the heart of London, our dermatology clinic is ideally situated for ease of access.
With excellent transport connections and surrounded by numerous amenities, your visit to The London Dermatology Centre is set to be both convenient and hassle-free.
For those using public transport, you can alight at Bond Street Station and enjoy a brief 7-minute walk. Alternatively, you can exit at Oxford Circus or Baker Street Station, both of which are a 10-minute walk away. Street parking is available for those who prefer to drive.
Monday - Friday: 9.00 AM - 5.30 PM
Saturday & Sunday: Closed
69 Wimpole Street,
London W1G 8AS.
If you'd like to learn more about melasma or arrange a consultation with one of our dermatology specialists, simply complete the contact form. A member of our experienced team at London Dermatology Centre will be in touch shortly. We're here to support you on your journey to healthier skin.
