What is Melasma and What are Effective Pigmentation Removal Treatments?

Melasma is a typical patchy tan, brown, or blurry-grey facial skin discoloration found in women throughout their reproductive years and occasionally in males as well.

It usually appears on the upper cheekbones, forehead, chin, and upper lip of women aged 20-50 years old. Sun exposure, usage of other external hormones and birth control tablets, and internal hormonal changes like those produced by pregnancy are all factors. Melasma patients are often reported to have a record of frequent heat and sunlight exposure. Melasma is more common in pregnant women, especially those of Asian and Latin heritage. It’s been noticed in larger proportions in persons with darker skin or olive skin.

What Causes Melasma?

Melasma has no causes that’s yet to be firmly recognized. However, medical specialists have said that various circumstances, such as birth control pregnancy, hormone replacement treatment, pills, and a family medical history of melasma, might contribute to the condition’s appearance, especially in people with this predisposition.


Melasma that develops during pregnancy is otherwise called chloasma. Women in their 2nd and 3rd pregnancy semesters have an increase in hormone levels like progesterone, estrogen, and (MSH) melanocyte-stimulating hormone. Melanocytes are those cells that are responsible for the pigmentation of the skin. Increased progesterone levels, rather than MSH or estrogen, are thought to be the reason for pregnancy-related melasma. In postmenopausal women, several studies have shown a relationship between progesterone therapy and a higher occurrence of melasma.


Similarly, those who have a genetic tendency or a family medical history of chloasma or melasma are more likely to get melasma. To avoid stimulating pigment synthesis, such persons should minimize exposure to sunshine and go outside only after using sufficient sunscreen.

Melasma Could Be Treated with Pico Laser

Pico laser pigmentation removal procedure is an effective and safe treatment for a variety of pigmentation disorders. Typical solar lentigines and sun-induced freckles are examples of these (sun spots). It is also useful for addressing pigmented birthmarks like (CALM) Cafe au lait macules and Naevus of Ota. Furthermore, deep cutaneous lesions like Hori’s Naevus have been shown to react well to Pico laser therapy. Pico laser treatment is also employed to address (PIH) post-inflammatory hyperpigmentation, which is most typically caused by acne.

What Is the Function of a Pico Laser?

Picosecond lasers with ultrafast laser pulses and high power are used in Pico laser pigmentation removal treatments. These ultrafast pulses (approximately a trillionth of a second!) provide a significant but stable sonic influence on the targeted pigments. This photomechanical or photoacoustic action delicately breaks down pigments with little collateral harm. The natural healing process of the body then eliminate the finely fragmented pigments.

What Is The Downtime Associated With Pico Laser Procedure?

It’s beneficial for the Pico laser to reach the target under the skin without overheating while keeping the overlying skin layer unharmed. Because the Pico laser produces ultrafast pulses, most patients recover quickly. Scabs usually come off after a week.

Who Should Not Undergo The Treatment?

The PICO Laser reduction therapy is appropriate for most people that are in generally excellent health and have realistic expectations of the treatment’s advantages.

Pico laser therapy, similar to other medical procedures, have certain risks. Please inform the doctor if you got a history of any of the conditions below:

  • Active skin inflammation or infection
  • Open wounds in the skin
  • Herpes
  • Active acne
  • Hypersensitivity to lights flashing or seizures
  • Medications that make you more sensitive to light

Is Pico Laser Therapy Painful?

The majority of therapies are well tolerated. Tingling is a frequent experience. To maximize your enjoyment and comfort, we utilize numbing cream before each procedure.

How Should I Look After My Skin After The Procedure?

To keep the skin moisturized and clean, use a light moisturizer and cleanser. To reduce the chance of infection, you might be given a topical antibiotic. Stay out of extended and direct sunshine, and use sunscreen (PA+++ and SPF 50) to protect yourself.

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