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Treating melasma in the clinic


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Skin pigmentation is increasingly being discussed on social media, with melasma alone

generating over 1.8 billion views on TikTok.


Dermatologist Dr Jinah Yoo explains that melasma is a complex form of

hyperpigmentation, which is triggered by external factors such as UV, blue light and

heat, and by internal factors such as hormones. She continues: “Pregnancy or

contraceptive medications increase in oestrogen in the body, which can cause melanin

production to skyrocket, leading to dark patches.”


Once you have determined the cause of the melasma, the next step is to identify the

hyperpigmentation type, as “the pathogenesis and depth of pigmentation can be

different; hence treatment differs depending on the type of hyperpigmentation”.


Dr Yoo believes that lasers can offer impressive results for reducing the appearance of

melasma and other pigmentation types, as well as helping with overall skin brightening.


She also advises expanding your hyperpigmentation treatment portfolio. “Don’t forget

about other effective treatment solutions to tackle pigmentation too. Chemical peels are

a popular way to increase skin cell turnover and gently remove the damaged cells,

reducing the appearance of dark spots over the course of three to six treatments. Micro-

infusions are another recommended option to “infuse the skin with concentrated active

ingredients to visibly improve skin condition.”


Dr Yoo recommends maximising results with personalised and bespoke skincare plans

devised to suit patient needs and concerns. “As pigmentation can return, you should

recommend a topical skincare routine and advise patients to be mindful of any external

factors, such as sun damage that could be contributing to pigmentation. A patient’s daily

skincare regime should always include a broad-spectrum SPF to protect their skin

against harmful UV rays.”


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