What is vascular melasma? Why is it more difficult to treat than regular melasma?
Many patients understand that "melasma" is caused solely by melanin, but for... "Bloodstains" That's more complex because it's not just black or brown, but there are... Abnormalities of capillaries Including subcutaneous tissue.
A simple way to observe: Blood spots appear as faint red or reddish-brown patches. These spots become more pronounced when the patient is exposed to sunlight, heat, or cooking in front of a hot stove. "The red is more prominent." Immediately.

The root cause isn't just the sun, but the "weakness" of the skin.
To illustrate, let me give you an example:
Compare our facial skin to... "Ground"
- Ordinary freckles: It's like there's dried leaves (pigment) covering the soil; sweeping them away makes it clean.
- Blood clots: like "An underground water pipe has burst." (Dilated capillaries) cause the soil to become soggy and bruised red. Simply sweeping away leaves (reducing pigmentation) won't cure it. We need to repair the water pipes (blood vessels) and improve the soil (surface structure) to make it stronger.
Treatment must address the root cause (vascular component).
Applying common melasma creams that focus on harsh exfoliation may worsen melasma (melasma caused by blood clots) because it thins and irritates the skin. What the doctor recommends is using... Meso Melasma Or a Skin Booster containing ingredients that help reduce inflammation and inhibit the production of new blood cells.
Treatment options recommended by your doctor:
- Meso Melasma: Focus on "Clear pigmentation" Reduces dullness directly, suitable for patients who desire brighter, clearer skin.
- OXELLE: This is a skincare product that helps... "Repair the structure" Yes, it helps strengthen the skin and significantly reduces redness from blood vessels. It's ideal for sensitive skin with melasma. It's a powerful combination of ingredients: HA + Amino Acids + Vitamin C + Glutathione.
Course for removing deep melasma, sun spots, permanent melasma, and freckles.
| Program | Full price | 1 times | 5 times | Note: |
|---|---|---|---|---|
| D' Aura Plus | 1,200.- | This is a vitamin infusion treatment program that takes 40 minutes. | ||
| Pico Laser | 4,500.- | It's a laser treatment to break down and fade the dark pigmentation in melasma. | ||
| Meso Melasma | 3,500.- | The medication is delivered to dark pigment spots to reduce the activity of the pigment. | ||
| Topical medication/cream | 500.- | It promotes the main program and reduces melanin production, preventing dark spots from becoming more pronounced. | ||
| Course price | 5,500.- | 22,500.- | You can send in photos or schedule an appointment with the doctor right away. |
Pico Laser for melasma: The hero that needs to arrive at the "right time".
If the patient remembers the analogy the doctor used... "Broken water pipe" (dilated blood vessel) with "Dried leaves" (pigment) A Pico Laser is like a super-powered vacuum cleaner. It's excellent at breaking up (pigmented) leaves into tiny pieces. However… if you use a powerful vacuum cleaner on wet and muddy soil (skin inflamed and red from melasma), you might damage the soil even more.
When is the best time to get Pico Laser treatment?
The doctor will consider using Pico Laser for cases of melasma (melasma caused by blood clots) if these two criteria are met.
- When the "red" (referring to the political unrest) subsides.
We must first treat the vascular abnormalities and reduce inflammation through topical medications, strict sunscreen use, or skin procedures (such as OXELLE or Meso) until the skin becomes stronger, redness fades, and only dark or brown spots remain. That's when the Pico Laser can work at its full potential. - To capture details about "stubborn pigments".
Sometimes Meso injections or topical creams can partially clear up light melasma, but deep, stubborn dark spots remain. Pico Laser treatment may be necessary. "Crack" These pigments break down into smaller particles, which helps the body eliminate them more quickly.
Why shouldn't one rush to shoot?
If the patient is impatient and rushes into a high-intensity Pico Laser treatment while the face is still red or the skin is thin from melasma (melasma),
- Heat accumulation: The energy from the laser may stimulate blood vessels to dilate further.
- Rebound Melasma: What started as simply wanting clearer skin might actually stimulate melasma to become darker and spread more widely (Post-Inflammatory Hyperpigmentation).



![[If I didn't have melasma, my face would be more beautiful.] Melasma treatment: Review of the D' Melasma reduction program to fade melasma and achieve clearer skin.](https://dloveveryclinic.com/storage/2024/05/before-after-P-ning-piko.webp)


