Melasma is a skin condition caused by an overdistribution of pigment, resulting in dark spots on the face. There are several types of melasma, and effective treatment depends on the specific type of melasma.
Melasma is a skin condition caused by an overdistribution of pigment, resulting in dark spots on the face. Effective treatment of melasma requires time and patience, as the accumulated pigment gradually fades.
Currently, there is no treatment that can permanently eliminate melasma in a single treatment. Current treatments can help fade melasma, and they must be combined with measures to prevent its recurrence.
Use sunscreen with an SPF of 30 or higher every day. To protect your skin from UV rays, regularly observe your face, use facial treatments and moisturizers to prevent pigment clumping, or consult a dermatologist for preventative measures.
The main reason patients decide to seek treatment for melasma.
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อ้างอิงคนไข้D' Lovevery Clinicตั้งแต่ปี 2023
Gradually fading melasma will yield better long-term results, and the melasma won't return as quickly.
The location where the most normal skin pigment is found.
The most common location found in patients over the past 10 years is the melasma panel.
- face Specifically, the cheekbones, bridge of the nose, forehead, and chin are listed from most to least prominent.
- neck It is most common in people over 40 years old.
The dark pigmentation we see in other areas is called age spot and is more common with age.
- arm It is found more often in males than in females.
- hand It is also found less frequently.
Mesotherapy for reducing freckles and melasma is one of the treatments that helps relax and strengthen the facial skin, improve dull skin tone, and safely reduce freckles, melasma, and dark spots for a healthy-looking complexion. Mesotherapy is a targeted facial treatment that penetrates the middle layer of the skin to stimulate collagen production, reduce melanin production, diminish freckles and melasma, and brighten the skin, helping to fade melasma.
How do melasma and freckles differ in men and women?
| หัวข้อ | woman | man |
|---|---|---|
| Common causes/triggers. | Hormones (pregnancy/birth control pills), sunlight, genetics, heat/light, skincare irritation. | Intense sunlight/working outdoors, heat, friction/shaving, genetics; hormones are usually less involved. |
| Common skin characteristics | Sensitive/easily irritated skin from trying many products, dry or combination skin. | Their skin is thicker and oilier on average, but can still be irritated by shaving/aftershave. |
| Behaviors that are difficult to treat. | Applying makeup/washing your face too vigorously/scrubbing, using multiple whitening products at once can cause skin inflammation. | Not applying sunscreen consistently, not applying enough sunscreen/not reapplying, dislikes multi-step processes. |
| Sunscreen (key point) | Choose a gentle formula that won't sting your eyes and can be reapplied throughout the day (over makeup). | Focus on "apply generously" - a lightweight, non-sticky formula that's easy to reapply and doesn't look cakey. |
| Skincare products that often meet the needs. | Focuses on reducing inflammation and gradually inhibiting melanin production (without thinning or damaging the skin). | Focus on simple yet effective steps: Sunscreen + 1-2 main anti-blemish creams + Moisturizer. |
| Risk factors for irritation/allergic reactions. | Higher sensitivity (using multiple pieces/trying frequently) and some individuals are sensitive to acids/retinoids. | Irritation from shaving, fragrance/alcohol in products, friction. |
| Procedure/Laser (Guidelines) | It often focuses on gentle energy, reducing the chance of PIH*, and caring for sensitive skin. | It's possible, but you need to control sun exposure and minimize irritation afterward, especially for people who work outdoors. |
| Common expectations/motivations | Want clearer, more even skin tone and easier makeup application? | Want to look radiant, not tired, and reduce dark circles/uneven skin tone naturally? |
| Obstacles to continued attendance. | Appointment time/Budget/Afraid of being embarrassed. | Timing/consistency of sunscreen application and reapplication. |
| Key performance indicators that should be used. | Image comparison under the same lighting conditions + frosting intensity score + product durability. | Comparison image under the same lighting conditions + haze intensity + uniformity of sunscreen/outdoor activities. |
Mesotherapy for freckles and melasma helps reduce dark spots by delivering medication directly into the skin, allowing for immediate absorption. It controls the function of melanin cells to reduce the formation of dark spots and fade freckles and melasma.
The disadvantages of having freckles on your face.
Looking in the mirror and seeing melasma → Feeling like your face looks older/more tired than usual → Decreased self-confidence → Avoiding cameras/bright light → Trying to cover it up (heavier makeup/focusing more on blemishes) → Skin becomes tired/sensitive (irritated, stressed, lack of sleep) → Melasma appears darker and more prominent → Wasting time and money on various creams/clinics/treatments → Seeing melasma in the mirror again → The cycle repeats.
How does Demelasma work to reduce melasma?
Mesotherapy for Melasma (D' Melasma) is a clinic program that treats melasma by injecting medication into the dermis layer beneath the skin. The active ingredients include:
Alpha Arbutin 2%
Pure, concentrated arbutin reduces freckles, redness, and dark spots.
Glutathione (GSH)
Reveals brighter skin and is a highly effective antioxidant.
Vitamin B3 (Niacinamide)
Strengthens skin, brightens complexion, and tightens pores.
- Vitamin C: It helps inhibit the production of melanin, the pigment that causes freckles.
- Glutathione: It has antioxidant properties, helps reduce melanin production, and brightens the skin.
- Plant extracts: For example, extracts from lemon or aloe vera have properties that inhibit melanin production and reduce inflammation.
- Glycolic acid: It helps to exfoliate the outer layer of skin, causing dark spots to gradually fade.
Mechanism for reducing blemishes.
- Inhibits melanin production.
- Stimulates skin cell renewal.
- Reduce inflammation
- It stimulates the production of collagen and elastin, which helps to make the skin firm and radiant.
Mechanism for brighter skin.
This ingredient not only inhibits melanin production but also helps to brighten the complexion naturally.
- ADENOSINE: Reduces wrinkles and stimulates collagen production.
- SODIUM DNA: Protects skin cells from free radical damage.
- HYDROLYZED COLLAGEN: Fills in wrinkles and increases skin elasticity.
- HYALURONIC ACID: Retains moisture and keeps skin hydrated.
- MULTI-PEPTIDES: Stimulates the production of collagen and elastin.
How many treatments for melasma are needed to see results?
After receiving 3-5 consecutive treatments, melasma will gradually fade. Darker pigmentation will become lighter, and the distribution of melasma will stabilize or decrease. It is important to strictly follow the doctor's instructions and attend treatments regularly.
Review of melasma treatment.
The duration of ongoing treatment results depends on individual self-care. Sun exposure should be avoided to protect the skin from UV rays, sufficient rest is crucial for skin repair and regeneration, and regular monitoring of changes is recommended, including consultations with a doctor.
Why is it important to treat melasma to make it fade gradually?
- Treatment that is too aggressive may cause side effects. For example, skin irritation, dryness, and skin discoloration.
- Treatment that happens too quickly may cause melasma to reappear. Because the accumulated pigment has not been completely removed.
- A gradual treatment allows the skin time to adapt. And reduce the risk of side effects.
How much does D' Melasma cost?
| Number of times | Unit Price |
|---|---|
| 1 times | 4,500 Baht |
| 5 times | 18,000 Baht |
| 10 times | 29,000 Baht |
For best results, we recommend at least 3-5 treatments to reduce melasma. Consult a doctor to assess your skin condition and recommend a suitable treatment plan.
Other skin brightening programs
NCTF 135 HA
One of the mesotherapy treatments for skin brightening, it reduces dark skin pigmentation in all areas.
- Filorga NCTF 135 HA 9,999 THB per session, 5-session course for 35,000 THB.
- Channel 4,900 THB per session, 5-session course for 19,000 THB.
- Inno Glitter 2,500 THB per session, 5-session course for 10,000 THB.
What type of melasma do you have? How can I tell?
Knowing the type of melasma is important so that the treatment can be targeted.
Melasma is a skin condition caused by an overdistribution of pigment, resulting in dark spots on the face. There are several types of melasma, and effective treatment depends on the specific type of melasma.
Types of ceilings
- Superficial melasma (Epidermal melasma) This condition is caused by the accumulation of pigment in the epidermis, the outermost layer of skin. This type of melasma is usually light brown in color and responds well to treatment.
- Dermal melasma Melasma is caused by the accumulation of pigment in the dermis, the lower layer of the skin. This type of melasma is usually dark brown or gray and is more difficult to treat than superficial melasma.
- Telangiectasia This condition is caused by abnormalities in the capillaries under the skin. These capillaries cluster together in a particular area, resulting in red or purplish-red patches on the skin.
- ฝ้าฮอร์โมน (Hormone Melasma) Hormone-related melasma is common in women, especially during pregnancy, as estrogen and progesterone levels rise significantly during this time. Additionally, hormonal melasma can also occur in women taking birth control pills or hormone replacement therapy.
- Mixed melasma This type of melasma is caused by the accumulation of pigment in both the epidermis and dermis. It typically has a medium brown color and responds moderately to treatment.
Treatment for melasma depends on the type and severity of the condition. Your doctor will consider these factors to determine the appropriate treatment plan.
Prevention is the best way to fight melasma. Sunscreen is a key weapon in protecting your skin from UV rays, the main cause of melasma, for brighter, clearer skin.
Sun protection is crucial in preventing melasma and its recurrence after treatment. Use sunscreen with an SPF of 30 or higher daily and wear protective clothing when exposed to the sun. The Thai sun is dangerous at all times. The time to avoid the most is between 11:00 AM and 2:00 PM.
Melasma removal vs. laser treatment: Which is the better choice?
| Nature | Mesotherapy for reducing freckles | Pico Laser |
|---|---|---|
| Mechanism of action | Applying or injecting substances under the skin to inhibit the production of melanin. | Laser waves are used to destroy melanin pigments. |
| Time to see results | It might take several weeks or months. | Several treatment sessions may be required. |
| Treatment frequency | Every 1-3 weeks | Every 2-4 weeks |
| Duration of each treatment session. | Approximately 10 minutes | Approximately 20 minutes |
| senseHow I felt while doing it. |  | |
| ้างเคียง | Temporary redness or swelling may occur. | Temporary redness or swelling may occur. |
| Recovery period | No recovery time needed. | There may be a skin downtime depending on the selected treatment mode. |
| Suitable for this type of ceiling. | Superficial melasma; melasma caused by hormones. | Superficial freckles; freckles caused by sunlight. |
| Unit Price | 1,500-4,500 /session | 5,500-9,000 per session |
| Risk | The medicine is of poor quality. | Fake Pico, impersonation. |
| result | Continue treatment. | Continue treatment. |
| Limitations | Not suitable for pregnant or breastfeeding women. | Not suitable for those with dark or sensitive skin. |
Why choose D' Lovevery Clinic?
- Private and attentive. We value your time. There are no long waits, no crowds, and detailed, unhurried one-on-one consultations with doctors to plan the treatment best suited for you.
- Relaxed and free from pressure. We don't have salespeople trying to push sales or force you to buy courses. You can make your own decisions and feel completely comfortable.
- Convenient payment options, choose your preferred method. We offer a flexible deposit system with installment options, including Shopee PayLater and 0% installment plans through participating credit cards.
- Continued care by the same doctor. You will receive direct follow-up care from your treating physician to ensure continuity and the best possible results.
- Genuine reviews from real customers. Our pride lies in the feedback from real users. We don't hire celebrities or influencers, so you can be confident in the genuine results.
- Highly experienced and verifiable doctors. Our medical team specializes in facial contouring and skincare. Their credentials can be verified with the Medical Council of Thailand.
- A standard clinic with convenient transportation. Both of our clinics are certified by the Ministry of Public Health and are located in convenient complexes with free parking.
- Transparent and verifiable. We provide quick information. You can easily check your remaining course balance. All products used are certified by the Thai FDA and can be verified.
- Paseo Town Ramkhamhaeng Branch Call 064-424-6526
- Crystal Design Center (CDC) branch Call 095-236-4546
When treating sunspots, which are on the outermost layer of our skin, we don't use that kind of harshness at all. It's likely a misunderstanding.
Removing sunspots is not about skin peeling. Or it could even cause skin tearing. But our clinic uses a different principle... “Multi-Layer Freckle Therapy” It precisely breaks down abnormal pigment cells in the outer layer of the skin without touching the skin with any instrument. After the procedure, small scabs will form to protect the skin. It peels off naturally in 7-14 days. Reveals brighter, more radiant skin. This process is safe and does not damage the deep skin structure; the reaction is limited to... "The epidermis" It only affects the outermost layer of skin (approximately 0.1 – 0.2 millimeters deep), which is where sunspots settle, and it doesn't permanently thin the skin. Post-procedure care requires ongoing attention; patients must regularly apply sunscreen to protect the newly formed skin.
First, we need to understand this. Not being exposed to sunlight doesn't mean your skin isn't exposed to sun radiation.
UVA radiation has a wavelength of... 320-400 nanometers Which can penetrate through building windows. 90% Therefore, using PA values is necessary even if the patient is not outdoors.
In short, PA++ means a moderate level of UVA protection. Yes, UVA radiation is the main cause. Premature skin aging, wrinkles, and freckles. (Photoaging) Unlike SPF, which focuses on preventing sunburn, choosing a sunscreen with a high SPF value... PA++ is suitable for people who spend a lot of time indoors or office workers. As a general guideline, but if you'll be exposed to strong sunlight, doctors recommend choosing a higher SPF value to keep your skin healthy and youthful for longer.
Based on Dermatological Society of Thailand Treating drug-resistant melasma requires caution regarding steroids and hydroquinone illegally added to unregistered skin-whitening creams, which are often the main cause of rebound symptoms in Thai people.
Patients, and even doctors themselves, can recognize drug-resistant melasma by observing it. I've been on the same medication for over 3 months and haven't seen any results. Or have symptoms. After stopping the medication, the melasma returned and became darker rapidly (rebound). This is often accompanied by thinner and more sensitive skin. The cause is usually from using harsh medications continuously for too long, causing the melanin cells to malfunction. The best solution is... Stop using any suspected medications and consult a dermatologist. This is to "reset" the skin and plan a new treatment that is safe and sustainable.
This is why melasma is very different from other skin problems. Over-the-counter topical creams are often not as effective as expected. By the time you realize it, it's too late. The type of melasma, the age of the melasma, and the sensitivity of the skin to treatment vary from patient to patient. There is no one-size-fits-all approach; what works for patient A may not work for patient B. This is why melasma has been a problem for Thai and Asian people for hundreds of years.
Therefore, when patients consult a doctor about treating melasma, a detailed discussion is needed regarding their past treatments and medications used, in order to assess their skin and various risks, and select the most suitable approach for each case.
Vitaran and all PN products are truly effective in treating melasma by reducing inflammation and repairing and strengthening the skin's structure. Yes
A good PN (Protein-Intensive Cellulose) must have the right molecular size, which is 390-1300 KDA, because it can effectively stimulate collagen production and reduce inflammation.
Although its primary function is to create a dewy, radiant complexion, it also improves skin health from within. The problem of pigmentation and the distribution of melasma will improve noticeably. Especially in patients with thin skin or chronic melasma, PN injections can help the skin withstand pollution and prolong the effectiveness of other melasma treatments.
If patients have already used creams but feel that the results are not significant enough, or their skin rejects the creams, then moving on to injectable treatments is a suitable option. Combining this with laser treatment would also be appropriate, depending on the severity and type of melasma experienced by each individual.
The doctor will say that a slight increase in skin temperature... 1-2 degrees Celsius Activities involving sitting in front of a stove or being exposed to sunlight can stimulate... Capillaries dilate by up to 20%. This is the main reason why melasma appears darker immediately. 10-15 minutes
Therefore, the reason why melasma darkens on certain days is due to... "Temporary triggers" It's not always a permanent increase in pigmentation, mainly due to... The dilation of blood vessels under the skin when exposed to heat. (Vascular Melasma) causes melasma to appear darker, along with... Dehydrated skin This prevents the skin from reflecting light, making dark spots more visible than usual, including: Hormonal fluctuations and stress. It instructs the pigment cells to work faster. So, on days when the patient... Keep your skin hydrated, avoid heat, and get enough rest. Melasma can fade as if it's disappearing on its own. This is what's called the true nature of melasma. Treatment is therefore very difficult, but there are ways to fade or suppress it. Using harsh methods to get rid of it quickly is not the solution for melasma.
To put it simply, the methods are different, but the end result is the same.
Treatment of melasma during Mesotherapy (Injecting medication to treat melasma) with Laser There are different but complementary mechanisms. Melasma injection It means administering medication in order to... Inhibits the formation of new pigment. Suitable for controlling symptoms and brightening the skin without thinning the skin. Laser It is the use of energy. Break down old pigments into fine particles. You can see results faster, but you have to be aware of the side effects of heat. If you ask which is better... The doctor recommended doing them together. For quick and lasting results, we use lasers to remove old growths and injectable medications to prevent new growth, along with strict sun protection.
Studies have shown that combined therapy for melasma can reduce the intensity of melasma more effectively. 50% within 8 weeks. When compared to using only one method.
To put it simply and cut to the chase, don't waste your time. Not only will it be ineffective, but you'll also get a lot of unwanted side effects. You need to understand that melasma isn't just on the surface of the skin, like you can't erase it with a marker. The dark spots and blemishes you see have been buried deep beneath the surface for a long time, and today they're simply surfaced.
Exfoliating only helps remove dead skin cells, making the skin look brighter temporarily, but... Friction Exfoliation stimulates inflammation beneath the skin, causing melanin cells to become active and produce melasma. Intense and deeper than before. The doctor recommends avoiding harsh facial scrubs and instead using gentle exfoliating products. Chemical Exfoliant (AHA/PHA) Alternatively, consult a doctor for laser treatment or targeted injections of medication, which are safer and yield better results in treating melasma.
That's true. Only patients who are experiencing it will understand best, because it really drags on for a long time.
treatment Dermal Melasma This is considered the biggest challenge in the skincare industry because the pigment is embedded in the dermis, which is difficult for ordinary creams to reach. Violence is strictly forbidden. The type that you want.The laser is shooting "bang bang". The only answer is no. Effective treatment therefore requires technology that releases specific energy to break down pigment. Does not cause heat accumulation. That will stimulate the melasma to become darker (rebound).
