Skin Diseases
Melasma and Dark Spots
Melasma can be controlled, not eliminated in one go. Anyone promising otherwise is promising what they cannot deliver.
What melasma is
Melasma is a hyperpigmentation that appears mainly on the face (forehead, cheeks, upper lip and chin) as patches with irregular edges. It predominantly affects women.
The factors involved are well known: sun exposure, hormonal changes (pregnancy, contraceptives), genetic predisposition and heat. Ultraviolet radiation and visible light are the main aggravating factors, which explains why it gets worse in summer and recurs easily.
Treatment approach
Treatment combines topical depigmenting agents, in clinic procedures and, above all, strict and permanent sun protection.
- Topical depigmenting agents — the foundation of treatment, used continuously with periodic adjustments.
- Chemical Peels — in progressive protocols adapted to your skin phototype.
- Microneedling — in selected cases, with care, given the risk of worsening if not properly indicated.
- Sun protection — sunscreen that also protects against visible light, reapplied throughout the day.
Why maintenance is the decisive part
Melasma has a high recurrence rate. Stopping sun protection or maintenance after improvement is the most common reason dark spots return to their initial state.
That is why the plan we define in consultation always includes a maintenance phase. It is not an extra: it is part of the treatment.
Frequently asked questions
Can melasma be cured for good?
Not in the sense of disappearing and never coming back. It is a chronic, recurring condition that can be very well controlled with proper treatment and maintenance.
Can I go in the sun if I wear sunscreen?
Sunscreen reduces the risk but does not eliminate it, and melasma is also sensitive to visible light and heat. Prolonged direct sun exposure should be avoided, using a hat and shade in addition to sunscreen.
Does pregnancy cause melasma?
It is one of the most common triggers, hence its popular name, the mask of pregnancy. In some cases it fades after childbirth; in others it persists and needs treatment.
Book a consultation
Every assessment starts with a consultation, where we look at your case and define the most suitable plan. Book through the online form or via WhatsApp on +351 920 500 970.
Book a consultationRelated treatments
The information on this page is for information purposes only and does not replace a medical consultation. All procedures require a prior clinical assessment. Results vary from person to person and depend on individual factors assessed in consultation.