Melasma is not dangerous, but it can be frustrating. So, the main reason why many people consider melasma removal is because the patches can be difficult to deal with, and can also affect social interactions.
If you’re looking for information on what melasma looks like and diagnosis, please check this other guide: https://thedermclinic.com.sg/female-hyperpigmentation-singapore/. In melasma removal, the goal of the treatment is to lighten dark patches and even out the skin tone.
However, the success of treatment varies from person to person. Some people see great results, while others struggle with recurring pigmentation thus the frequently asked question: Can melasma be removed completely, and will it ever return after treatment?
We will be answering that question and related ones on this page. Keep reading!
Can Melasma Be Removed Completely?
When you’ve made the decision to seek melasma removal, you definitely expect a flawless skin once you’ve completed treatment. It is for this reason why many people frequently ask; can melasma be removed completely?
The simple answer is yes, melasma can actually be removed completely. However, it is important to note that while significant improvement is possible, permanently removing melasma is difficult. The best approach is to lighten dark patches and prevent future flare-ups.
Depending on the severity of your melasma, there are several treatments you can find helpful. Here are some of the most effective options:
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Topical Treatments
Topical treatments for melasma include options like hydroquinone, tretinoin, azelaic acid and corticosteroids. Hydroquinone is a skin-lightening agent that reduces pigment production.
It is often the first-line treatment for melasma. If you’ve used hydroquinone for melasma, results may appear in weeks but require continuous use.
Tretinoin is a vitamin A derivative that speeds up skin cell turnover. It helps fade melasma gradually by replacing pigmented cells with new ones.
If azelaic acid is used, it will help reduce melanin production and inflammation. It is safe for sensitive skin and works well for mild to moderate melasma.
Corticosteroids are used in combination with other creams to enhance their effects. They help reduce redness and irritation while promoting skin healing.
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Laser Treatments
Laser treatment is another very common option for melasma treatment. There are different lasers that can be used depending on severity and the results you hope for.
One of the most common lasers for melasma removal is Pico laser. It uses short bursts of energy to break down excess pigment. It is effective for stubborn melasma but requires multiple sessions.
The other options are Fractional CO2 laser and Q-Switched Nd:YAG Laser. The Fractional CO2 laser works by removing the top layer of skin to allow for new, even-toned skin to develop.
While it offers long-term improvement, it requires some downtime. Q-Switched Nd:YAG Laser targets deep pigment while minimizing damage to surrounding skin. It is another very popular option for melasma removal in Singapore.
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Oral Medications
Did you also know that there are oral medications for melasma removal? You may be prescribed oral medications for melasma if your condition doesn’t improve with hydroquinone and combination topical therapy after about four months of treatment.
If you’ve been recommended oral medications for melasma, you may be prescribed tranexamic acid, Polypodium leucotomos extract or glutathione among other options. Tranexamic acid can help with melasma by reducing melanin production.
You must use this under medical supervision to avoid side effects. Polypodium leucotomos extract is a natural supplement that protects skin from UV damage.
It is used alongside other treatments to prevent melasma from worsening. Glutathione is an antioxidant that lightens the skin by reducing melanin production. While promising, its long-term effectiveness is still under research.
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Chemical Peels
Chemical peels work by causing a controlled exfoliation of the top layer of skin to effectively remove the melanin buildup responsible for the dark patches associated with melasma. There are three very common options; glycolic acid peel, TCA (Trichloroacetic Acid) and Jessner’s Peel.
Glycolic acid peel is a mild peel that removes dead skin cells and reduces pigmentation. It improves skin texture and tone with regular sessions.
TCA on the other hand is a stronger peel that penetrates deeper layers of skin. It may be recommended if you’re dealing with a case of severe melasma. It requires downtime.
Jessner’s peel is a blend of acids that exfoliate and lighten dark spots. It is suitable for moderate melasma and helps maintain results from other treatments.
Can Melasma Come Back After Treatment?
Melasma is a chronic condition which means that it can still return even after treatment. While treatment can fade dark patches, there are factors that can cause melasma to reappear.
This is because melasma affects pigment cells deep within the skin. External triggers can reactivate these cells and cause new pigmentation. Here are common circumstances when melasma can come back:
- Extensive Sun Exposure: UV rays stimulate melanin production, which can bring back dark patches. Even after successful treatment, you do not want to skip sunscreen as this can lead to recurrence.
- Hormonal Changes: Pregnancy, birth control pills, and hormone therapy can all trigger melasma. Even if the condition fades after treatment, new hormonal shifts may bring it back.
- Heat Exposure: Not just sunlight. Even heat from cooking, saunas, and hot weather can trigger melasma. Heat increases blood flow to the skin which then activates the pigment cells.
- Genetics: If melasma runs in your family, you may be more prone to recurrence. While treatment can help, long-term maintenance is required.
- Incomplete Treatment: If melasma is not treated correctly or if maintenance care is neglected, it can return. That said, it is recommendable that you combine treatments with proper skincare for lasting results.
Verdict: Is There a Permanent Treatment for Melasma?
So, is melasma removal permanent? The short answer is no. Melasma is a chronic condition, and no treatment guarantees permanent removal. However, it can be effectively managed.
With the right treatment, melasma can fade significantly but still, without proper skincare and maintenance, it can return. So, the key to controlling melasma is consistent care. Combining treatments with a disciplined skincare routine can make a significant difference.
So, don’t just seek treatment. Also, protect your skin from triggers, especially sunlight and hormonal changes to reduce the chances of your melasma coming back.
In the same vein, if you are considering treatment, be sure to have realistic expectations. Melasma can be reduced, but it requires commitment for you to see the best results. With the right approach, you can maintain healthy, radiant skin for several years.
At our Singapore dermatology and laser clinic, we take a personalized approach to melasma treatment. Our specialists conduct a thorough skin assessments to create customized treatment plans that offer the best results. Book a consultation today to find the right melasma treatment for you.
The Dermatology Clinic – Dr. Uma Alagappan | Adult and Pediatric Skin Specialist
321 Joo Chiat Pl,
#05-01A Parkway East Specialist Hospital,
Singapore 427990
OR
290 Orchard Road
09-20/21 Paragon Medical Centre,