Melasma and cosmetic skin concerns
Melasma needs an appropriate diagnosis. Once the concern is understood, discuss realistic cosmetic goals and avoid promises of a permanent cure.
What treatment planning should establish.
These four points support treatment planning. The detailed guide below covers this treatment.

Discuss your concern
Read more about Melasma Treatment Treatment details and clinical context
Melasma can cause patches of darker facial pigmentation and may persist or return. Not every dark patch is melasma; an uncertain or changing mark needs appropriate healthcare assessment.
Cosmetic care should respect an existing medical plan. This page does not advertise a prescription product or promise that a peel or light procedure is suitable for your pigmentation.
Preparing for a consultation
Discuss the concern before considering an intervention.
01 · Before Describe the concern
Bring details of the change, relevant health history, current products and previous procedures.
02 · Consultation Discuss scope and realistic limits
The consultation should establish whether a cosmetic approach is appropriate or further assessment is needed. No procedure is promised.
03 · Next step Make an informed choice
If a cosmetic option is appropriate, review the exact proposal, risks, price and follow-up before deciding. No treatment is a valid choice.
Questions before choosing a cosmetic approach
Consider the specific concern, realistic limits and the actual proposal.
Confirm the concern first
Tell the assessing clinician when the patches appeared and about relevant medicines, pregnancy, skincare and previous procedures. Do not change a prescribed medicine or hormonal treatment because of website advice.
Sun protection and skincare
Sun exposure can aggravate melasma. Discuss appropriate sun protection, including shade and sunscreen, and avoid irritating products. A particular “best cream” or guaranteed clearing package cannot be recommended to everyone.
Be cautious about procedures
Some procedures can worsen pigmentation or cause other skin injury. Ask why an exact approach is suitable for your skin, what evidence supports it and how recurrence or an adverse response would be managed. Treatment response and maintenance needs vary.
Frequently asked questions.
Preparation, treatment, recovery, suitability and aftercare guidance to support your consultation.
Can melasma be permanently removed?
Is laser automatically the next step?
Discuss the appropriate next step
Arrange a consultation to discuss your cosmetic concern. Seek medical assessment first where symptoms require it.