Melasma is a common form of pigmentation usually affecting women. It may be superficial or deep and may also contain, and be stimulated by, some dilated small blood vessels which may need a different form of treatment.
Melasma can be triggered by factors such as sun exposure, pregnancy, hormone replacement, genetic predisposition etc.
Melasma can be a difficult form of pigmentation to treat, but there has been some success using topical lightening creams, some of which are only available on prescription and occasionally with lasers which are usually reserved for recalcitrant cases or those where blood vessels are implicated.
For some, laser treatment for capillaries or using the PicoWay® may be useful. Usually, laser treatments are reserved for those whose melasma has not otherwise responded.