Dermatology-led · South Kensington

Pigmentation & Melasma

Gentle, staged plans for uneven tone—melasma, sun spots and post-inflammatory marks—prioritising barrier health and daily photoprotection.

At-a-glance: Identify pigment type · Daily SPF · Gradual brightening actives · Consider light peels/laser only when appropriate.

Photoprotection

Daily broad-spectrum SPF is essential to prevent darkening and rebound. Reapply during prolonged exposure.

Barrier-first

Repairing the barrier reduces sensitivity and allows actives to be tolerated.

Clinic Treatments That May Help

Selection depends on pigment type, depth and skin tone. Melasma is managed conservatively to reduce rebound risk.

Mandelic/Lactic Peels

  • Gentle brightening
  • Low downtime
  • Series recommended

Targeted Laser/Light

  • Sun spots/PIH
  • Patch-tested when appropriate
  • SPF essential

Topical Protocols

  • Azelaic/niacinamide/Vit C
  • Stepwise retinoids
  • Barrier support

Adjuncts

  • LED for recovery
  • Seasonal adjustments
  • Maintenance plan

Pigmentation — FAQs

How long does melasma take to improve?

Expect gradual changes over months with strict SPF and gentle actives. Maintenance is key.

Can lasers fix melasma?

Lasers can worsen melasma in some cases. We favour conservative plans first and only consider devices selectively.

Will peels make me peel a lot?

Light peels are usually well-tolerated with minimal flaking. Stronger peels are avoided unless clearly indicated.

Medical disclaimer: general information only; a consultation determines suitability.