Simply Aesthetic



Melasma is a tan or dark skin discoloration that is particularly common in women, especially pregnant women and those who are taking oral or patch contraceptives or hormone replacement therapy (HRT) medications. It gives the skin a dirty appearance, and the pigmentation is typically diffuse and indistinct.

The symptoms of melasma are dark, irregular patches commonly found on the upper cheek, nose, lips, upper lip, and forehead. These patches often develop gradually over time. Melasma does not cause any other symptoms beyond the cosmetic discoloration.

Melasma is thought to be the stimulation of melanocytes or pigment-producing cells by the female sex hormones estrogen and progesterone to produce more melanin pigments when the skin is exposed to sun. Women with a light brown skin type who are living in regions with intense sun exposure are particularly susceptible to developing this condition.

Genetic predisposition is also a major factor in determining whether someone will develop melasma.


Melasma can be resistant to most conventional forms of pigmentation treatment. Hence many Dermatologists will just rely on Triluma cream to fade it a bit. Triluma comprises Tretinoin, Hydroquinone and steroid components. Superficial melasma responds reasonably well.

Deeper Melasma can be problematic to treat. Under such circumstances, we will offer either Estelan, a depigmenting treatment comprising a mask & daily care cream containing concentrated whitening ingredients. Initial peeling can be significant, but the lightening effects are seen quite quickly.

Alternatively, for those averse to downtime, the RF Soft Plasma Peel resurfaces the skin and penetrates Vitamin C for whitening. This treatment requires frequent treatment over a variable period of time, but is particularly effective for resistant melasma, especially when there has been rebound after laser treatment. The pigmentation gradually reduces over a period of months. It is essential to combine it treatment with specific elements from the TDF skin care range.