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Conditions

Hormonal Pigmentation / Melasma

Melasma is one of the most challenging pigmentation disorders, often driven by a combination of hormonal fluctuations, sun exposure, inflammation, and genetic factors. At Skin Renewal, we understand that lasting results require more than surface-level treatments. That’s why our doctor-led team takes a holistic, medical approach, addressing both the visible pigmentation and the underlying triggers contributing to melasma. Through customised combination treatments, including advanced technologies, targeted skincare, supplements, and lifestyle support, we help restore clearer, healthier, and more even-toned skin, while minimising recurrence.
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Melasma Explained by Dr Maureen Allem
Melasma, often linked to hormones and inflammation, is one of the most complex pigmentation conditions treated at Skin Renewal. In this in-depth video, Dr Maureen explores the latest regenerative approaches to melasma management, uncovering its hormonal triggers, lifestyle links, and inflammatory drivers like mast cell activation.

What Is Melasma?

Melasma is a chronic skin condition characterised by brown or grey-brown patches, usually on the cheeks, forehead, upper lip, nose, or chin. It is a type of hyperpigmentation caused by overactive melanocytes—cells responsible for producing melanin, the pigment that gives skin its colour. Melasma is more common in women and in individuals with darker skin tones. While it is not dangerous, it can significantly affect self-confidence and emotional well-being.

What Causes Melasma?

Understanding the triggers of melasma is essential for effective management. Common causes and contributing factors include:

  • Sun Exposure: UV radiation stimulates melanin production, making sun exposure the primary melasma trigger.
  • Hormonal Fluctuations: Pregnancy, birth control pills, and hormone replacement therapy often lead to melasma, sometimes referred to as "the mask of pregnancy."
  • Genetic Predisposition: If you have a family history of melasma, you're more likely to develop it.
  • Skin Inflammation: Pollution, harsh skincare products, and certain medications can irritate the skin and worsen pigmentation.
  • Heat Exposure: Not just sunlight, but exposure to heat (like cooking or saunas) can also trigger melasma.
  • Dermal-Epidermal Junction: The health of your DEJ is a large contributor to the formation of melasma.

Read more about the hidden causes of chronic melasma.

Lifestyle Factors That Worsen Melasma

Your daily habits majorly affect how your skin responds to treatment. Factors that can trigger or worsen melasma include:

  • Unprotected Sun Exposure: Not wearing SPF or hats can undo all your progress.
  • Hormonal Contraceptives: Can trigger or aggravate melasma due to synthetic oestrogens.
  • Stress: Chronic stress affects hormone levels and triggers inflammation, which can manifest on the skin.
  • Poor Sleep and Diet: These affect both gut health and hormone regulation.

Adopting a melasma-friendly lifestyle, including sun avoidance, stress management, anti-inflammatory nutrition, and hormone balance, can significantly support treatment success.

Read more on why melasma is difficult to treat.

The Power of Combination Treatments for Melasma

Melasma is a complex condition that requires time, consistency, and a personalised treatment plan. At Skin Renewal, we don’t simply treat the surface — we focus on the underlying causes, from hormonal imbalances to gut health, inflammation, and environmental triggers. Our doctor-led team designs comprehensive protocols that combine advanced in-clinic technologies, customised skincare, oral supplements, and lifestyle modifications.

This multi-layered approach allows us to target pigmentation on both the surface and deeper skin layers, helping restore healthier, even-toned skin. Every treatment plan is carefully tailored after an in-depth consultation, ensuring that each patient receives safe, effective, and sustainable results that address immediate concerns and long-term skin health. Skin Renewal offers advanced melasma treatments tailored to each skin type and severity level. These include:

  • Chemical Peels: Peel treatments target superficial pigmentation and accelerate cell turnover.
  • Laser and Light Treatments: Lasers such as Pico Toning, Fractional lasers (Pico Fractional) and IPL (Intense Pulsed Light) can safely address deeper dermal pigmentation.
  • Skin Needling: Devices like Dermapen, R.Pen, Secret RF Needling and Enymed Intensif enhance product penetration and stimulate skin regeneration.
  • Transdermal Mesotherapy: Delivers pigmentation-reducing actives deep into the skin using FDA-approved Dermo-electroporation technology.
  • LED Light Treatments: Photo Dynamic Therapy supports skin healing, reduces inflammation, and improves skin tone.
  • Mesobrite™: This is an advanced depigmentation treatment exclusive to Skin Renewal. It is designed to effectively target stubborn pigmentation, such as melasma and post-inflammatory hyperpigmentation. 

These treatments are prescribed based on your melasma type—epidermal, dermal, or mixed—and your skin's sensitivity.

Topical Products and Oral Supplements for Melasma

A consistent at-home skincare regimen is essential in managing melasma. While in-clinic treatments provide visible change, at-home care and internal support are essential for maintaining results. Skin Renewal has developed its exclusive range of skincare products to deliver medical-grade ingredients to your skin.

Key Skin Renewal products to look for:

Other Key Ingredients Beneficial to Melasma:

  • Niacinamide: Reduces inflammation and pigmentation.
  • Retinoids (Retinol or Tretinoin): Encourage skin renewal and prevent pigment buildup.
  • Hydroquinone (prescription only): A gold standard for melanin suppression.
  • Tranexamic Acid: Found in both topical and oral form, it's a powerful agent for stubborn pigmentation.

Lifestyle Strategies to Support Vascular Stability in Melasma

Lifestyle Strategy

How It Helps

Anti-Inflammatory Diet

Reduces systemic inflammation and supports hormone balance.

Sun & Heat Protection

Minimises UV and heat-related vascular and pigment triggers.

Stress Management

Lowers cortisol levels, supporting vascular stability and hormonal regulation.

Gut & Hormonal Health Support

Reduces internal inflammation and addresses hormonal imbalances affecting skin health and appearance.

frequently asked
questions

Are treatments for Melasma available at all Skin Renewal clinics?
What does melasma look like?

Melasma typically appears as brown or greyish patches on areas of the face, such as the cheeks, forehead, upper lip, and chin. The pigmentation is usually symmetrical and can vary in size, often triggered by sun exposure or hormonal changes.

What vitamin deficiency causes melasma?

A vitamin deficiency does not directly cause melasma, but low levels of certain nutrients, like Vitamin D and B12, may exacerbate skin conditions. A well-balanced diet rich in antioxidants and essential vitamins can support overall skin health and may reduce the risk of pigmentation issues.

How do you stop melasma from spreading?

To prevent melasma from spreading, it's essential to wear a broad-spectrum sunscreen with SPF 50+ every day, avoid prolonged sun exposure, and use products containing ingredients like Vitamin C and tyrosinase inhibitors. Managing stress and maintaining hormonal balance can also help reduce the spread of melasma.

What foods cause melasma?

While there is no direct link between specific foods and melasma, diets high in processed sugars, dairy, and inflammatory foods can contribute to skin inflammation, potentially worsening pigmentation issues. A diet rich in antioxidants, such as fruits, vegetables, and foods high in omega-3, can promote healthy skin.

Does melasma go away?

Melasma can fade over time, especially if triggered by pregnancy or the use of birth control, but it often requires ongoing treatment and maintenance. It can persist or worsen without proper care, especially with continued sun exposure or hormonal imbalances.

What hormones cause melasma?

Hormones like oestrogen and progesterone are strongly linked to melasma. These hormones increase during pregnancy, when using oral contraceptives, or during hormone replacement therapy (HRT), which can trigger or worsen melasma.

Is melasma hard to treat?

Due to its chronic nature and deep pigmentation, melasma can be challenging to treat. To see noticeable improvements and prevent recurrence, a combination of professional treatments, consistent sunscreen use, and long-term skincare management is required.

Frequently asked questions

Are treatments for Melasma available at all Skin Renewal clinics?
What does melasma look like?

Melasma typically appears as brown or greyish patches on areas of the face, such as the cheeks, forehead, upper lip, and chin. The pigmentation is usually symmetrical and can vary in size, often triggered by sun exposure or hormonal changes.

What vitamin deficiency causes melasma?

A vitamin deficiency does not directly cause melasma, but low levels of certain nutrients, like Vitamin D and B12, may exacerbate skin conditions. A well-balanced diet rich in antioxidants and essential vitamins can support overall skin health and may reduce the risk of pigmentation issues.

How do you stop melasma from spreading?

To prevent melasma from spreading, it's essential to wear a broad-spectrum sunscreen with SPF 50+ every day, avoid prolonged sun exposure, and use products containing ingredients like Vitamin C and tyrosinase inhibitors. Managing stress and maintaining hormonal balance can also help reduce the spread of melasma.

What foods cause melasma?

While there is no direct link between specific foods and melasma, diets high in processed sugars, dairy, and inflammatory foods can contribute to skin inflammation, potentially worsening pigmentation issues. A diet rich in antioxidants, such as fruits, vegetables, and foods high in omega-3, can promote healthy skin.

Does melasma go away?

Melasma can fade over time, especially if triggered by pregnancy or the use of birth control, but it often requires ongoing treatment and maintenance. It can persist or worsen without proper care, especially with continued sun exposure or hormonal imbalances.

What hormones cause melasma?

Hormones like oestrogen and progesterone are strongly linked to melasma. These hormones increase during pregnancy, when using oral contraceptives, or during hormone replacement therapy (HRT), which can trigger or worsen melasma.

Is melasma hard to treat?

Due to its chronic nature and deep pigmentation, melasma can be challenging to treat. To see noticeable improvements and prevent recurrence, a combination of professional treatments, consistent sunscreen use, and long-term skincare management is required.

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Whether you’re stopping in for a quick treatment or, like me, have a much longer journey ahead, the team at Skin Renewal Clinic has been consistently professional, accommodating and caring throughout. My journey started in 2025 and is still ongoing, but I’ve seen noticeable improvements along the way, which has made the journey worthwhile. What has stood out to me most, however, is the level of professionalism and care from everyone I’ve dealt with. It doesn’t matter whether you’re dealing with reception, a doctor or one of the therapists - everyone has been friendly, knowledgeable, professional and genuinely accommodating. When you’re undergoing treatments over a long period of time, having a team that makes you feel comfortable, listened to and well looked after makes a big difference. I’m still on my journey, but I’m very happy with the progress so far and with the experience I’ve had at Skin Renewal Clinic.

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I had a facial treatment with Kelly for hyperpigmentation, and I couldn't be happier with the experience. From the moment I arrived, she made me feel completely relaxed and comfortable. The treatment itself was so calming and soothing, and I left feeling refreshed and rejuvenated. Since the treatment, my skin has been incredible. I've already noticed a real improvement in my complexion and the appearance of my hyperpigmentation, and my skin feels healthier and more radiant overall. What truly sets Kelly apart is her exceptional level of care. She takes the time to follow up after the treatment to see how your skin is doing, which I think is such a thoughtful and professional touch. It's clear that she genuinely cares about her clients and their results. I highly recommend Kelly to anyone looking for effective skin treatments and outstanding service.

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I have become a regular at Skin Renewal Claremont. I have a skin condition called melasma and the pigmentation grew immensely dark on my face, resulting in my skin tone being significantly altered and me becoming very self conscious. I am really grateful for the team of staff and experts for my now VERY RADIANT SKIN. Thank you Crai-Dean for your professionalism, and heart felt welcomes. I now celebrate skin days as a result of my newly founded confidence in my skin thank you so much Skin Renewal for my pretty skin.

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Pure professionalism! The Century City branch is conveniently located, and the team there is friendly, helpful, and thorough. Every visit is a treat!

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Hi I recently won a giveaway with skinrenewalsa and I am so blown away not only did the send me my win which was the HELASE photo repair tint but they included some samples I am so grateful and cannot wait to try these out especially the samples as I suffer with bad melasma discoloration and pigmentation . Thank you so so much @skinrenewalsa

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Skin renewal Morningside is absolutely the best. I’m so happy with the service and the friendly and welcoming staff (the ladies at the front desk and the doctors). I started my journey with the clinic in February this year. My skin is looking the best it has ever looked. To my therapist, Prudence, thank you for doing a great job on my skin, for encouraging me to stick to my treatment plan and for explaining what each treatment entails and what to expect treatment. I am very happy and never look back.

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I had an excellent experience! The staff was friendly, welcoming, attentive, and professional, and they made sure I felt comfortable throughout my visit. I have always left feeling confident in the care I have received.

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My sessions with Dani have been a treat. She is gentle, friendly and kind. She explains the products and processes as we go along. My pigmentation is visible lighter, and my skin glows. I am very happy with the results.

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I have been to multiple Skin Renewals branches and changed my home branch as I wanted a new therapist. I visited Bedfordview after a long time for a doctors visit and honestly forgot how amazing the Reception team are. As you walk in, you are greeted with such warmth that you immediately feel special. The ladies should be the gold standard as they are just amazing. A special thanks to Maryke and Catarina. Will actually do all my doctor appointments at Bedfordview just to see the lovely team.

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Really enjoyed my experience; everyone was professional and kind. I loved my results. Would recommend!

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