Patient Guide: How to Choose the Best Melasma Treatment

Melasma is one of the most common skin conditions we treat in Singapore. Even though there still isn't a specific cure for melasma, there are several remedies you could use to manage the condition.

For any person who visits our clinic for melasma treatment, we always insist on choosing the best melasma treatment in Sg depending on the potential triggers as it can be a challenging condition to manage. We insist on a tailored approach because, with the right treatment, you have a solid chance of lightening the dark patches and improving the overall appearance of your skin.

Also, we insist on choosing the best treatment because, with the wrong treatment or not following a proper skincare regimen, you can actually worsen the condition or cause skin irritation. After reading this guide, you should have an idea of what to look for in a melasma treatment. But first;

Which Treatment is best for Melasma?​

Melasma often affects the face and can be distressing but not harmful. When treating melasma, usually the focus is on lightening these patches and evening out the skin tone.

The effectiveness of different approaches varies based on the severity of the condition and individual skin type. To begin treatment, your dermatologist may give you a prescription for a medication that is specially formulated to reduce pigmentation on your skin.

In most cases, you can expect to be given a prescription for topical medications you can use at home. The options for topical treatments may include;

• Hydroquinone​

Hydroquinone works by inhibiting the synthesis of enzyme tyrosinase, which is involved in the production of melanin. Melanin is the pigment responsible for the darkening of the skin.

So, by reducing the production of melanin, hydroquinone helps to lighten dark patches and even out skin tone. It is considered potent and effective, which is why it is now available only by prescription.

• Tretinoin and Corticosteroids​

Tretinoin is a type of retinoid that works by increasing cell turnover, which helps to exfoliate the skin and fade dark patches. It also helps to stimulate collagen production, which can improve skin texture and tone.

Corticosteroids, on the other hand, have anti-inflammatory properties and can help to reduce skin irritation and redness. When combined, tretinoin and corticosteroids can be more effective in treating melasma than either medication alone.

• Triple Combination Cream​

This cream combines tretinoin, a corticosteroid, and hydroquinone into one treatment. Each of these ingredients works in a different way to target melasma.

Tretinoin exfoliates the skin and stimulates collagen production, corticosteroids reduce inflammation and irritation, and hydroquinone lightens dark patches by inhibiting melanin production. This combination of ingredients can be particularly effective for stubborn cases of melasma.

• Other Medications​

Azelaic acid, kojic acid, and vitamin C are gentler options that can be used to treat melasma. They may be particularly useful for you if you have sensitive skin or are dealing with a milder case of melasma.

Azelaic acid works by inhibiting melanin production and has anti-inflammatory properties. Kojic acid also inhibits melanin production and can help to lighten dark patches. Vitamin C is an antioxidant that can brighten the skin and protect it from damage.

Sometimes even when you use topical medications as advised, melasma can persist. In such instances, your dermatologist or cosmetic doctor may consider adding any of the procedures below to your treatment plan;

• Chemical Peels: These peels use a chemical solution to remove the top layers of skin, including excess pigment to reveal newer, evenly pigmented skin.
• Microneedling: This procedure creates controlled micro-injuries to stimulate collagen production to encourage improved skin texture and tone.
• Laser and Light Treatments: Procedures like IPL (Intense Pulsed Light) and laser therapy can be used to target melanin-producing cells to reduce the appearance of melasma.
• Platelet-rich Plasma (PRP): This treatment involves injecting plasma from the patient's own blood into the skin. It can also help stimulate skin regeneration and improve tone.

Please, note that only a board-certified dermatologist or cosmetic doctor can help with these procedures. So, if you fancy them, your best bet is a consultation with a board-certified provider.

How do you choose the Best Melasma Treatment?​

Melasma can be stubborn, but with the right approach, it is possible to bring it under control. Generally, when seeking the best melasma treatment, your best bet is a consultation with a dermatologist for a thorough examination to diagnose melasma accurately.

From this assessment, they can help you design a personalized treatment plan that suits your skin type and addresses your specific concerns. Real quick, here are four key considerations that your skin doctor or dermatologist will keep in mind when helping you choose the best melasma treatment;

• Your Skin Type​

The first step in choosing the best melasma treatment is understanding your skin type. This is crucial because different skin types respond differently.

So, what works for one person may not work for another. Your dermatologist will consider your skin type when recommending treatment options.

• An Assessment of the Cause​

To ensure effective treatment, identifying and addressing the underlying causes of melasma is key. From hormonal changes to sun exposure and genetic predisposition, several issues can all play a role.

After assessment, you will be prescribed tailored treatments or procedures to bring your melasma under control. Treatments that target these factors, such as topical medications or laser therapy, can lead to more effective outcomes.

• The Risks of the Medication​

Depending on your medical history or current health situation, there are specific medications that may not be ideal for you. It's important to understand the risks associated with each treatment option.

Some treatments, such as chemical peels or laser therapy, can cause temporary irritation or discoloration. Your dermatologist will discuss these risks with you and help you make an informed decision.

• Pregnancy​

For women, a knowledgeable provider will also want to know if you are pregnant or planning to become pregnant. This is important to ensure the safety of treatment options.

Some treatments, such as certain topical medications or laser therapies, may not be safe during pregnancy. Consult your healthcare provider for advice on safe treatment options.

Closing Thoughts​

Melasma can be challenging to treat. So even as you're considering the best melasma treatment, it is important that you be patient and consistent with your treatment plan.

We provide tailored treatments for melasma among other skin issues in Singapore. If you're worried about the condition, we offer thorough assessments to ensure tailored treatments depending on the cause or triggers of your melasma. To learn more, drop us a line at;

One Face Clinic - Pigmentation | Melasma | Acne Singapore

Orchid Hotel Singapore

1 Tras Link,

#02-01 Orchid Hotel Singapore,

Singapore 078867

+65 6222 2262