By Dr. Vrushali Nikam,
Head Dermatologist,
Bodysutra Clinique – Skin Clinic in Pimple Saudagar
Melasma is a common skin condition that causes brown or grey brown patches on the face typically on the cheeks, forehead, nose, and upper lip. It can be distressing for many patients because it affects appearance, confidence, and quality of life, especially in adults with medium to darker skin tones.
At Bodysutra Clinique, we see melasma frequently and help patients manage it effectively using acurate strategies. Here’s a comprehensive, data-backed guide on what to do and what to avoid if you have melasma.
What Causes Melasma?
Melasma occurs when melanocytes become overactive.
Key triggers include:
1. Sun Exposure
UV radiation increases melanin production. Studies show that sun exposure is the biggest trigger for melasma flare-ups. Even short daily exposure adds up.
2. Hormones
Pregnancy, birth control pills, and hormone therapy can trigger melasma - this is why it’s sometimes called “the mask of pregnancy.”
3. GeneticsUp to 50 % of melasma cases have a family history, suggesting a genetic component.
4. Other Triggers
Heat, stress, certain cosmetics, and inflammation can worsen melasma.
Recognizing Melasma: Common Signs
✔ Symmetrical patches on both sides of the face
✔ Brownish pigmented areas on cheeks, forehead, upper lip
✔ No itching or pain (purely cosmetic)
✔ Often appears gradually
We use dermatoscopic evaluation and, in some cases, Wood’s lamp examination to accurately determine the type and depth of pigmentation before planning the appropriate treatment.
Melasma Do’s: Evidence-Backed Steps That Help
1. Daily Broad-Spectrum Sunscreen
Do use sunscreen every day, even when indoors.
Choose SPF 30+ and broad-spectrum protection (UVA + UVB).
Reapply every 2-3 hours if outdoors.
Use a physical blocker (zinc oxide/titanium dioxide) for sensitive skin.
Studies show sunscreen alone can significantly lighten melasma and prevent new patches.
2. Wear Sun-Protective Clothing
Hats with wide brims, UPF clothing, and umbrellas aren’t just accessories - they reduce UV exposure dramatically.
Glass and windows filter UVB but not UVA. So indoors near windows, protection still matters.
3. Use Doctor-Approved Topicals
These help reduce melanin production and fade pigmentation.
Commonly recommended ingredients include:
Hydroquinone – gold standard depigmenting agent
Azelaic acid – good for sensitive skin
Retinoids (tretinoin) – increase skin turnover
Vitamin C – antioxidant, brightening
Kojic acid – milder depigmenter
We personalize combinations based on skin type and severity.
4. Gentle Skin Care
Use mild, non-abrasive cleansers and moisturizers. Irritation can worsen pigmentation.
➡ Avoid harsh scrubs and aggressive peels unless supervised by your dermatologist.
5. Ask Your Dermatologist About Procedures
In some melasma cases, in-clinic treatments help:
✔ Chemical peels – mild glycolic or salicylic peels
✔ Laser therapy – selective use by experienced hands
✔ Microneedling + topicals – improves absorption
These should always be recommended by a board-certified dermatologist to avoid worsening pigmentation.
Melasma Don’ts: What to Avoid
Don’t Skip Sun Protection
even short sun exposure triggers melasma. Skipping sunscreen is one of the biggest reasons flare-ups recur.
Avoid DIY Bleaching/Treatments
Online recipes (lemon juice, turmeric pastes, etc.) may irritate skin and worsen pigmentation.
These untested remedies often increase inflammation counterproductive in melasma.
Avoid Heavy Cosmetic Cover-Ups
Thick makeup or abrasive makeup removers can irritate skin and worsen pigmentation over time.
Don’t Expect Overnight Results
Melasma improves gradually over weeks to months. Patience and consistency are key.
Medical studies show that even effective regimens require 8–12 weeks to show noticeable change.
How Specialists at Bodysutra Clinique Approach Melasma
Our treatment philosophy is individualized and gentle. Here’s how we manage melasma for patients in Pimple Saudagar and surrounding areas:
Step 1: Detailed Skin Analysis
We assess:Depth of pigmentationSkin typeTrigger historyLifestyle factorsThis helps us customize treatment safely.
Step 2: Create a personalised RegimenBased on clinical findings, we may prescribe:
Medical-grade topicals
Combination therapiesIn-clinic procedures when appropriate
Step 3: Follow-Up & SupportMelasma is chronic it often recurs if care isn’t maintained.
At Bodysutra Clinique, we provide:
✔ Regular follow-ups
✔ Adjustment of treatment as needed
✔ Lifestyle and sun-protection counseling
Lifestyle Tips that Complement Treatment
Hydration & Nutrition
A balanced diet rich in antioxidants (fruits, vegetables) supports skin health.
Stress Management
Stress triggers hormones that may worsen pigment conditions — practices like yoga or meditation help.
When to See a Dermatologist
Seek professional help if you notice: