Melasma is more than excess pigment.
Melasma is a chronic acquired pigmentation condition influenced by multiple factors — ultraviolet exposure, visible light, heat, hormonal factors, inflammation and individual susceptibility. Vascular and dermal changes may coexist. It is managed and improved over time rather than removed in a single session.
Stronger is not automatically better.
Melasma can recur and may worsen after excessive irritation or inflammation. Aggressive energy that triggers more inflammation can make melasma worse, not better. The treatment strategy must consider not just what removes pigment, but what the skin can tolerate without rebound.
Separation is part of the plan.
Solar lentigines, freckles, post-inflammatory hyperpigmentation and dermal pigment can all overlap with melasma. Treating everything the same way rarely produces the best result. Separating these findings and deciding the order of treatment is part of how Cheongdam Noel approaches melasma.
Some melasma involves more than pigment alone.
In some patients, visible vascular change and erythema coexist with melasma. This is one reason treatment may involve more than a pigment-only approach — and why a thorough assessment of the skin's vascular state is part of the initial evaluation.
Melasma explained.
Long-term management
The objective is control and improvement with minimized irritation — not an unrealistic promise of permanent removal. The number of sessions, the interval and the devices used are individualized based on examination. Sun protection and skin care are an essential part of any melasma management plan. Outcomes vary from person to person.
Melasma is managed,
not simply erased.
Have your pigment examined and a realistic plan explained.