Melasma is one of the most common skin pigmentation concerns among Indians, especially in cities like Chennai, where high UV exposure, humidity, and lifestyle stressors contribute to worsening pigmentation. Characterized by dark brown or grayish patches, usually on the face, melasma is more than just a cosmetic concern—it can affect confidence, self-esteem, and quality of life.
At Dr. Hanan Dermatology Speciality and Trichology Clinic, we treat melasma with a scientific, evidence-based approach, combining modern dermatological treatments with preventive care.
This guide will help you understand what melasma is, its causes, treatment options, lifestyle changes, and answers to the most common questions patients ask us at our clinic in Chennai.
What Is Melasma?
Melasma is a chronic skin pigmentation disorder caused by overproduction of melanin (the pigment responsible for skin color). It appears as irregular, brown or gray patches on the face—commonly on:
- Cheeks
- Nose bridge
- Forehead
- Upper lip
- Chin
Although melasma is not dangerous, it is stubborn and recurrent, requiring consistent care.
Causes of Melasma
Melasma is multifactorial—meaning more than one cause contributes to it. The most common triggers are:
- Excessive Sun Exposure: Chennai’s tropical climate exposes skin to strong UVA/UVB rays, stimulating excess melanin.
- Hormonal Changes: Pregnancy, oral contraceptives, or thyroid imbalances.
- Genetics: A family history of melasma increases the risk.
- Skin Type: More common in people with medium-to-dark skin tones (Fitzpatrick types III–V).
- Cosmetic Use: Harsh creams or self-medication with bleaching products.
- Stress & Heat: Increase cortisol levels and inflammation, worsening pigmentation.
Types of Melasma
Dermatologists identify melasma based on the depth of pigmentation:
- Epidermal Melasma – affects the upper skin layer; lighter brown, well-defined; responds well to creams and peels.
- Dermal Melasma – affects deeper skin layers; appears bluish-gray; harder to treat.
- Mixed Melasma – combination of both; most common in Indian patients.
Why Is Melasma So Common in Chennai?
Chennai’s climate and lifestyle make melasma particularly challenging:
- Intense sunlight throughout the year
- High humidity, leading to sweat + skin irritation
- Outdoor lifestyle and pollution
- Darker Indian skin tones, which are more prone to pigmentation
This is why dermatologist-guided melasma treatment is essential in Chennai for long-term results.
Does More Grafts Always Mean Better Results?
Not necessarily. While more grafts may give higher density, quality and placement matter more than quantity. Poorly placed or low-survival grafts won’t give natural results, no matter how many are implanted.
That’s why it’s essential to choose an experienced clinic with advanced technology. At Dr. Hanan Dermatology Speciality and Trichology Clinic, we use FDA-approved tools and follow strict protocols to ensure graft survival and natural outcomes.
Melasma Treatment Options at Dr. Hanan Clinic
Topical Creams & Serums
Dermatologists prescribe creams containing:
- Hydroquinone (gold standard lightening agent)
- Kojic Acid, Azelaic Acid, Arbutin, Niacinamide
- Retinoids (Tretinoin) to boost cell turnover
- Tranexamic Acid (cream/serum) to block pigmentation pathways
These are usually first-line treatments and require medical supervision.
Chemical Peels
Medical-grade peels accelerate skin renewal, reduce pigmentation, and brighten skin.
Common peels include:
- Glycolic Acid Peels – gentle, suitable for beginners
- Mandelic Acid Peels – good for sensitive skin
- TCA (Trichloroacetic Acid) – deeper peel for stubborn pigmentation
Sessions are spaced 2–4 weeks apart for safe results.
Laser Treatment for Melasma
For resistant melasma, we use advanced laser therapy:
- Q-Switched Nd:YAG Laser – targets melanin safely
- Fractional CO2 Laser – improves texture and pigmentation
- Low-Fluence Laser Toning – reduces melasma without damaging surrounding skin
Laser treatment is safe when done by dermatologists and can deliver dramatic improvements.
Microneedling with Serums or Exosomes
- Creates micro-channels in skin → improves penetration of brightening serums.
- Can be combined with PRP (Platelet-Rich Plasma) or Exosome therapy for better results.
- Helps with pigmentation, texture, and overall glow.
Oral Medications & Supplements
- Tranexamic Acid Tablets – prescribed in resistant melasma cases.
- Antioxidants – Vitamin C, Glutathione, Polypodium Leucotomos extract.
- Improve skin healing and reduce oxidative stress.
Home Care & Lifestyle for Melasma Patients
Professional treatment is only 50% of the journey. Daily skincare habits determine long-term results.
- Use broad-spectrum sunscreen SPF 50+ daily, even indoors.
- Wear protective clothing, hats, and sunglasses outdoors.
- Avoid overusing harsh scrubs or bleaching creams.
- Maintain a balanced diet rich in antioxidants (berries, spinach, nuts).
- Stay hydrated and manage stress through yoga or meditation.
Internal Linking Suggestions
Professional treatment is only 50% of the journey. Daily skincare habits determine long-term results.
- Use broad-spectrum sunscreen SPF 50+ daily, even indoors.
- Wear protective clothing, hats, and sunglasses outdoors.
- Avoid overusing harsh scrubs or bleaching creams.
- Maintain a balanced diet rich in antioxidants (berries, spinach, nuts).
- Stay hydrated and manage stress through yoga or meditation.
Final Thoughts
Melasma may feel like a never-ending battle, but the truth is—it can be effectively managed with the right approach. At Dr. Hanan Dermatology Speciality and Trichology Clinic in Chennai, we specialize in customized melasma treatments backed by dermatology expertise and advanced technology.
With the right mix of medical treatments, lifestyle changes, and consistent aftercare, clear, glowing, and even-toned skin is possible.
Book Your Consultation Today!
For Personalised Treatment visit Dr. Hanan Clinic. Feel confident and proud with our expert care.
