Brisbane's high UV index predisposes its residents to skin pigmentation issues, but melasma is a unique form of skin pigmentation that is caused by hormones, UV radiation and genetics. This form of pigmentation is more common in women and presents as patchy pigmentation under the eyes, on the forehead area as well as the upper lip.
What is melasma?
Melasma is a unique form of pigmentation that is thought to be a genetic disorder that is made worse with hormones and UV light. Melasma differs from other pigmentation issues because
it cannot be treated with normal lasers.*
What does melasma look like?
Melasma is a patchy form of pigmentation that presents on the forehead area and most frequently under the eyes. It can also present as the dreaded moustache shadow on the upper lip of women.
This condition can be divided into light melasma, epidermal melasma or deep melasma (also known as dermal melasma). In most patients, it is a combination of these forms.
Why is melasma difficult to treat?
Melasma is difficult to treat because unlike other forms of pigmentation (such as freckles, liver spots, sunspots and brown spots) the use of lasers, chemical peels or energy devices that create heat can worsen this condition.
One of the worst ways to treat melasma is IPL. IPL is frequently used by beauticians to treat all forms of pigmentation but in the context of melasma, IPL usually improves melasma for a week before rebounding with even worse symptoms than before seeking treatment.* IPL should never be used
as first-line treatment for melasma.
What are the treatment solutions for melasma?
The cornerstone of melasma management is with sunscreen; however, at the Fiori Institute we also have a specified treatment program consisting of gentle lasers such as the Pastelle and the Clear + Brilliant Fraxel laser. We always combine laser treatments with special creams to help decrease the output of melatonin and exfoliate the skin surface.*
What is the best form of sun protection for melasma?
The best form of sun protection is a twice-daily application of sunscreen. Our dermal specialists will recommend the best brand according to your skin sensitivities and skin type.
The use of hats and sun protection is also advisable for patients undergoing melasma treatment.
How successful is Fiori’s melasma treatment?
Will melasma reappear?
Yes, melasma is a medical condition much like diabetes, high blood pressure and high cholesterol. As with these conditions, reoccurring symptoms are expected and so a melasma management program needs to be in place.
The Fiori Institute is a clinical and medically based institute and not a cosmetic clinic. We approach this condition as specialists and formulate a prevention plan that includes the use of intermittent creams, low-fluence lasers and occasional chemical peels.