The colour of your skin, hair and eyes is determined by a pigment called melanin. This pigment is produced by pigment-cells called melanocytes. Healthy melanocytes will evenly distribute pigment throughout the skin, giving a smooth and even complexion. Unhealthy, inflamed or damaged melanocytes can either over-produce clumps of pigment leading to hyperpigmentation (dark spots), or stop producing pigment altogether leading to hypopigmentation (white spots).
Melasma (also known as ‘pregnancy mask’ or Chloasma) is a symmetrical hypermelanosis (pigmentation) of the face that effects up to 30% of women. It is influenced by genetics, sun exposure and female hormones; and is a condition that can be complex to understand and successfully treat. The latest research suggests several treatment options that can safely and effectively eradicate pigmentation and prevent recurrence of melasma.
Topical bleaching agents are considered to be the ‘gold standard’ treatment for melasma. As sun exposure is a major factor in the development of melasma, sun avoidance and strict use of high-factor SPF is recommended. At the Dr Tatiana Clinic, we offer a number of evidence-based topical preparations that effectively treat Melasma. For example, Kligman’s formula is a triad of corticosteroid, retinoic acid and hydroquinone and is a highly effective topical treatment for eradicating pigmentation. Tranexamic acid (topical and oral) has also been shown to effectively reduce hyperpigmentation in melasma. During your consultation, we will assess and advise you on the optimal topical skincare regime to address your pigmentation and to maintain skin health.
Fruit and other natural acids can be used to blend pigmentation, improve skin texture, and promote regeneration. The treatment involves a non-toxic chemical (usually from fruit acids) applied to the skin to naturally exfoliate and remove pigmentation. Peels range from mild and refreshing to more intense and resurfacing. We offer a full range of Dr Tatiana’s own blend of chemical peels. Dr Tatiana has combined natural acids with anti-inflammatory ingredients to achieve optimal results, reduce risk of melasma recurrence and minimise down-time.
There is increasing evidence suggesting that the over-growth of blood vessels is involved in the development and frequent recurrences of melasma. A number of recent studies have focused on the effectiveness of pulsed dye laser (PDL) in the treatment of melasma and found that PDL is safe and effective in lightening pigmentation and reducing the recurrence of melasma. At the Dr Tatiana Clinic, we use the Pulsed Dye Laser alongside other treatments to effectively treat and prevent the recurrence of melasma.
Carbon dioxide (CO2) laser can be used to effectively treat stubborn pigmentation and melasma. The laser targets the superficial and deep layers of the skin to create tiny wounds and stimulate a wound-healing response. As the skin heals, it creates new collagen, elastin and skin hydrators, resulting in smoother, tighter and plumper skin. The CO2 laser is often used in combination with the Alexandrite laser to first destroy abnormal pigment cells (melanocytes) and then selectively eliminate the pigment (melanin).