
Melasma
Sun Damage Skin
Can be cured with laser. By a team of well experienced doctors
Table of content
Melasma are black or light brown patches appearing on the forehead, chin, upper cheeks and lips of both males and females aged between 25 to 55 years.
Causes of Melasma
Hormonal Melasma
Due to high levels of estrogen including the secretion of hormones during pregnancy and from the adrenal gland, the melanocytes in the skin layer abnormally produce melanin and is pushed towards the surface of the skin. The skin colour of an individual begins to change due to the effects of skin pigmentation disorders, causing melasma and the stimulation of skin darkening to appear.

UVA or UVB
Directly or Frequently Exposed to UVA or UVB – an individual’s skin becomes darker in colour due to the increased production in and stimulation of pigment cells in the skin.

Cosmetic Application
Preservatives, lead, mercury, chemical substances and bleaching cream may increase the cause of melasma. There are substances in cosmetic products that causes the development of skin irritability and allergies to occur after the continuous use in these unnatural applications. Perfume or colour residue in the use of cosmetics can be accumulated underneath the skin and affect the skin colour, creating brown spots, which in turn develops into a melasma.

Treatments and Preventions of Melasma at BSL Clinic
1.Laser therapy precisely targets and eliminates deep melanin pigments, effectively reducing melasma with lasting results. BSL Clinic’s doctors expertly select and operate advanced lasers for safe, targeted treatment of specific skin conditions.
The following steps involve the treatment of melasma

Pigmentation Reduction Laser
The lasers use PTP (PhotoAcoustic Technology Pulse) mode to break down pigment particles in the skin without damaging surrounding tissue, with minimal downtime.

Pigmentation Removal Laser
The laser directly removes the melanin underneath the layers of skin to create a smoother and radiant appearance.

Laser for Strengthening the Skin
This laser boosts collagen and repairs the dermis, strengthening skin and reducing melasma recurrence.

Laser for Vascular Melasma
The laser targets blood vessels, reducing redness and vascular activity that worsen pigmentation, improving skin tone and melasma appearance.

Reducing Inflammation
The LED light therapy penetrates the skin and reduces inflammatory mediators, calming inflammation and promoting healing.

Natural Skin Renewal for a Radiant Glow
This treatment reduces inflammation, repairs tissues, and rejuvenates the skin by boosting collagen production, improving melasma.
The Uniqueness of PicoWay Program for Melasma:
The PicoWay Laser Program redefines melasma treatment with its cutting-edge Photoacoustic Effect, which breaks down melanin into tiny particles without damaging surrounding tissue. This advanced technology is paired with a versatile multi-handpiece system, allowing for precise targeting of different pigmentation depths and skin concerns.


PicoWay Program
Handpiece Functions and Applications



Candela Medical. PicoWay [Internet]. [cited 2024 Dec 11]. Available from: https://candelamedical.com/products/picoway/

At BSL Clinic, we address all root causes of melasma—excess pigmentation, skin inflammation, vascular factors, sun damage, and compromised skin barriers—using advanced laser therapies. Our treatments include Pigmentation Reduction Laser, Pigmentation Removal Laser, Laser for Strengthening the Skin, Laser for Vascular Melasma, and Light Therapy.
What sets us apart is the PicoWay Laser Program, featuring multiple handpieces and wavelengths for precise, multi-depth treatment. This innovative technology, combined with our integrated treatment approach, fades melasma faster, strengthens the skin, and provides long-term protection against recurrence. The result? Radiant, resilient skin with visible improvements you can trust.
2. In order to impede melanin production, it is vital to utilise Skinesia products, which are effective in reducing melasma pigmentation. In four steps, the process of skin pigmentation can be eliminated through the following:
- Step 1 – Inhibit the activation of melanocyte skin cells.
- Step 2 – Reduce the amount of tyrosinase enzyme, which produces melanin.
- Step 3 – Prevent the occurrence in activity of the tyrosinase enzyme.
- Step 4 – Block the transfer of melanin into the keratinocytes, which is a type of cell located in the epidermis.

3. BSL Clinic refuses to utilise hydroquinone, mercury, steroids or other hazardous substances in conducting their skin treatments. These hazardous substances cause skin redness, sensitivity, the appearance of vitiligo or Exogenous Ochronosis (EO), a skin disorder consisting of dark patches.
4. It is important to apply sunscreen (SPF 30+) and utilise other sun protection applications to protect the skinม prior to participating in outdoor activities or directly being exposed to the sun’s Ultraviolet (UV) radiation. Preventing the skin from further harm minimises the development of unwanted skin conditions.
5. Avoid the use of cosmetics including whitening creams containing chemical enhancements, preservatives or mercury substances, which increases the likelihood of developing freckles.
The results?


*Individual results may vary depending on various factors.
Melasma is Treatable at BSL Clinic
Ms Farah is a self-employed business owner in Phuket. She presented to BSL Clinic’s doctors for the treatment of melasma and skin discolourations. Ms Farah had a poor self-image due to her skin discolourations.
She would have low self-confidence when interacting with her clients on a regular basis. After discovering BSL Clinic’s Facebook page and coming across the treatment for melasma, it prompted Ms Farah to immediately schedule an appointment. She wanted to seek treatment from BSL Clinic due to their quality standards and high reputation within the aesthetic industry.
Pigmented removal laser
The utilisation of the pigmentation removal laser focuses on deterring the growth of melanin pigmentation, restricts the development of black marks (PIH), block tyrosinase enzyme activity and prevents the darkening of pigments.
Pigmented reduction laser
BSL Clinic’s doctors utilise safe pigmentation laser technologies to remove the primary cause of melasma, the dark melanin pigments underneath the surface of the skin. Through laser penetration of the skin, pigments are broken down into small granules, resulting in the reduction of black spots.
Cell Therapy
Regenerative Therapy to repair damaged skin cells, caused by melasma. Skin cell rejuvenation helps strengthen the skin barriers and reduce pigmentation. Stimulation of new skin results in the reduction of wrinkles, smoother skin tone, and adds volume and hydrates the skin.
*Individual results may vary depending on various factors.
Ms Farah’s Testimonial
Ms Farah was satisfied with the outcomes of her treatment. The appearance of dark pigmented patches had diminished less than one month after undertaking treatment. Ms Farah returned to BSL Clinic for a follow-up consultation two months later after her melasma treatment. By this time, the treated melasma had disappeared resulting in her having brighter and an even-toned skin. BSL Clinic far exceeded Ms Farah’s treatment expectations. She was clearly impressed, stating that the “treatment here was incredibly amazing”. The outcome of the treatment left Ms Farah with a new-found boost in confidence, which helps her dealing with her clients at her hairdressing business.

*Individual results may vary depending on various factors.

*Individual results may vary depending on various factors.

*Individual results may vary depending on various factors.
(Note: BSL Clinic would like to thank Ms Farah for permitting to share treatment information concerning her skin conditions).
References
- Manuskiatti W, et al. Efficacy of PicoWay laser in melasma treatment. Journal of Dermatological Treatment. 2021;32(5):1-7.