Question about Melasma: i have facial pigmentation since my pregnancies my youngest child q142

Article Medically reviewed by Dr. Gavin Chan (MBBS, cosmetic physician, liposuctionist)

Dr. Gavin Chan

Templestowe Lower and Berwick Clinics

Dr. Gavin Chan has a background in intensive care, anaesthesia, and emergency medicine. Since 2004, Dr. Chan has provided cosmetic procedures, including anti-wrinkle injections, dermal fillers, liposuction, fat transfer, skin needling, and laser treatments. He is a doctor trainer for various dermal fillers and anti-wrinkle injections.
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I have facial pigmentation since my pregnancies. My youngest child is two and a half and it is still there. I have used several creams advised to me but it hasn’t got much better. Out of all of your procedures – which do you recommend? I would prefer less visits and more initial downtime – however want to try whichever has greatest success rate.


The treatment of melasma is always difficult. I find there is no cure, only strategies to reduce the problem and to hopefully keep it at bay. The most important aspects of treatment are;

  • protection from UV – sunscreen daily is paramount to the reduction of melasma
  • reduction in melanin production – through the use of medical grade skin products such as Kligman’s formula
  • laser – a few options here. A light one which requires more treatment is the Medlite/Revlite laser. For a more aggressive treatment requiring fewer sessions but more downtime, I would recommend the 1927nm Fraxel laser. We have used this a lot for melasma with some excellent results.

Hope this helps.

Dr. Gavin Chan
Dr. Gavin Chan

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