Melasma is a common skin condition that involves chronic and relapsing hyper-pigmentation. It is extremely common in Indians, occurring both in females and males, though there is a higher incidence in females.

It occurs as bilaterally symmetrical and well-demarcated brown patches on the areas of cheeks, nose, jawline, around the upper lip.

Main causative factors include:

  • Sun exposure
  • Birth control pills
  • Genetic predisposition
  • Thyroid disorders
  • Hormone replacement therapy
  • Anti-seizure medications
  • Pregnancy – blotchy spots of darker skin appear, a condition known as chloasma or mask of pregnancy.

Treatment of melasma at our clinic is customized to each patient. Dr. Neha Sharma, the best dermatologist in Gurgaon, believes in first identifying the cause, eliminating the triggering factors and then proceeding to the treatment.

Different options for treatments are available which depends on the suitability and type of pigmentation.

There are available options such as:

  1. Chemical peels aim to uniform the skin.
  2. Laser technique by employing the use of lasers to treat vascularity and pigmented lesions. The laser procedure is performed by emitting controlled light energy to the treatment area.
  3. Active ingredients in the form of topical creams for pigment suppression.

Following precautions can go a long way to minimize recurrences:

  • Limiting sun-exposure.
  • Using a medicated sunscreen.
  • Wearing a hat when outside.


Sun exposure is the main cause of melasma. Other causes include Pills for birth control, pregnancy, and hormone therapy, few anti anxiety medications and thyroid disorders.

Sunscreen, limiting sun exposure form the main basis of treatment. Various topical preparations like kojic acid, alpha arbutin, glycolic acid, hydroquinone, azelaic acid, retinoids when used in right concentrations help in curing pigmentation. Chemical peels, Instant power radiance and LASERS help in faster and better resolution of pigmentation.
Daily sunscreen use, limiting sun exposure and outdoor hats (broad-brimmed hats help keep rays off vulnerable parts of the face) can prevent melasma from spreading. Also, any other underlying cause like medications or hormones, needs to be addressed.
Yes, melasma can be treated and it can go away though complete clearance requires effort and strict precautions. Topical medications, Chemical Peels, Microdermabrasion and LASER are various options that your doctor can recommend depending on the pigmentation.
Microneedling alone or used in combination with vitamins and antioxidants can cause lightening of pigmented spots. Multiple sessions may be required.
Yes, stress can aggravate acne. Stress activates propriomelanocortin gene which prompts the skin to produce more pigment. Our bodies also interprets lack of sleep as stress so even this can aggravate melasma.

If the melasma occurred because of hormonal changes like those in pregnancy or due to birth control pills, it will fade after stoppage of the pills or after deliver.

While in other cases melasma can be quite stubborn and may last for years. In some cases, it can be permanent as well. If the discoloration does not fade away then it would be better to seek treatment.

Although melasma is a chronic disorder with periodic ups and downs, it does go away. Correct and early treatment helps in faster resolution. Also, the exact cause should be ruled out.


was very frustrated with pimples. At that time my face was full of pimples. Used many home remedies, and many skin products but had no positive result. But after consulting Dr Neha Sharma, pimples were gone. the medicines and treatment turns amazingly effective for me.

I had got some acne on my face and had tried both allopathic as well as homeopathic treatment but can't get satisfactory treatment. Then I forward to Dr. Neha and now I’m free from that acne which had made my face ugly.

This is one of the clinics that I would always prefer for my skin as well as hair problems. I have done acne treatment n hair treatment here and the results are amazing. If you are genuinely looking for something good then, you should definitely choose Estique!!!

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Estique Clinic uses the most advanced technologies to provide the best solutions and aims at providing a comprehensive patient experience and individualized care. We believe in extending the services and attention that our patients deserve. With an expertise of treating 5000+ patients and profound knowledge about various treatments and technologies, Dr. Neha Sharma with international fellowships and professional training from reputed institutions is here to provide quality care for your skin and hair.

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Disclaimer: The content on this website ( is solely for the purpose of educating and creating awareness about the domain i.e. Dermatology. This shall not be treated as a substitute to a professional dermatologist’s advice or prescription. There is no guarantee of specific results and the results for any treatment mentioned on the website may vary, as every individual and their skin conditions are different.

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