Melasma is a chronic pigmentation condition causing symmetrical brown or grey-brown patches, usually on the cheeks, forehead and upper lip. At Doje Clinic, common treatment options include Pico Toning, Laser Toning, Sylfirm X, chosen after a dermatologist's assessment.
Medically reviewed by [DOCTOR NAME], board-certified dermatologist · Doje Clinic, Apgujeong, Seoul · Last reviewed November 2026
What is melasma?
Melasma is a chronic pigmentation condition causing symmetrical brown or grey-brown patches, usually on the cheeks, forehead and upper lip.
What causes it?
- UV and visible light
- hormonal changes (pregnancy, contraceptives)
- heat
- genetic tendency, common in Asian skin
How we treat melasma
Melasma is controlled rather than cured. Treatment combines strict sun protection, topical lighteners, sometimes oral tranexamic acid prescribed by a doctor, and gentle low-energy lasers. Aggressive heat can make it worse.
Treatment options compared
| Treatment | Downtime | Sessions |
|---|---|---|
| Pico Toning (Picosecond Laser) | Mild redness for a few hours | Series of 5–10, every 1–4 weeks |
| Laser Toning (Q-switched Nd:YAG) | None to minimal | Series of 5–10, weekly to biweekly |
| Sylfirm X (Pulsed-wave RF Microneedling) | Mild redness for 1–2 days | Series of 3–5 |
| Rejuran Healer (PN Skin Booster) | Small bumps for 1–2 days; possible pinpoint bruising | Typically 3 sessions 2–4 weeks apart |
At-home care
- broad-spectrum sunscreen with iron oxides, reapplied
- avoid saunas and heat
- gentle skincare without harsh scrubs
When to see a dermatologist
If patches appear suddenly, are asymmetric, or change rapidly, see a dermatologist to confirm the diagnosis.
Key facts
| Concern group | Pigmentation |
|---|---|
| Main causes | UV and visible light, hormonal changes (pregnancy, contraceptives), heat |
| First-line options | Pico Toning, Laser Toning, Sylfirm X |
| Consultation | Required to confirm diagnosis and plan |
Patient questions
Frequently asked questions
What is the best treatment for melasma?
It depends on the cause and your skin. Options often include Pico Toning, Laser Toning, Sylfirm X. Melasma is controlled rather than cured.
What causes melasma?
Common causes include UV and visible light, hormonal changes (pregnancy, contraceptives), heat, genetic tendency, common in Asian skin.
Can melasma come back after treatment?
Some concerns are controlled rather than cured. Sun protection, skincare and maintenance help results last.
When should I see a doctor about melasma?
If patches appear suddenly, are asymmetric, or change rapidly, see a dermatologist to confirm the diagnosis.
Your skin plan, designed in Apgujeong
English-speaking consultations · Written quotes · Aftercare you can take home
Medical information on this page is general and educational. Results, downtime and suitability vary by individual. A consultation with a Doje Clinic physician is required before any treatment.