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Effective and Affordable Melasma Treatment in Ludhiana: Consult Top Specialist Doctors

Melasma Treatment in Punjab

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Melasma Treatment in Punjab

Understanding Melasma

Melasma is a common skin condition characterized by dark, discolored patches on the skin, typically affecting the face. It is more prevalent in women, especially during hormonal changes such as pregnancy or while taking birth control pills. This condition can significantly impact a person’s self-esteem and quality of life.

Causes of Melasma

Several factors contribute to the development of melasma, including:

  • Hormonal Changes: hormonal changes such as those occurring during pregnancy, the use of birth control pills, and hormone replacement therapy.
  • Sun Exposure: UV rays stimulate melanocytes, increasing melanin production.
  • Genetic Predisposition: A family history of melasma can increase the likelihood of developing this condition.
  • Skin Type: People with darker skin are more prone to melasma.

Symptoms and Diagnosis

Melasma manifests as symmetrical, brownish patches, commonly on the cheeks, forehead, nose, and chin. Diagnosis typically involves a visual examination by a dermatologist. In some cases, a Wood’s lamp examination or a skin biopsy may be performed to rule out other conditions.

symptoms of Melasma

Types of Melasma

Melasma is classified into three main types based on the depth of pigment deposition in the skin. Understanding these types is crucial for determining the most effective treatment plan.

Epidermal Melasma

Epidermal melasma affects the outermost layer of the skin, known as the epidermis. This type of melasma is characterized by well-defined borders and dark brown patches. The pigmentation in epidermal melasma is due to an increased amount of melanin in the superficial layers of the skin.


  • Dark brown color
  • Well-defined borders
  • Visible under a Wood’s lamp examination (a special light used by dermatologists to diagnose skin conditions)


Epidermal melasma generally responds well to topical treatments. These may include:

  • Hydroquinone: A skin-lightening agent that inhibits the production of melanin.
  • Retinoids: Vitamin A derivatives that promote skin cell turnover and reduce pigmentation.
  • Azelaic Acid: Helps to lighten hyperpigmentation by reducing melanin production.
  • Chemical Peels: Exfoliate the top layers of the skin, removing pigmented cells.
  • Microdermabrasion: A procedure that gently exfoliates the outer layer of the skin.

Dermal Melasma

Dermal Melasma

Dermal melasma involves the deeper layers of the skin, known as the dermis. This type presents as lighter brown or bluish-gray patches and has less defined borders. The pigmentation in dermal melasma is due to melanin being deposited in the dermal layer, which makes it more challenging to treat.


  • Light brown or bluish-gray color
  • Less defined borders
  • Not visible under a Wood’s lamp examination


Dermal melasma is more difficult to treat due to the deeper pigment. Treatment options may include:

  • Laser Treatments: Such as fractional laser or Q-switched laser, which target deeper pigmentation.
  • Chemical Peels: Specifically designed to penetrate deeper layers of the skin.
  • Oral Medications: Such as tranexamic acid, which can help reduce pigmentation from within.

Mixed Melasma

Mixed melasma is a combination of both epidermal and dermal types. It presents a mixture of dark brown and bluish-gray patches and may have both well-defined and less defined borders. This type of melasma requires a combination of treatments for effective management.


  • Combination of dark brown and bluish-gray patches
  • Mixed appearance with both well-defined and less defined borders
  • Partially visible under a Wood’s lamp examination


Mixed melasma requires a multi-faceted approach, combining treatments for both epidermal and dermal pigmentation. This may include:

  • Topical Treatments: Such as hydroquinone, retinoids, and azelaic acid.
  • Chemical Peels: To address both superficial and deeper pigmentation.
  • Laser Treatments: To target deeper pigment deposits.
  • Sun Protection: Essential to prevent further pigmentation.

Diet and Lifestyle Changes for Melasma Management

Managing melasma effectively often requires more than just topical treatments and procedures. Diet and lifestyle changes play a crucial role in supporting skin health and preventing the exacerbation of melasma.

lifestyle for melasma treatment

Importance of a Healthy Diet

A well-balanced diet rich in antioxidants, vitamins, and minerals is essential for maintaining healthy skin. Nutrients that can help manage melasma include:

  • Vitamin C: Found in citrus fruits, strawberries, and bell peppers, vitamin C helps to reduce oxidative stress and lighten hyperpigmentation.
  • Vitamin E: Present in nuts, seeds, and green leafy vegetables, vitamin E protects the skin from damage caused by free radicals.
  • Omega-3 Fatty Acids: Found in fish, flaxseeds, and walnuts, omega-3s help reduce inflammation and support skin health.

Eating a diet high in fruits, vegetables, whole grains, and lean proteins can provide the skin with the nutrients it needs to repair and regenerate.


Staying well-hydrated is vital for overall skin health. Drinking plenty of water helps to keep the skin hydrated, supports detoxification, and can improve the skin’s appearance and texture. Adequate hydration also helps maintain the skin’s natural barrier function, which is crucial for preventing hyperpigmentation.

Stress Management

Stress can exacerbate melasma by triggering hormonal changes that affect the skin. Implementing stress-reducing activities can help manage melasma more effectively. Techniques include:

  • Yoga: Integrates physical postures, breathing exercises, and meditation to alleviate stress and enhance overall well-being.
  • Meditation: Helps to calm the mind and reduce stress levels, which can have a positive impact on skin health.
  • Regular Exercise: Engaging in physical activity releases endorphins, which help reduce stress and elevate mood. Additionally, exercise enhances blood circulation, benefiting the skin.
Melasma due to stress

Effective Melasma Treatments Offered by Dr. Parwaaz Matharoo

Dr. Parwaaz Matharoo, a renowned dermatologist in Punjab, provides various advanced treatments for melasma, tailored to individual patient needs:

Topical Treatments

  • Hydroquinone: A skin-lightening agent that reduces melanin production.
  • Tretinoin and Corticosteroids: These help to enhance skin turnover and reduce pigmentation.
  • Other Agents: Azelaic acid, kojic acid, and vitamin C are also effective in treating melasma.
  • Glycolic Acid Peels: Help in exfoliating the top layer of the skin, promoting the growth of new skin cells.
  • Salicylic Acid Peels: Penetrate deeper into the skin to target pigmentation.

Laser and Light-Based Treatments

  • Fractional Lasers: Promote collagen production and skin regeneration.
  • Intense Pulsed Light (IPL) Therapy: Targets pigmentation and vascular components of melasma.

This technique involves using fine needles to create micro-injuries in the skin, stimulating collagen production and allowing for better absorption of topical treatments.

Combination Therapies

Often, a combination of the above treatments yields the best results. Dr. Matharoo customizes treatment plans based on the severity and type of melasma.

Preventive Measures and Maintenance

Preventing melasma and maintaining treatment results requires ongoing care:

  • Sun Protection: Use broad-spectrum sunscreens with an SPF of 30 or higher.
  • Protective Clothing: Wear hats and sunglasses when outdoors.
  • Avoid Triggers: Manage hormonal fluctuations and avoid irritating skincare products.

Why Choose Dr. Parwaaz Matharoo for Melasma Treatment in Punjab?

Dr. Parwaaz Matharoo
is a leading dermatologist with extensive experience in treating melasma. His approach combines the latest medical advancements with personalized care, ensuring optimal results for each patient. By choosing Dr. Matharoo, you benefit from:

  • Expertise and Experience: Years of practice and successful treatments.
  • Cutting-Edge Technology: Access to the latest treatment modalities.
  • Patient-Centric Care: Customized treatment plans and ongoing support.


Melasma is a challenging condition, but with the right approach and treatments, significant improvements can be achieved. Dr. Parwaaz Matharoo offers a comprehensive range of treatments tailored to each patient’s unique needs, ensuring effective and lasting results. By combining medical expertise with personalized care, Dr. Matharoo helps patients regain their confidence and achieve clearer, healthier skin.

Frequently Asked Questions (FAQs)

Results vary depending on the treatment type and individual skin response. Generally, improvement is seen within a few weeks to months.

Yes, when performed by a qualified dermatologist like Dr. Matharoo, treatments are safe and effective.

Melasma can be managed effectively, but it may recur. Ongoing preventive measures are essential.

Laser treatments are generally well-tolerated. Some patients may experience mild discomfort, which can be managed with topical anesthetics.

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