Melasma in Indian Skin: What Actually Works
Melasma is stubborn and prone to recurrence. A doctor explains why sunscreen, patience and combination therapy beat any single ‘miracle’ treatment.
Melasma is one of the most common reasons people visit our skin clinic in Virar, and one of the most frustrating conditions to treat. Here is what we have learned.
Why melasma recurs
Melasma is driven by UV and visible light, hormones and, in some people, heat. Even excellent treatment fades pigment temporarily; without protection, it returns.
The foundation: photoprotection
A broad-spectrum, tinted sunscreen applied every morning and reapplied through the day is the single most effective step. Iron-oxide tints help block visible light, which matters for melasma.
Layering treatment
- Prescription lightening agents used in cycles under supervision.
- Gentle chemical peels to accelerate pigment clearance.
- Low-fluence laser toning in selected cases, with conservative settings for darker skin.
- Oral options in appropriate patients, after discussion of risks and benefits.
Expect gradual improvement over 8–12 weeks and plan for maintenance. Melasma is managed, not cured — and managed well, it can be kept largely under control.
Medically reviewed by Dr. Naresh Wadhwa, MBBS, M.S. (Plastic Surgeon). This article is for general information and does not replace a consultation.
