The coloration of your skin, hair, and eyes is determined by a pigment called melanin. This pigment is produced by melanocytes, the pigment-producing cells. In the presence of healthy melanocytes, pigment is evenly distributed across the skin, resulting in a smooth and uniform complexion. However, damaged, inflamed, or unhealthy melanocytes can either produce excessive clumps of pigment, leading to hyperpigmentation (dark spots), or cease pigment production altogether, resulting in hypopigmentation (white spots).

Melasma, also known as ‘pregnancy mask’ or chloasma, is a symmetrical hypermelanosis (pigmentation) on the face that affects up to 30% of women. It is influenced by genetics, sun exposure, and female hormones, making it a complex condition to comprehend and treat effectively. The latest research suggests several treatment options that can safely and effectively eliminate pigmentation and prevent melasma recurrence.

Treatment Options


Topical bleaching agents are regarded as the primary treatment for melasma. Given that sun exposure is a significant factor in melasma development, it is recommended to avoid the sun and diligently use high-factor SPF. At the Dr. Tatiana Clinic, we offer a variety of evidence-based topical preparations that effectively address melasma. For instance, Kligman’s formula, a combination of corticosteroid, retinoic acid, and hydroquinone, is a highly effective topical treatment for pigmentation eradication. Additionally, tranexamic acid, whether applied topically or taken orally, has been demonstrated to effectively reduce hyperpigmentation in melasma. During your consultation, we will evaluate your condition and provide guidance on the most suitable topical skincare regimen to manage your pigmentation and maintain skin health.

Chemical Peel

Natural acids from fruits and other sources can be employed to blend pigmentation, enhance skin texture, and stimulate skin regeneration. This procedure entails the application of a non-toxic chemical, typically derived from fruit acids, to naturally exfoliate the skin and eliminate pigmentation. Chemical peels range from mild and rejuvenating to more intensive and resurfacing.

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