Melasma

What Is Melasma?

Melasma is a common skin condition that causes brown or grey-brown patches, typically on the face. At The Royal Buckinghamshire Hospital, we offer expert dermatological care and tailored treatment options to reduce pigmentation and restore your skin’s natural tone.

Causes of Melasma

Melasma can be triggered by:

• Sun exposure
• Hormonal changes (e.g. pregnancy, contraception, HRT)
• Genetics
• Certain medications
• Skin inflammation or irritation

Symptoms

• Brown, grey-brown, or tan patches on the face
• Symmetrical distribution of pigmentation
• Possible spread to neck or forearms (less common)

Melasma is not harmful or painful, but it can affect self-confidence and quality of life.

Diagnosis

Our dermatology specialists can diagnose melasma during a skin examination. We may use:

• Skin History & Lifestyle Assessment to identify potential triggers
• Wood’s Lamp Examination to assess the depth of pigmentation
• Dermatoscopy for a detailed look at the affected areas

Treatment Options

Melasma is a chronic condition, but with the right care, pigmentation can be significantly improved. Treatments include:

• Topical Medications
  Prescription creams containing hydroquinone, tretinoin, corticosteroids, or azelaic acid to lighten pigmentation.
• Chemical Peels
  Medical-grade peels that help exfoliate and reduce discolouration.
• Laser & Light-Based Therapy
  Targeted laser treatments such as fractional laser or IPL (intense pulsed light) can improve stubborn melasma when administered by experienced dermatologists.
• Microneedling with Serums
  A minimally invasive technique that improves skin texture and promotes even skin tone.
• Sun Protection Guidance
  Broad-spectrum sunscreen is essential to prevent recurrence. We provide skincare plans tailored to your skin type.

Arranging To Visit A Private GP

If you are experiencing any signs or symptoms, schedule an appointment with Royal Buckinghamshire Hospital for expert evaluation and treatment.. Make an appointment with one of our private GPs who can refer you to our specialist dermatologists. Appointments are available to everyone and can often be booked for the same day. There is no need to be registered with our The Royal Buckinghamshire Hospital, or live locally.

If you have insurance which covers a GP visit, we can in most cases invoice the insurer directly. Where you are paying directly, the cost for a 30 minute consultation is £100.

Any additional costs will always be discussed.

Our Resident Private GP

Dr Chamali is welcoming and highly experienced. He offers his patients sound diagnosis and treatment, along with individual care focused on their future health.

Dr Basel Chamali

General Practitioner

Aaron Field