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Laser Treatment of Melasma



Melasma is a common acquired skin condition presents as hyperpigmentation of the skin in the face. The condition usually shows as symmetric pigmentation involving the cheeks, but others areas such as forehead, upper lip and chin can also be affected. The pigmentations can present as punctate spots or confluent patches.

The exact cause of melasma is uncertain. However two factors are strongly linked to melasma:

  1. Sun exposure precipitates melasma. Chronic exposure to sunlight worsens the condition
  2. Female hormonal activity. Melasma may first appear or worsen during pregnancy or during the use of oral contraceptives

Q-switched Nd-YAG Laser Treatment of Melasma
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Before                                                               After

Management of melasma consists of prevention of melasma and treatment of melasma that has already present:

  1. Protection from sunlight. It is very important to avoid sunlight as much as possible. When going outdoor use broad-spectrum sunscreen with SPF 50 or above. Use umbrella and hat whenever possible.
  2. Topical Agents. There are a variety of products that can be use to mask and bleach the pigmentation. Results may be take a longer to achieve and may only be partial. Once the topical agent is discontinued, there is a possibility pigmentation can come back.
  3. Laser therapy. Q-switched Nd-YAG laser delivers high-energy nanoseconds pulses to selectively break apart the pigment that causes melasma without damaging the surrounding tissues.
    Q-switched Nd-YAG laser from established manufacturer is an effective and safe method of treating melasma



Laser System: Q-Switched Nd-YAG Laser

Duration of each session: 10-20 min

Anaesthesia: Not required

Downtime: No. Immediately back to work is possible.

Total sessions required: 6-10 sessions

Interval between sessions: 1-2 weeks


  • Minimal skin redness which may last a few hours
  • Sun protection is mandatory during and after the treatment course
  • Skincare products/ topical agents to prevent pigmentation are required during and after treatment.
  • Unprotected exposure to sunlight may lead to recurrence of melasma.




Pantai Hospital Ampang
Jalan Perubatan 1, Pandan Indah, 55100
  Kuala Lumpur, Malaysia

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