A stubborn pigmentary condition that disproportionately affects Indian skin — managed with precision depigmenting protocols at DermaVue's 7 clinics across Kerala & Tamil Nadu.
7 clinics · Kerala & Tamil Nadu · ₹300 consultation
Melasma causes brown or greyish-brown patches on the face — most commonly on the cheeks, forehead, bridge of the nose, and upper lip. It is driven by a combination of UV exposure, hormonal changes, and genetic predisposition, making it particularly common among Indian women with Fitzpatrick IV–VI skin types. Kerala's year-round tropical sun exposure is a significant aggravating factor. DermaVue dermatologists use a layered approach combining prescription depigmenting agents, chemical peels, and advanced laser protocols — tailored to melasma type and skin phototype for sustained pigment control.
Melasma is a chronic acquired hypermelanosis characterised by symmetric, irregularly bordered, light-to-dark brown macules and patches on sun-exposed facial skin. Pathogenesis involves UV-induced upregulation of melanocyte-stimulating hormone (α-MSH), oestrogen and progesterone receptor–mediated melanogenesis, and vascular endothelial growth factor (VEGF)-driven dermal angiogenesis contributing to treatment resistance.[1] Histologically classified as epidermal, dermal, or mixed type — a distinction critical for treatment selection. Wood's lamp examination differentiates epidermal (enhanced under UV) from dermal (no enhancement) melanin deposition. Indian Fitzpatrick IV–VI skin carries elevated recurrence risk due to constitutively active melanocytes and year-round UV exposure in tropical latitudes.[2]
Symptoms range widely in severity. Identifying which type you have determines the right treatment.
Multiple factors act together — understanding them helps prevent recurrence after treatment.
A structured clinical assessment — not a quick glance and a prescription pad. Here's exactly what to expect.
All procedures by board-certified MD DVL dermatologists. US-FDA approved equipment. No technician-only protocols — ever.
Results are gradual, progressive, and lasting with the right protocol.
No, melasma is not contagious. It cannot be transmitted by touch, sharing towels, or any form of contact. Melasma is caused by a combination of UV exposure, hormonal factors, and genetic predisposition — it is purely an internal pigmentary disorder with no infectious component.
Melasma is a chronic condition that can be effectively controlled but not permanently cured in most cases. With consistent treatment — including topical depigmenting agents, chemical peels, and strict sun protection — significant and sustained pigment reduction is achievable. However, recurrence is common without maintenance therapy and daily broad-spectrum sunscreen use.
Kerala's tropical latitude delivers intense UV radiation year-round — the primary trigger for melasma. High ambient humidity and heat independently stimulate melanocyte activity even without direct sun exposure. Outdoor work, commuting without sun protection, and inconsistent sunscreen use significantly worsen pigmentation. DermaVue protocols account for these local environmental factors.
DermaVue consultation fee is ₹300 at most branches. Chemical peel sessions for melasma range ₹2,000–4,000 per session. Laser toning sessions start at ₹3,500. Topical prescription costs depend on formulation and duration. A complete cost estimate is provided at your first consultation — no hidden charges or pressure to buy packages.
Yes. Melasma presents as larger, symmetric patches with irregular borders — distinct from post-inflammatory hyperpigmentation (PIH) marks left after acne or injury. PIH fades predictably over months, while melasma tends to persist and worsen with sun exposure. Melasma also involves deeper dermal melanin deposition in many cases, making it more treatment-resistant than superficial dark spots.
Yes, approximately 10% of melasma cases occur in men. Male melasma is often underdiagnosed because it is perceived as a predominantly female condition. UV exposure, genetic predisposition, and certain medications are the primary triggers in men. Treatment protocols are similar — DermaVue dermatologists treat melasma in both men and women with the same evidence-based approach.
Board-certified MD DVL dermatologists across 7 clinics in Kerala & Tamil Nadu. WhatsApp for instant appointment. Consultation ₹300.
₹300 consultation · No hidden charges · 7 locations