Melasma & Hyperpigmentation
Understanding the Challenge of Melasma Melasma is one of the most complex and frustrating pigmentation disorders to manage. Characterised by stubborn brown or greyish patches on the face, it is often triggered by hormones and sun exposure.
Content Author & Reviewer
PRP London Clinic Medical Team
GMC-Registered Medical Professionals
Our team of GMC-registered medical professionals collaboratively review all medical content to ensure clinical accuracy and provide evidence-based information for patient education.
Dr Mohammad Akbar
Founder & Medical Director
Dr Mohamed Nafei
GMC-Registered Aesthetic Doctor
Dr Severine Leonet
GMC-Registered Aesthetic Doctor
Dr Reem Nouri
GMC-Registered Aesthetic Doctor
Last reviewed: January 4, 2026
About Melasma & Hyperpigmentation
Understanding the Challenge of Melasma
Melasma is one of the most complex and frustrating pigmentation disorders to manage. Characterised by stubborn brown or greyish patches on the face, it is often triggered by hormones and sun exposure. Many traditional treatments can fall short or even worsen the condition. At PRP London Clinic, we specialise in the advanced management of melasma, moving beyond surface-level fixes to address the underlying causes of this persistent condition.A Breakthrough in Melasma Management
Our clinical approach is centred on a deep understanding of melasma's pathology. It is not just an issue of excess pigment; it involves a compromised skin barrier, abnormal blood vessels, and over-stimulated pigment cells. This is why we champion Sylfirm X, a revolutionary RF Microneedling treatment. Its groundbreaking technology is engineered to specifically target these root causes, offering a safer, more reliable, and more effective path to clearer, more even-toned skin.Your Personalised Hyperpigmentation Plan
We create a bespoke, long-term management plan that combines our state-of-the-art in-clinic treatments with essential guidance on sun protection and medical-grade skincare to help you achieve and maintain control over your pigmentation.Is This Treatment Right for You?
Ideal Candidates
- •Individuals with hormonal pigmentation (melasma)
- •Those with sun-induced hyperpigmentation (sun spots, age spots)
- •Patients with Post-Inflammatory Hyperpigmentation (PIH) from acne or injury
- •People who have had limited success with topical creams
- •All skin tones, including darker skin types at risk with traditional lasers
Clinical Contraindications
- •Active skin infections or cold sores
- •Pregnancy and breastfeeding
- •Recent aggressive laser treatments in the same area
- •Certain photosensitising medications
Why is Melasma So Hard to Treat?
Melasma is challenging because it involves more than just pigment. The three key factors are:
- Overactive Pigment Cells (Melanocytes): These cells are in a constant state of over-production.
- Compromised Basement Membrane: The barrier between the skin's layers is weakened, allowing pigment to become trapped.
- Underlying Vascularity: An increase in tiny blood vessels contributes to the condition.
Sylfirm X is revolutionary because it is the only treatment designed to address all three of these root causes.
Treatment Benefits
Our advanced melasma management plans offer:
- Significant reduction in the appearance of dark patches.
- A more even and uniform skin tone.
- Improved overall skin health and radiance.
- A safer treatment option for skin of colour.
- Long-term management and reduced risk of rebound pigmentation.
Why Choose Us for Melasma Treatment in London
PRP London Clinic is a premier destination for melasma management because of our:
- Technological Superiority: We use Sylfirm X, the most advanced technology specifically engineered for treating complex pigmentation.
- Clinical Expertise: A doctor-led team with a deep, scientific understanding of melasma's pathology.
- Comprehensive Strategy: We don't just offer a single treatment; we provide a complete, long-term management plan.
- Commitment to Safety: We prioritise protocols that deliver results without causing the inflammation that can worsen melasma.
Treatment Process
Our melasma management strategy is a comprehensive, multi-layered approach:
1. Primary Corrective Treatment: - Sylfirm X RF Microneedling to target the deep root causes of pigmentation safely and effectively.
2. Supportive Therapies: - A carefully selected series of Chemical Peels to exfoliate the surface and lift superficial pigment. - Tixel® Skin Resurfacing to improve skin tone and texture.
3. Foundational Homecare: - A prescribed medical-grade skincare regimen with tyrosinase inhibitors to suppress pigment production. - Strict, non-negotiable sun protection protocols.
Diagnosis & Assessment
An accurate diagnosis is the first step. Our specialists diagnose melasma through a careful visual examination, often using a Wood's lamp which uses ultraviolet light to show the depth of the pigment in the skin. We will also conduct a detailed consultation to discuss your health history, lifestyle, and potential triggers to confirm the diagnosis and rule out other forms of hyperpigmentation.
Prevention & Management
Lifestyle Tips
- •<strong>Diligent Sun Protection:</strong> This is non-negotiable. Use a broad-spectrum, high-SPF (50+) mineral sunscreen daily, even on cloudy days.
- •Wear a wide-brimmed hat and sunglasses when outdoors.
- •Avoid peak sun hours (10 a.m. to 4 p.m.).
- •Be mindful of hormonal triggers where possible (e.g., certain birth control pills).
Home Care
- •Use a gentle cleanser that does not strip the skin barrier.
- •Incorporate a pigment-inhibiting serum (e.g., containing Vitamin C, Azelaic Acid, or Niacinamide) as recommended by your practitioner.
- •Maintain skin hydration with a quality moisturiser.
- •Avoid harsh scrubs or irritating products that can cause inflammation.
What Our Patients Say
I had almost given up on treating my melasma after trying so many creams. The course of Sylfirm X at this clinic was the first thing that made a real, lasting difference. I'm so grateful.
The clinical team explained the 'why' behind my melasma, not just the 'what'. Their comprehensive plan of treatments and sun care advice has given me back control over my skin.