Jump to the top
Book Your Consultation

call 01227 701 080 to book your consultation

Melasma treatment

at Dr Deborah McManners’ clinic

Melasma is a common skin disorder that’s characterised by darker-than-normal areas of skin on the face that are often symmetrical. Also known as chloasma, it’s usually found on the cheeks, lips, forehead or nose and is seen in all skin types. The condition is most common in women. It can also be triggered by hormonal imbalances, which is why those who are pregnant, on the contraceptive pill or who are diagnosed with polycystic ovaries (POCS) are more prone to this type of pigmentation. It is usually more pronounced in the summer months. Although not contagious or a disease, melasma can be unpleasant and upsetting for the sufferer. The condition responds to laser treatment.* Dr McManners is highly experienced in treating melasma with the most advanced and innovative technologies.

There are 3 distinct types of melasma: epidermal, dermal and mixed. Epidermal melasma is close to the skin’s surface making it relatively easy to control. Dermal melasma occurs more deeply in the skin which means it’s more difficult to treat and mixed is a combination of epidermal and dermal. Dr McManners will determine which type of melasma you have to help decide the best course of treatment for you. This will be either fractional laser skin resurfacing or intense-pulsed light (IPL) laser treatment.

Fractional laser skin resurfacing penetrates deep into the skin with columns of microscopic light to break down the cells that cause melasma with no damage to the surrounding skin.* This leading laser therapy is carried out monthly for 3 to 4 months and is complemented with topical lightening treatments used for a few weeks before and after treatment.

IPL laser treatment is usually used for epidermal-type melasma. Using leading technology, a hand-held laser is passed over the skin to target melanin. The laser’s light energy heats the melanin cells to eliminate them.*

  • Melasma type is diagnosed to maximise results*
  • Fractional laser skin resurfacing for mixed and dermal melasma
  • IPL treatment for epidermal melasma

Individual results may vary.

Treatment at a glance


Up to 60 minutes for both fractional laser skin resurfacing IPL laser treatment


Longer-term, cumulative results building over several months*


Pink, flushed skin and swelling or tightness for up to 24 hours*


Individual results may vary.

Complementary procedures

Your questions answered

  1. What causes melasma (also known as chloasma)?

    Melasma is caused by an increase in the production of melanin (the substance that gives skin its colour). The exact cause is unknown but genetics, hormones, sun exposure and skin inflammation are the top 4 contributory factors. Spending a lot of time in the sun can make the problem worse and menopause and pregnancy can also trigger the condition. In fact, melasma is so common in pregnant women that it’s known as ‘the mask of pregnancy’.

  2. What does fractional laser skin resurfacing involve?

    This innovative technology delivers a large number of micro-dots of laser energy per square centimetre of skin treated. It does not wound or remove any skin (non-ablative). The laser delivers short, intense pulses of light targeted to the melanin in the cells affected by melasma. This eliminates the cells.*

  3. Which technology is used?

    We use laser technology. Dr McManners selected this superior laser as it delivers greater energy per microbeam with more penetration (up to 1mm) than peer/competing devices. This stimulates quick healing within the surrounding deep tissue for more effective skin correction.*

  4. What does IPL laser treatment involve?

    Precise pulses of electric light and energy target melanin through the most appropriate light wavelength. The intense pulsed light is delivered through a specialised handpiece to the treatment area. This treatment is usually used for epidermal-type melasma.

  5. What should I expect during treatment?

    As both treatments are laser based, the procedures are very similar. Skin will be cleansed and you’ll be asked to wear protective eyewear before the laser is passed over the treatment area. Cooling technology will keep any discomfort to a minimum.

    Skin may appear flushed and pink (similar to sunburn) and there may be some bruising or peeling over the next few days.* It’s important to use a sunscreen of SPF25 to 50

  6. How do I care for my skin after treatment?

    Dr McManners will provide post-treatment advice and may ask you to return for follow-up visits. Moisturisers and sunscreen are absolutely essential. Sun damage is one of the primary contributors to melasma so always use sunscreen no matter what your skin type or the time of year.


Individual results may vary.

“I became so self-conscious about my melasma – it was all I could see when I looked in the mirror. Dr McManners was clearly very knowledgeable on the condition and the treatment has worked very well.”

Helen, Islington

Request your consultation

An in-depth assessment and one-to-one consultation with Dr McManners is the first step to effective treatment. Please complete the form and we’ll be in touch right away.

    *These fields are compulsory

    Please send me information about your services:

    All emails include an unsubscribe link. You may opt-out at any time. See our privacy policy.





    *Individual treatment outcomes may vary. Specific outcome is not guaranteed.