Pigmentation & melasma

When to seek an assessment

Patients often seek advice for facial patches, uneven tone, marks after acne or pigmentation that returns despite creams. A changing or unusual spot should be examined rather than assumed to be melasma.

Sun exposure, irritation, medicines and hormonal context can be relevant to the history, but the cause is not established from a photograph alone.

How we approach the consultation

Dr Sonune examines the pattern, duration and skin response to previous products. The consultation distinguishes melasma from post-inflammatory marks and other conditions before choosing treatment.

The plan considers skin tone, sensitivity, likely triggers and how to protect against further darkening.

Care options to discuss

Recommendations depend on the diagnosis, medical history and suitability. Depending on the findings, the discussion may include:

• Consistent sun protection and gentle skin care are central to a pigmentation plan.
• A prescription topical plan may be offered when appropriate, with instructions about duration and irritation.
• Selected procedures are considered cautiously after assessment; they are not appropriate for every pigment concern and can sometimes worsen pigmentation.

Expectations and follow-up

Pigmentation often improves gradually and melasma can recur. Follow-up reviews response and irritation, adjusts treatment and reinforces a sustainable sun-protection routine rather than promising permanent clearing.