Melasma is a hyperpigmentation of the face, the origin of which is multifactorial. There are vascular, genetic, and hormonal components including pregnancy or taking hormonal contraceptives. Several authors consider melasma to be a chronic skin disease which, despite the results of various treatments, will recur at times. In this case, it will need to be treated again.
The approach to treatment is multifaceted: twice-daily use of sunscreen throughout the year, the use of various depigmenting creams and mild treatment by picosecond laser.
Prior consultation with a dermatologist or plastic surgeon is compulsory. Together, you and your doctor will assess which treatment is best suited to your needs and what the possible side effects might be. Based on this discussion, the doctor will also provide a quote.