If you are looking for a melasma laser clinic in Bangkok, ProDerma Clinic provides individualized melasma management by board-certified dermatologists near BTS Sanam Pao Station. Treatment may combine topical medication, oral medication for selected patients, chemical peels, photoprotection and laser or light-based procedures.
Melasma is a chronic, multifactorial pigmentary condition influenced by sun and visible light exposure, genetics, hormones, inflammation and skin-barrier changes. It often requires ongoing combination treatment and may recur.
At ProDerma Clinic, the treatment plan is selected according to skin tone, pigmentation pattern, medical history and previous treatment response. Results vary between individuals, and laser treatment is not appropriate for every patient.
Understanding Melasma
Melasma is not simply a problem of excess pigment in the skin. Research suggests that melasma may involve:
- Increased melanin production
- Vascular changes within the skin
- Chronic inflammation
- Sun and visible light exposure
- Hormonal influences
- Skin barrier dysfunction
For this reason, treatment often focuses on addressing multiple pathways simultaneously.
MELASMA TREATMENT
Topical Medications for Melasma
Topical treatments are often considered a foundation of melasma management. Depending on individual assessment, dermatologists may recommend:
- Hydroquinone
- Retinoids
- Azelaic acid
- Tranexamic acid formulations
- Combination depigmenting creams
The choice of medication depends on skin type, severity of pigmentation, and previous treatment history.
Oral Medications
Oral tranexamic acid has been studied as an adjunctive treatment for melasma and may be considered only for appropriately selected patients after medical evaluation.
Before prescribing it, the doctor should review personal and family history of blood clots, cardiovascular disease, menstrual history, pregnancy or breastfeeding status, hormonal contraception and other medicines. Additional assessment or laboratory testing may be required. Oral tranexamic acid is not suitable for everyone and should not be self-medicated.
Chemical Peels
Chemical peels may help improve epidermal pigmentation and enhance the effectiveness of topical treatment.
Commonly used peeling agents include:
- Glycolic acid
- Salicylic acid
- Jessner solution
- Modified depigmenting peels
The type and concentration of peel are selected according to skin type and treatment goals.
Sunscreen: The Most Important Step
Daily photoprotection remains one of the most important components of melasma treatment. Patients are generally advised to:
- Use broad-spectrum sunscreen daily
- Reapply sunscreen throughout the day
- Wear hats or seek shade when possible
- Minimize excessive sun exposure
Without consistent sun protection, melasma frequently recurs despite successful treatment.
BTS Sanam Pao Station (Exit 1).
The clinic is only a short walk from the station, making your visit easy and convenient.
Exit 1
Laser Treatments for Melasma
Laser or light-based treatment may be considered in selected cases and is generally used alongside medical therapy and consistent photoprotection. The choice of device and settings depends on skin tone, pigmentation pattern, previous treatment response and the risk of pigment change.
Laser Risks and Limitations
Temporary redness, swelling, warmth, burning or crusting may occur. Less common risks include post-inflammatory hyperpigmentation, mottled hypopigmentation, worsening pigmentation and recurrence. Repeated or overly aggressive treatment may increase risk, particularly in darker skin tones. Results vary, and maintenance treatment and sun protection may still be required.
Pico Enlighten utilizes picosecond laser technology and may be used as part of a treatment plan for selected patients with pigmentation concerns. Treatment parameters are individualized based on skin type and clinical assessment.
ก่อนและหลังทำ PICO LASER 5 ครั้ง ผลการักษาอาจแตกต่างกันได้ในแต่ละบุคคล
Dual Yellow combines 511 nm and 578 nm wavelengths and may be considered in selected patients where vascular components contribute to pigmentation.
ก่อนและหลังทำ DUAL YELLOW 3 ครั้ง ผลการักษาอาจแตกต่างกันได้ในแต่ละบุคคล
Vbeam is a pulsed dye laser that primarily targets blood vessels and may be helpful when vascular changes are present alongside melasma.
ก่อนและหลังทำ VBEAM LASER 5 ครั้ง ผลการักษาอาจแตกต่างกันได้ในแต่ละบุคคล
Personalized Melasma Treatment
Not all melasma is the same. Some patients have predominantly epidermal pigmentation, while others have deeper dermal pigmentation, vascular involvement, or mixed patterns. For this reason, treatment plans should be individualized and may include sunscreen, topical medications, oral medications, chemical peels, Pico Enlighten, Dual Yellow Laser, and Vbeam Laser. The most appropriate approach depends on clinical evaluation by a dermatologist.
Why Choose ProDerma as Your Melasma Laser Clinic in Bangkok?
- Board-certified dermatologists
- More than 15 years of clinical experience
- Individualized treatment plans
- Multiple treatment modalities available
- Convenient location near BTS Sanam Pao
- Comprehensive management of pigmentary disorders
Frequently Asked Questions (FAQ)
There is no single best treatment for melasma. Effective management usually requires a combination approach, such as topical medications, oral medications, chemical peels, daily sunscreen use, and selected laser treatments, individualized based on skin type and severity.
Melasma typically improves gradually over several weeks to months of consistent treatment. Because it is a complex, multifactorial condition, patience and continued adherence to the treatment plan and sun protection are important for visible improvement.
Yes, melasma is prone to recurrence, especially with sun exposure or hormonal changes. Consistent daily sunscreen use and ongoing maintenance care are essential to help sustain results after the initial treatment.
Laser treatments such as Pico Enlighten, Dual Yellow, and Vbeam may be considered in selected patients as part of a broader treatment plan. However, lasers are not suitable for everyone with melasma, and a dermatologist should evaluate skin type and pigmentation pattern before recommending laser therapy.
In most cases, yes. Because melasma involves multiple contributing factors such as pigment production, vascular changes, and inflammation, a combination approach, topical care, oral medication when appropriate, sunscreen, and sometimes laser, tends to be more effective than relying on a single treatment alone.
Written by Dr. Patcharawipa Karnkaew
Consultation for Melasma
Melasma can be challenging to treat and recurrence is common. Early assessment and an individualized treatment strategy may help improve long-term outcomes.
Treatment outcomes vary between individuals. A dermatologist consultation is recommended to determine the most appropriate treatment approach.
CONTACT US
PRODERMA BTS SANAMPAO EXIT 1
โทรศัพท์ : 088-0410888, 02-2796587, 02-6198407, 086-5684144
Email : clinicproderma@gmail.com
Line Official Account: @proderma
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About Us
BOARD CERTIFIED DERMATOLOGIST, AMERICAN BOARD OF DERMATOLOGY IN LASER SURGERY, FELLOWSHIP IN COSMETIC LASER UNIVERSITY OF MIAMI, FELLOW IN DERMATOSURGERY AT RAMATHIBODI HOSPITAL
- 02-2796587
- 02-6198407
- 088-0410888
- 086-5684144
- clinicproderma@gmail.com
- 1019 -1019/1 พหลโยธิน สามเสนใน พญาไท กทม 10400 (ติด BTS สถานีสนามเป้า ทางออกที่ 1 ติดถนนพหลโยธิน ร้านสีขาวทางซ้ายมือ)
- เวลาทำการ : ทุกวันจันทร์ – อาทิตย์ เวลา 11:00 – 20:00 น.
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Proderma โพรเดอร์มา คลินิก 1019-1019/1 พหลโยธิน สามเสนใน พญาไท กทม 10400
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