Brighter skin, easier makeup, and improved confidence
Melasma is a common skin concern that can be difficult to treat. Understanding its causes helps guide the right melasma treatment approach and proper care. Today, options like laser can help fade dark patches over time. At BSL Clinic, we offer personalized treatments to improve skin clarity and support a more even-looking complexion.
Melasma is a common skin condition that causes dark, patchy pigmentation, most often on the face. It typically appears on areas exposed to the sun, such as the cheeks, forehead, nose, and upper lip.
Unlike freckles or sun spots, melasma is often linked to a combination of factors, including UV exposure, hormonal changes, and genetics. This makes it more complex—and sometimes more challenging—to treat.
While melasma is harmless, many people seek treatment to improve skin clarity and achieve a more even-looking complexion. Understanding what melasma is is the first step in choosing the right melasma treatment for your skin.
Melasma is a complex condition that usually develops from a combination of triggers, not just one single cause:
Sun exposure (UV and visible light)
Sunlight is the most significant trigger, as it stimulates melanin production and can worsen existing pigmentation.
Hormonal changes
Hormonal fluctuations—such as during pregnancy or from birth control—can increase pigment activity in the skin.
Genetics
A family history of melasma may increase the likelihood of developing this condition.
Skin type and tone
People with medium to darker skin tones are more prone to melasma due to higher melanin activity.
Heat and environmental factors
Heat (even without direct sunlight) can activate pigment-producing cells and contribute to melasma.
Cosmetics and skin irritation
Certain skincare products or cosmetics that irritate the skin may trigger inflammation, which can lead to increased pigmentation.
Medications and photosensitivity
Some medications can make the skin more sensitive to light, increasing the risk of pigmentation changes.
Because melasma can develop in different layers of the skin, it is commonly classified into several types. Understanding your melasma type is important in choosing the most suitable treatment approach.
Melasma can appear in different layers of the skin, which affects how it looks and how it responds to treatment. It is commonly classified into the following types:
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This type occurs in the upper layer of the skin (epidermis). It typically appears as well-defined brown patches and is generally more responsive to treatment compared to deeper types.
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Dermal melasma develops deeper within the skin (dermis). The pigmentation often appears more diffuse or grayish, and it may take longer to see visible improvement.
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Mixed melasma is a combination of both epidermal and dermal types. It presents with varying shades and depths of pigmentation, which may require a more tailored treatment approach.
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In some cases, melasma may be associated with increased blood vessels in the skin. This can contribute to redness or make pigmentation appear more pronounced, especially in sensitive or inflamed skin.
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Hormonal changes—such as during pregnancy or from oral contraceptives—can trigger or worsen melasma. This type is often linked to increased pigment production and may fluctuate over time.
Melasma varies from person to person, so treatment should be tailored to your skin and underlying triggers. At BSL Clinic, we use combination-based approaches to help reduce dark patches and improve overall skin clarity.
ภาพเพื่อการโฆษณา
This laser targets melanin—the pigment responsible for melasma. It helps break down excess pigment into smaller particles, which are gradually cleared by the body’s natural processes. Over time, dark patches may appear lighter and skin tone looks more even.
ภาพเพื่อการโฆษณา
This laser helps lift and reduce melanin beneath the skin, allowing pigmentation to gradually appear lighter. It also supports collagen activity, helping the skin look smoother and more even. Healthier-looking skin may help reduce the chance of melasma appearing more noticeable again.
ภาพเพื่อการโฆษณา
Designed to target small blood vessels under the skin, this laser may help reduce the vascular component associated with certain types of melasma. As circulation in these areas is reduced, pigmentation may gradually appear less visible and the skin looks clearer.
ภาพเพื่อการโฆษณา
In addition to laser treatments, targeted skincare plays an important role. These products help support the reduction of melanin production, limit pigment transfer within the skin, and promote a more even-looking complexion over time.
ภาพเพื่อการโฆษณา
This program uses your body’s natural regenerative components to support skin repair and help reduce inflammation—factors associated with melasma. By restoring skin balance, it helps improve overall skin quality, leaving the complexion looking clearer and healthier.
ภาพเพื่อการโฆษณา
This laser delivers ultra-short pulses of energy to break down pigment into finer particles, while minimizing heat buildup in the skin. It is often considered for individuals seeking additional options after prior treatments, and may help improve the appearance of stubborn pigmentation while supporting skin renewal.
ภาพเพื่อการโฆษณา
This laser technology is designed to treat a wider area with controlled energy distribution. It helps improve the appearance of melasma, freckles, and dark spots, while reducing the likelihood of uneven pigmentation after treatment.
Melasma treatment varies for each individual, as causes, skin types, and lifestyle factors differ. That’s why our doctors carefully assess your condition and design a personalized treatment plan tailored to your skin—helping improve the appearance of melasma and achieve more satisfying results.
To see results similar to your condition, explore our melasma treatment reviews, featuring before-and-after photos from patients at BSL Clinic.
เพราะแสงแดดนั้นเป็นตัวการหลักที่มักจะทำให้ฝ้า เข้มขึ้นได้ เช่นคนไข้ที่ชอบอาบแดด ก็มักจะมีสีผิวที่เข้มขึ้นตามไปด้วย และตัวแสงแดดก็ยังเป็นตัวการที่ทำให้ผิวเกิดการอักเสบขึ้น นั้นจึงเป็นสาเหตุที่ทำให้ผิวหนังของเราเกิดฝ้านั้นเอง การทากันแดดจึงเป็นสิ่งจำเป็น เพื่อที่จะช่วยป้องป้องผิวจากแดงแดด
หากฝ้าเข้มขึ้นสามารถรักษาได้ดังนี้
ฮอร์โมนเพศหญิง เป็นส่วนหนึ่งที่ทำให้เกิดฝ้าได้ หากร่างกายถูกกระตุ้นด้วยเอสโตเจน มากเกินไป ก็จะทำให้ปัญหาฝ้ามาเยือนที่ผิวหนังของเราได้ ยกตัวอย่างเช่นในภาวะตั้งครรภ์ ฝ้ามักจะเข้มขึ้น แต่เมื่อคลอดน้องแล้ว ฝ้าเหล่านี้ก็จะลดลงไป
โดยวิธีการรักษาจะใช้ “เลเซอร์ลดเม็ดสี” และ “เลเซอร์ดึงเม็ดสีออก” เช่นเดียวกันกับฝ้าจากแสงแดด
ในบางคนเวลาออกแดดจะรู้สึกว่าผิวหน้านั้นเกิดอาการแดงได้ง่าย หรือในคนที่มีผิวบอบบาง จะเห็นได้ว่าจะมีเส้นเลือดฝอยเล็กๆ ที่ผิวหน้า โดยในคนกลุ่มนี้จะมีความเสี่ยงในการเกิดฝ้าได้เช่นกัน
ฝ้าชนิดนี้จะใช้วิธีการรักษาคือการทำ “เลเซอร์ฝ้าเส้นเลือด” เข้ามาช่วย
เม็ดสีเหล่านี้จะมีอยู่ทั้ง 2 ชั้น คือชั้นหนังกำพร้า และชั้นหนังแท้ และโดยทั่วไปแล้ว “ฝ้า” ก็มักจะเกิดขึ้นในชั้นหนังกำพร้าและชั้นหนังแท้ร่วมกันอีกด้วย
เมื่อเราอายุมากขึ้น ผิวหนังของคนเราจะเกิดการเสื่อมสภาพตามการเวลา โดยสิ่งเกล่านี้จะเป็นตัวกระตุ้นให้ปัญหาฝ้านั้นชัดเจนขึ้นกว่าเดิม
At BSL Clinic, doctors tailor melasma care to each individual—helping dark patches gradually appear lighter while reducing the chance of recurrence.
“10 years of melasma—I couldn’t ignore it any longer.”
Ms. Chosaya, an advertising producer, had tried it all—from medications to multiple laser treatments—but nothing truly worked. At times, it felt hopeless. Makeup became her only way to cover it up, yet the more she concealed, the older her skin appeared.
Until she found the right solution at BSL Clinic.
Before and 6 Months After the Treatment
*Individual results may vary depending on individual patient
Before and 6 Months After the Treatment
*Individual results may vary depending on individual patient
Before and 6 Months After the Treatment
*Individual results may vary depending on individual patient
She decided to take melasma treatment seriously again, as it made makeup more difficult and time-consuming. Heavy coverage only made her skin look older, while a lighter makeup look felt more natural and youthful.
At BSL Clinic, the doctor explained that melasma cannot be completely cured and requires ongoing care. With the right approach, it can gradually appear lighter over time.
"ผลลัพธ์ขึ้นอยู่กับแต่ละบุคคล"
The doctor explained a step-by-step approach tailored to her skin, including Pigmentation Reduction Laser, Pigmentation Removal Laser, and Vascular Laser. This was combined with topical treatments and oral medication as part of a personalized, combination-based melasma treatment plan to support gradual improvement.
“I chose to treat my melasma at the BSL Clinic, and my skin looks clearer now. I feel more confident—thank you so much.”
ทำงานโดนแดดอยู่ตลอดเวลา หลานใกล้จะแต่งงาน อยากออกงานสังคมได้อย่างมั่นใจ ติดที่ผิวหน้ามีปัญหาเป็นฝ้า เปิดดูรีวิวฝ้า BSL คนที่เขาเป็นฝ้าหนักกว่าเรา ฝ้าเขายังดูจางลงได้ จึงตัดสินใจรีบเข้ามารักษาฝ้า
อยากรู้ว่ารักษาฝ้าที่ BSL ดีไหม? เห็นคนที่มารักษาเขารีวิว สรุปพอมารักษาฝ้าตัวเอง ฝ้าดูจางลง สีผิวดูกระจ่างใสขึ้น ทำให้ยิ่งเชื่อมั่นในวิธีรักษาฝ้าของที่นี่ มีเลเซอร์ฝ้าและขั้นตอนการรักษาที่เหมาะเฉพาะบุคคล อยากแนะนำให้คนที่มีปัญหาฝ้าได้มาลองรักษา
*Individual results may vary depending on individual patient
*Individual results may vary depending on individual patient
*Individual results may vary depending on individual patient
*Individual results may vary depending on individual patient
*Individual results may vary depending on individual patient
*Individual results may vary depending on individual patient
*Individual results may vary depending on individual patient
*Individual results may vary depending on individual patient
*Individual results may vary depending on individual patient
*Individual results may vary depending on individual patient
*Individual results may vary depending on individual patient
*Individual results may vary depending on individual patient
*Individual results may vary depending on individual patient
*Individual results may vary depending on individual patient
*Individual results may vary depending on individual patient
*Individual results may vary depending on individual patient
*Individual results may vary depending on individual patient
*Individual results may vary depending on individual patient
*Individual results may vary depending on individual patient
Freckles are small brown spots that commonly appear on the face, especially in areas frequently exposed to the sun, such as the cheeks and nose. Many people may confuse them with melasma, as both can make skin tone look uneven. However, freckles are typically smaller with more defined edges, while melasma appears as broader patches.
At BSL Clinic, we provide personalized care tailored to each skin type to help freckles gradually appear lighter and improve overall skin clarity.
*Individual results may vary depending on individual patient
*Individual results may vary depending on individual patient
*Individual results may vary depending on individual patient
*Individual results may vary depending on individual patient
*Individual results may vary depending on individual patient
*Individual results may vary depending on individual patient
Wipanee Akarapusit M.D. Medical License No. 39676 *Individual results may vary depending on individual patient
Dr. Wipanee represented BSL Clinic at CICM 2025, gaining updated insights in evidence-based aesthetic dermatology to support patient care.
The conference highlighted current research and clinical approaches in acne, pigmentation, hair and scalp conditions, and aesthetic procedures for the face and body.
Wipanee Akarapusit M.D. Medical License No. 39676 | Wutinan Sithipolvanichgul, M.D. Medical License No. 39678 *Individual results may vary depending on individual patient
How Does Skin Change with Age?
Representing BSL Clinic, Dr. Wipanee and Dr. Wutinan attended ASLS Bangkok 2025 to gain updated insights in aesthetic dermatology. As skin ages, it may become thinner, drier, less even in tone, and slower to recover.
At BSL Clinic, treatment planning focuses on restoring skin strength, hydration, and resilience to support healthier, more youthful-looking skin.
Wipanee Akarapusit M.D. Medical License No. 39676 | Wutinan Sithipolvanichgul, M.D. Medical License No. 39678 *Individual results may vary depending on individual patient
BSL Clinic participated in the academic conference, which brought together dermatology and aesthetic physicians from multiple countries to exchange knowledge and clinical experience.
Dr. Wipanee Akarapusit (Medical License No. 39676) delivered a presentation reflecting real-world patient care and emphasizing individualized treatment planning — a key principle in modern aesthetic medicine.
Wutinan Sithipolvanichgul, M.D. Medical License No. 39678 *Individual results may vary depending on individual patient
BSL physicians attended the 3rd International Conference on Laser, Aesthetic Medicine and Surgery (ICLAS) to update their knowledge in acne scar management, pigmentation, skin tightening, filler programs, and laser technologies.
Insights from the conference support continued refinement of treatment planning tailored to each individual.
Wutinan Sithipolvanichgul, M.D. Medical License No. 39678 | Wipanee Akarapusit M.D. Medical License No. 39676 *Individual results may vary depending on individual patient
BSL Clinic attended the Allergan Medical Institute 10th Anniversary at ICONSIAM, Thailand, where physicians exchanged perspectives on filler programs and regional aesthetic trends across Asia-Pacific.
The event provided opportunities to share clinical experience and refine approaches to wrinkle management and facial contour planning tailored to individual needs.
Wutinan Sithipolvanichgul, M.D. Medical License No. 39678 *Individual results may vary depending on individual patient
Dr. Wutinan participated in updates on the PicoWay Program and approaches to managing pigmentation concerns such as melasma, freckles, and uneven skin tone.
The symposium also provided opportunities to exchange clinical perspectives with physicians from multiple countries, supporting treatment planning tailored to individual needs.
Wutinan Sithipolvanichgul, M.D. Medical License No. 39678 *Individual results may vary depending on individual patient
Dr. Wutinan Sithipolvanichgul attended InMode Family Thailand by AMN – 3rd Edition, which focused on clinical applications of the Morpheus8 Program, a radiofrequency-based skin treatment option.
At BSL Clinic, the Morpheus8 Program is incorporated into individualized treatment planning for facial contour refinement and wrinkle care.
Wutinan Sithipolvanichgul, M.D. Medical License No. 39678 *Individual results may vary depending on individual patient
Dr. Wutinan from BSL Clinic attended the 5th SCAR Treatment Conference 2024, an academic meeting dedicated to knowledge exchange in scar management.
The conference featured presentations of laboratory research, updates on current laser technologies, and contemporary treatment approaches, including the integration of multiple modalities to support appropriate patient care.
Wutinan Sithipolvanichgul, M.D. Medical License No. 39678 | Wipanee Akarapusit M.D. Medical License No. 39676 *Individual results may vary depending on individual patient
BSL physicians attended the American Academy of Dermatology Annual Meeting 2025 to further develop individualized treatment approaches based on underlying causes.
Laser technologies presented at the meeting are available as part of the treatment options at BSL Clinic.
Wutinan Sithipolvanichgul, M.D. Medical License No. 39678 *Individual results may vary depending on individual patient
At the conference, Laser Toning techniques (PTP mode, 1,064 nm Q-switched Nd:YAG) were presented, referencing a study published in the Journal of Cosmetic and Laser Therapy. The study reported the use of this modality in managing pigmentation associated with melasma¹.
These findings provide academic insight to support clinical planning, with treatment approaches considered according to underlying causes and individual suitability.
Wutinan Sithipolvanichgul, M.D. Medical License No. 39678 | Wipanee Akarapusit M.D. Medical License No. 39676 *Individual results may vary depending on individual patient
BSL physicians participated in Mini LM – Class 11, an executive program in lifestyle medicine.
The curriculum covered health promotion, disease prevention, and chronic condition management, emphasizing a holistic approach that considers genetic, environmental, and lifestyle factors. Insights from the program support individualized planning for overall health and skin health at BSL Clinic.
Wipanee Akarapusit M.D. Medical License No. 39676 *Individual results may vary depending on individual patient
Our physicians participated in a national academic conference to exchange knowledge in dermatology and aesthetic medicine. The meeting addressed treatment approaches, prevention strategies, and the management of potential complications, supporting informed care planning tailored to each individual.
Melasma can often become noticeably lighter with the right combination-based treatment for your skin. However, ongoing care—such as daily sunscreen, regular skincare, and avoiding intense sun exposure—is important to help maintain results
There is no single best treatment for everyone. The most effective approach is usually a personalized, combination-based plan based on your skin type and melasma type.
Laser treatment can help improve the appearance of melasma, especially when combined with other treatments. The right laser and settings should be selected based on individual skin needs.
Melasma can return due to ongoing triggers like sun exposure, hormones, and heat. Consistent skincare and sun protection are important for long-term control.
Melasma treatment takes time, and results are usually gradual. Multiple sessions or ongoing care may be needed for visible improvement.
Yes. Daily sunscreen is essential, as UV exposure can worsen melasma and trigger it to return. Consistent use helps protect and maintain results.
No. Melasma appears as larger patches, while freckles and dark spots are usually smaller and more defined. Proper diagnosis helps guide the right treatment.
If melasma does not improve, keeps returning, or does not respond to skincare, a doctor can help assess the cause and recommend suitable treatment options.
Acne Acne Marks and Acne Scar Treatment Program, Freckle Treatment Program, Melasma Treatment Program, Scar Treatment Program, Capillary Treatment Program, Capillary Red Birthmark and Facial Redness Treatment Program, Keratosis Pilaris Treatment Program, Mole Beauty Mark Skin Tag Seborrheic Keratosis and Syringoma Treatment Program, Varicose Vein Treatment Program, Sensitive Skin Treatment Program
Bright Skin and Dull Skin Treatment Program, Dark Lip Treatment Program, Smooth Underarm Treatment Program, Hair Removal Laser Program, Sweat and Body Odor Reduction Program, Tattoo Removal Laser Program
Non-Surgical Face Lifting Program, Face Tightening and Contouring Program, V-Shape Face Slimming Program, Facial Wrinkle Reduction Program, Forehead Wrinkle Treatment Program, Brow Lift and Droopy Eyelid Reduction Program, Eye Area Skin Treatment Program, Cheek Tightening Program, Cheek Volume Enhancement Program, Nose Wing Reduction and Definition Enhancement Program, Lip Plumping Program, Non-Surgical Chin Injection Program, Double Chin Reduction Program, Neck Tightening Program
Upper Arm Reduction Program, Abdominal Reduction Program, Waist Reduction Program, Bra Line Fat Reduction Program, Back Waist Fat Reduction Program, Thigh Reduction Program, Knee Fat Reduction Program, Calf Reduction Program, Under Buttock Fat Reduction Program
Hair Loss Thinning Hair and Baldness Treatment Program, Dandruff and Itchy Scalp Treatment Program, Non-Surgical Hair Transplant Program
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