Melasma Treatment in Twickenham

Melasma is a common skin condition that causes brown or greyish-brown patches,
typically on the face. It's often linked to sun exposure, hormonal changes
and pregnancy, and it can be more stubborn to treat than general pigmentation
because it sits deeper in the skin.

Because melasma can be sensitive to certain treatments and can worsen with
aggressive approaches, a thorough consultation is essential before starting
any plan. Our Twickenham skin clinic team will assess your skin and recommend
a gentle, considered approach.

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Which Treatment Is Right For Me?

These treatments are commonly used to help with this concern. Your consultation will confirm what’s right for your skin.

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DMK Enzyme Facial

An oxygen-therapy enzyme mask treatment designed to flush toxins and boost circulation, supporting acne, pigmentation and ageing concerns.

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Neostrata Skin Peels

NeoStrata Skin Peel

Physician-strength glycolic and retinol chemical peels that resurface and brighten the skin, tailored to your tolerance and goals.

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What To Expect From Your Consultation

Melasma needs a more considered approach than general pigmentation, so your 30-minute consultation (£30, redeemable against treatment or products) focuses on understanding your triggers, whether that’s pregnancy, contraception or sun exposure, before recommending a gentle plan.

Because overly aggressive treatments can sometimes make melasma worse, our team favours a measured approach using DMK Enzyme Facials and NeoStrata peels, building up gradually and monitoring how your skin responds.

Skin Clinic Serving Twickenham & Richmond

Our clinic is based on King Street in Twickenham, close to Richmond, St Margarets and Teddington, with consultations available in person.

Melasma is notoriously stubborn to treat, and we’d rather set realistic expectations at your consultation than promise results we can’t guarantee.

Is This Right For You?

This Could Be For You If

  • You've noticed brown or greyish patches, often across the cheeks, forehead or upper lip, that seem linked to pregnancy, contraception or sun exposure.
  • You want a gentle, considered treatment plan rather than an aggressive one-off approach.
  • You're committed to daily sun protection, since melasma is highly sensitive to UV exposure and can flare up again without it.

Consider an Alternative If

  • You're currently pregnant and haven't confirmed your treatment options with us or your GP, since some treatments are best left until after pregnancy or breastfeeding.
  • You're expecting melasma to be permanently and completely removed in one visit. It responds better to an ongoing plan and tends to recur without maintenance.
  • Your patches have changed suddenly in appearance or texture. See your GP first to confirm it's melasma before booking a cosmetic consultation.

Frequently Asked Questions

Is melasma the same as pigmentation?

Melasma is a specific type of pigmentation, but it tends to sit deeper in the skin and is strongly linked to hormonal triggers such as pregnancy or contraception, and to sun exposure. It’s often more stubborn to treat than general sun spots or post-acne marks, so it needs a tailored approach.

Can melasma be fully removed?

Melasma can be managed and visibly improved with the right treatment plan and consistent sun protection, but it can also be prone to recurrence, particularly with sun exposure or hormonal changes. Your consultation will set realistic expectations for your specific case.

How much does melasma treatment cost?

Cost depends on the treatment plan recommended at your consultation, since melasma often needs a more gradual, tailored approach than general pigmentation. Your 30-minute skin consultation is £30, redeemable against treatment or products.

What causes melasma?

Melasma is most commonly linked to hormonal changes such as pregnancy or the contraceptive pill, and to UV exposure. It’s more common in people with darker skin tones and can also run in families.

Is it safe to treat melasma during pregnancy?

Some treatments aren’t suitable during pregnancy or breastfeeding, so we’ll always talk through what’s appropriate for you at your consultation. Daily SPF remains safe and is one of the most effective things you can do to help stop melasma worsening, whether or not you’re pregnant.

Why does melasma keep coming back?

Melasma is strongly linked to hormones and UV exposure, both of which can trigger it again even after successful treatment. Consistent sun protection and a maintenance plan are the best way to keep results lasting longer.

Book Your Skin Consultation

A detailed consultation lets our Twickenham skin clinic team assess your skin and recommend the right treatment plan for you.

BOOK A CONSULTATION