Melasma is a common skin problem presenting as dark, irregular-shaped patches with well- defined edges on face. Upper cheeks, nose, lips, upper lip, forearms, neck, and forehead are usually affected by discoloration. Melasma develops slowly but can last for many years. Sun exposure triggers melasma, so it often worsens in the summer and improves during winter.It does not cause any physical symptoms beyond the discoloration.

Who Gets Melasma

Melasma mostly affects pregnant women, and those taking birth control pills or hormonal therapy. Only 10-20 % of people who get melasma are men.

  • Those living in areas of intense sun exposure
  • People with dark skin tones including Asian and Indianshave more active melanocytes than those with light skin and thus are more prone to melasma.
  • People who have a blood relative who has melasma


The exact cause of melasma is not yet known. It occurs when the color- making cells in the skin (melanocytes) produce too much pigment (color).
Factors contributing to melasma include:

  • Family history
  • Pregnancy or use of birth control pills
  • Cosmetics or other skin care products
  • Phototoxic medicines (drugs that make the skin more sensitive to light damage, such as anti-seizure medication)
  • Sun exposure
  • Stress
  • Thyroid problems

Melasma during pregnancy (chloasma or “the mask of pregnancy”) may result from an increase in hormone production. The main risk factors of melasma in men are sun exposure and a positive family history.

Ultraviolet (UV) light from the sun exposure stimulates the melanocytes, triggering melasma. Sun exposure is the main reason for recurrence of melasma after fading.

Skin care products that irritate the skinmay trigger an increase in melanocytes and worsen melasma. Melasma does not cause any internal diseases or organ malfunction.


Dermatologists diagnose (detect) melasma by visual examination.


Sometimes melasma fades on its own, such as after a pregnancy or stopping birth control pills. Some patients can have it for years or even a lifetime.

Skin-Lightening Agents

The most common is skin-lightening medicine is hydroquinone. The effect hydroquinone treatment usually become evident after 5 to 7 weeks and treatment often continues for at least 3 months.

Your dermatologist may combine different skin-lightening agents to enhance the lightening effect.

Chemical Peels

Chemical peeling involves applying compounds to the skin to induce exfoliation (removal of dead skin cells).


Microdermabrasion is a skin resurfacing method which uses rough, but very fine crystals to buff away (abrade) the outermost layers of the skin. This procedure uses a vacuum-like device to apply the particles and then remove the unwanted skin with suction.

Maintenance Treatment

Though treatments are effective, they do not always cure melasma. Skin discoloration may not go away completely. Depending on how much pigmentation you have and how sensitive your skin is, you may need more than one treatment to see a good result. The effectiveness over time varies from patient to patient and it may take a few months to see improvement. Even after your melasma clears, you may need maintenance therapy can prevent melasma from returning.

Sun Protection

Daily sunscreen use is an essential part of melasma treatment. When selecting a sunscreen, select one that offers board-spectrum protection protects against UVA and UVB rays. It should have an SPF (sun-protection factor) of 30 or more. Products that contain zinc oxide or titanium oxide physically block the sun’s rays. Even after your melasma clears, continue to wear sunscreen to prevent the melasma from recurring.

It is important not to use products that irritate the skin. Any cosmetics (facial cleanser, cream, makeup, etc.) that irritate the skin may worsen melasma.

Treating melasma requires a multifaceted approach, under the care of a dermatologist, many people have a successful outcome.

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Laser Hair Reduction

laser hair removal in Dwarka

While it doesn’t pose any health risks unwanted facial and body hair is embarrassing- especially for women. Laser hair reduction is a technique for getting rid of unwanted hair. During LHR, a laser light passes through the skin to the black colored roots of your hair. The rootsabsorb the laser beam, get heated up and thereby destroying the hair.

Asclepion Mediostar Next Pro Diode Laser

810 nm Diode laser is the GOLD STANDARD for laser hair reduction.

Pain Factor

When laser shots are given, one feels a mild discomfort akin to warm sensation in areas with thin hair or pin- prick sensation in other areas where the hairs are thick and coarse.

Sessions Requirement

Minimum 8sessions are recommended for up to 80% hair reduction.

Possible Side Effects

If the procedure is done properly, following recommended guidelines, no adverse effects are experienced.

Precautions Before And After The Procedure

Hair Removal: Patients must stop waxing, tweezing and threading 2 weeks prior to treatment.

Sun protection: Sunscreen (SPF 30+) application is advised to protect the treated area from direct sun exposure.

Mositurise: Moisturize your skin regularly, as dry skin is more prone to irritation.

What To Expect After The Treatment?

Reduction Of Hair Growth

Around 60-80% hair reduction is expected after 6-8 sessions. With every subsequent session hair density is reduced. Coarse pigmented hairs turn into fine, thin and light coloured.

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Facial And Skin Rejuvenation

Skin specialist in Dwarka

Skin is made up of collagen, elastin fibers and inter- cellular matrix which responsible to maintain its tautness, firmness and elasticity. Sun exposure, pollution, stress, smoking and ageing degrade the natural components of skin and make it dry, dull and lusterless. Age spots, pigmentation, open pores, wrinkles and fine lines are the manifestation of aged and damaged skin.

Facial Rejuvenation

Platelet Rich Plasma Therapy(PRP)

Commonly known as PRP or vampire facial is a nonsurgical procedure that uses a platelet concentrate processed from your own blood. Natural platelets injected into the treatment area instruct the body to create new collagen for tighter, smoother and toned skin.

Pain Factor

PRP is a minimally invasive treatment. Atopical anesthetic cream is applied to numb the area being treated hence minimal discomfort is felt during the procedure.

Sessions Required

Around 3 sessions of PRP are recommended at monthly intervals.

Possible Side Effects

There are absolutely no side effects. It’syour own blood which is processed and reinjected in your body for the process of rejuvenation.

Before And After The Procedure

A daily skin care regimen consisting of a mild cleanser, quality moisturizer and 30 SPF+ sunscreen.

What To Expect From The Treatment?

Smooth, Healthy and Shiny Skin

Pigmentation, wrinkles, age spots and open pores are reduced. By stimulating the production of collagen, elastin and intercellular matrix, the skin become smooth, shiny and healthy giving a youthful appearance.

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Tinea Cruris(Jock Itch)

Tinea cruris, an itchy superficial fungal infection of the groin and adjacent skin.

Causative Agent: Epidermophyton floccosum, Trichophyton rubrum, T. mentagrophytes.

Signs And Symptoms: Itchy red scaly rash with a sharp demarcation.

Risk Factors: Clothing habits, poor personal hygiene, sharing towels, close contact with infected animals, swimming, obesity.

Diagnosis: Clinical appearance, wood’s lamp examination, potassium hydroxide(KOH) preparation, fungal culture.

Treatment: Topical creams: Clotrimazole, Amorolfine, Terbinafine.

Oral antifungal agents – for extensive involvement, Itraconazole, Fluconazole, Griseofulvin, or Terbinafine.

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