Melasma

Medical Insight. Thoughtful Strategy. Long-Term Clarity.

Results vary between individuals. Images are of patients treated by Dr Nina Wines and are published with their consent. These are for illustrative purposes and are not a guarantee of results

What Is Melasma?

Melasma is a chronic pigmentary condition—not simply skin discolouration, but a complex, relapsing disorder driven by hormones, light exposure, heat, genetics, and often vascular factors. It appears as brown, grey-brown, or blotchy patches on the face—particularly the cheeks, upper lip, and forehead—and can significantly affect confidence.

At Northern Sydney Dermatology & Laser, Dr Nina Wines offers a dermatologist-led program for melasma management, built on years of clinical experience, published expertise, and a commitment to long-term results.

Dr Nina Wines’ Approach

“Melasma is not just a pigment problem—it’s a chronic, multifactorial skin disorder that demands patience, precision, and the right protocol & ongoing maintenance”
— Dr Nina Wines, Procedural & Laser Dermatologist

With over two decades of experience and subspecialty expertise in laser dermatology, Dr Wines treats melasma through a personalised program that evolves with your skin.

Your Melasma Program Includes:

1. Expert Assessment & Diagnosis

  • Identify melasma type: epidermal, dermal or mixed

  • Assess for vascular involvement, which changes laser strategy

  • Review triggers: hormones, friction, UV/visible light, stress

2. Tailored Multimodal Therapy

  • Topical therapy: compound or rotational prescription creams +/- Peels

  • Photoacoustic QS laser: breaks down deep dermal pigment

  • Vascular laser: where redness contributes to pigmentation

  • Low-density fractional laser: for select resistant cases

  • Oral pigment-stabilising agents, when indicated

3. Sun & Heat Defence Plan

  • Tinted physical sunscreens for UV and visible light

  • Advice on heat/friction triggers, including exercise and cooking

  • Long-term prevention strategies personalised to your lifestyle

Results & Realism

  • Fading is gradual: expect improvements over 3–6 months

  • Consistency matters: maintenance prevents relapse

  • Combination care works best: lasers alone are rarely enough & some lasers and interventions make it worse

  • Beware of unverified pigment treatments

Have a different type of facial pigmentation?
Melasma is just one cause of facial discolouration. If your pigmentation is due to sun damage, post-inflammatory hyperpigmentation, freckles or lentigines, visit our dedicated Facial Pigmentation page →

FAQ

Is melasma curable?
No, but it is highly manageable with the right long-term care and strategy.

Can I start treatment in summer?
Yes—though strict sun protection is essential year-round.

What makes Dr Wines’ program different?
Her approach combines evidence-based medicine, advanced laser technology, and a deep understanding of melasma’s behaviour in areal-world setting.

Will I need to keep treating it forever?
Think of it like managing asthma or diabetes. Maintenance is key to long-term success.

Click here to learn about my Melasma Treatment Program

 

Learn more about melasma treatment with Dr Wines - phone 02 9958 1555 or email info@drninawines.com

 

All medical and laser procedures carry some risks. The information provided here is general in nature and not a substitute for a professional medical consultation. For advice tailored to your skin and health, please book an appointment with Dr Nina Wines.