Melasma

Medical Insight. Thoughtful Strategy. Long-Term Clarity.

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 cosmetic procedures involve some risks. The information provided here is for general educational purposes only. For specific advice regarding your situation, please book an appointment with Dr Nina Wines.