Melasma is a common skin disorder that causes brown or dark patches on the face, including the cheeks, nose, forehead, and upper lip, due to excess melanin. It mostly affects women of reproductive age, often triggered by hormonal changes like pregnancy (the “mask of pregnancy”) or hormonal therapy, while cases in men are less common. While melasma is more common in women, men can also develop it due to excessive sun exposure or genetic factors.
Understanding the types of melasma, epidermal, dermal, and mixed, is the first step to choosing the best treatment plan for the patients, which may include topical creams, chemical peels, laser treatments, or supportive options like acupuncture, depending on severity.
If you are looking for a professional melasma treatment in Dhaka or want to know how to get rid of melasma on your face and restore your skin’s natural radiance, SUO XI Hospital (Skin Care) in Dhaka is one of the best skin clinics in Bangladesh.
Melasma is generally classified into three main types based on the depth of pigment (melanin) deposited in the skin. They appear in different layers of the skin, and identifying the right type of melasma is key to choosing the most effective treatment. Let’s know in brief the types of melasma and identify which type of melasma I have:
Epidermal melasma affects the top layer of the skin (epidermis) and is the most common and treatable type. It appears as light to dark brown patches with sharp, well-defined borders, usually on the cheeks, forehead, upper lip, and nose. The pigment sits in the upper skin layer, making the discoloration more visible under natural light.
Since this type of melasma occurs when excess melanin builds up on the top layer of the skin (epidermis), they are caused by sun exposure, hormonal fluctuations, certain medications, and genetic predisposition. People with lighter or medium skin tones are more likely to develop this form of melasma.
Dermal melasma occurs when excess pigment is deposited deeper layers of the skin (Dermis). It is characterized by bluish-gray or gray-brown patches that appear on areas such as the cheeks, forehead, and jawline. Unlike the epidermal type, these patches have softer, less defined borders because the excess pigment lies deeper beneath the skin surface.
Getting rid of Dermal Melasma is hard because the pigmentation is in the deeper layers of the skin (the dermis), making it unreachable by superficial treatments like topical creams and peels. This deeper pigment placement makes the condition more resistant to standard lightening creams and superficial peels. Sun exposure, hormonal factors, and inflammation can all worsen discoloration, so consistent protection and gentle skin care are essential for improvement.
To successfully get rid of dermal melasma always requires a combination of advanced therapies designed to target deeper pigment deposits in your skin. The treatment options may include:
Additionally, dermatologist-approved home remedies such as aloe vera gel, green tea extract, turmeric masks, or licorice-based skincare may provide mild benefits, but always consult a dermatologist before use.
Since dermal melasma improves more slowly than other types, consistent professional care, sun protection, and patience are essential. Noticeable results may take weeks, with major improvement often seen after a few months. Setting realistic expectations helps patients stay motivated throughout treatment.
Mixed melasma is a combination of both epidermal and dermal melasma. They appear as brown and grayish-brown patches on the face, commonly seen on the cheeks, forehead, upper lip, and jawline.
This type of melasma develops when pigment builds up at multiple skin depths. Hormonal fluctuations, sun exposure, and genetic factors often play an important role in the development of mixed melasma. It affects more than one layer of skin, and it tends to be more persistent and requires a carefully balanced approach to treat it effectively
To get rid of mixed melasma, dermatologists often suggest a procedure that usually involves a combination treatment, which targets both surface and deeper pigmentation. They may include:
Mixed melasma often requires a multi-layered treatment approach, combining topical, procedural, and lifestyle strategies for the best results.
In Bangladesh, SUO XI Hospital (Skin Care) offers all of these types of melasma treatment in Dhaka. Our skin doctors first identify which types of melasma the patient has through a detailed diagnosis. After that, they make a personalised treatment plan based on the melasma condition. We have different methods to treat melasma. Our dermatologist chose the right method for our clients.
Melasma can also be classified according to the area it appears on the face, which helps dermatologists plan an effective treatment for faster results and avoid post-inflammatory hyperpigmentation. These “melasma on face types” include:
Understanding the pattern of melasma helps guide treatment choice, intensity, and expected outcomes. Therefore, consulting with a skin specialist is very important to identify the type of melasma and ensure the best treatment for each type of melasma.
SUO XI Hospital (Skin Care) is one of the top skin care clinics in Dhaka, Bangladesh, who offer 30+ skin-related treatments, including melasma treatment using US FDA-approved advanced technology and an internationally trained professional Dermatologist. We have thousands of patients getting benefits after taking the melasma treatment with laser at SUO XI Hospital (Skin Care).
Read our Full Blow to Know about Melasma Treatment With Laser In Bangladesh
Melasma is more likely to affect certain groups of people due to genetic, hormonal, and environmental factors. Women of reproductive age are particularly susceptible, especially during pregnancy, which is why it is often called the “mask of pregnancy.” Individuals with medium to dark skin tones, including many South Asians, including Bangladeshi people, have a higher risk because their skin naturally produces more melanin.
To counteract these risk factors, individuals can take proactive steps. Women undergoing hormonal therapy should consider discussing non-hormonal contraception options with their doctors. Additionally, wearing broad-spectrum sunscreen, hats, and protective clothing can help minimize sun exposure and its adverse effects on the skin.
A family history of melasma also increases susceptibility, suggesting a genetic component. Additionally, hormonal therapies such as birth control pills or hormone replacement, along with frequent sun exposure, can trigger or worsen melasma. Understanding these risk factors helps patients and dermatologists create personalized prevention and treatment plans.
Read our other blog to know the Best Treatment for Melasma: Causes and Effective Solution
When it comes concerning treating melasma successfully, dermatologists often suggest following a healthy skin care routine. Whether the melasma type is epidermal, dermal, or mixed, the best treatment for melasma focuses on protecting the skin, reducing pigment formation, and preventing recurrence.
1. Daily Sun Protection cream
Sun exposure is one of the most powerful triggers for melasma. Applying a broad-spectrum sunscreen (SPF 30 or higher) every morning is non-negotiable. Reapply every two to three hours if you’re outdoors.
Using wide-brimmed hats, sunglasses, and seeking shade can further protect against UV damage and prevent pigmentation from worsening.
2. Gentle Skincare Products
Incorporate gentle, fragrance-free cleansers and antioxidant-rich products like vitamin C and niacinamide to help brighten skin and strengthen its barrier. Niacinamide, in particular, reduces inflammation and slows pigment transfer between skin cells.
Avoid harsh exfoliants or irritants that can trigger post-inflammatory hyperpigmentation.
3. Lifestyle Modification and Diet Habit
A holistic lifestyle modification approach supports long-term results. Avoid harsh sunlight, manage stress levels through physical exercise and good sleep, and maintain a balanced diet rich in antioxidants (such as fruits, vegetables, and omega-3 fatty acids). Consistency in skincare and lifestyle habits plays a major role in controlling melasma flare-ups.
Apply Sunscreen Daily: Sun exposure is the main cause of melasma returning, so apply a broad-spectrum SPF 30–50 daily, even indoors. Reapply every 2–3 hours outdoors, use tinted sunscreens with iron oxide, and wear hats and sunglasses. Consistent sun protection is key to preventing melasma.
Gentle and Brightening Skincare Routine: Follow a gentle, brightening skincare routine to prevent melasma. Use a mild cleanser, antioxidant serums like Vitamin C or niacinamide, and a hydrating moisturizer. At night, apply dermatologist-approved retinoids or brightening creams to fade dark spots. Consistent use keeps skin healthy and helps prevent melasma recurrence.
Eat Skin Healthy Diet: Maintain a skin-healthy diet to help prevent melasma. Eat antioxidant-rich foods with Vitamin C, Vitamin E, and zinc, and include plenty of fruits, vegetables, and omega-3s. Drink 8–10 glasses of water daily, and limit caffeine and sugary foods to reduce inflammation and pigmentation.
Balance Hormones and Reduce Stress: Balance hormones and reduce stress to get rid of melasma by practicing yoga, meditation, or deep breathing, get 7–8 hours of sleep, and consult your doctor if on hormonal therapy or birth control. Balanced hormones and lower stress help reduce melasma flare-ups naturally.
Limit Heats and Blue Light Exposure: Limit heat and blue light exposure to prevent melasma. Use antioxidant serums and tinted sunscreens, avoid steam, saunas, and cooking heat, and take screen breaks every 30 minutes to protect your skin.
Schedule Regular Check-Ups with Your Dermatologist: Even with proper home care, follow-up visits are essential to ensure melasma doesn’t return. Your dermatologist can monitor your progress, recommend maintenance treatments like mild chemical peels or laser toning, and update your skincare plan as needed.
There is nobody in the world who does not want to be beautiful, who does not want to see their skin brighter, smoother. When it comes to using skin care products, skin-related treatment, everybody wishes to meet the best dermatologist at the best Skin care clinic for skin.
In this era, SUO XI Hospital (Skin Care) is the No. 01 aesthetic clinic in Bangladesh that ensures you an internationally trained dermatologist, the highest quality, and the safest skin care products. We are the only skin care clinic in Dhaka, Bangladesh that imports world-class skin care products from the USA, the UK, Korea, Thailand, and many other countries. If you are interested in our products, you can visit our online skin care shop.
Identifying the specific type of melasma is the most important step towards choosing the best treatment plan and achieving long-term improvement. Since melasma can affect different layers of the skin, an accurate diagnosis ensures the most effective and safest treatment for your skin type.
At SUO XI Hospital (Skin Care), we have an AI skin analyzer & advanced diagnosis technology to detect the depth and pattern of pigmentation. This allows our dermatologists to personalize your melasma treatment in Bangladesh, ensuring faster improvement and long-term skin clarity.
A dermatologist plays a crucial role in diagnosing melasma. During an examination, the professional dermatologist may use a Wood’s lamp, a handheld device that emits ultraviolet light, to evaluate how deep the pigmentation lies within the layers of the skin.
This test, combined with a professional skin assessment, helps determine the most suitable and effective treatment options for melasma, such as topical agents, laser treatment, or combination procedures.
Melasma often looks similar to other pigmentation disorders, such as post-inflammatory hyperpigmentation or sunspots. Without professional tools and expertise, it can be easy to mistake one condition for another. Relying on self-diagnosis may lead to the use of incorrect or harsh treatments that irritate the skin and worsen discolouration.
SUO XI Hospital (Skin Care) is one of the trusted aesthetic clinics in Dhaka, Bangladesh for melasma treatment. We have all the advanced laser treatment, science-backed treatment options at our skin care clinic, which is why our skin care centre is well known as the best skin care clinic in Dhaka. We have 30+ skin-related problems, including melasma treatments, under one roof using US FDA-approved advanced laser technology, over-the-counter medicine, and a customised treatment plan. We use methods for treating melasma, such as CO2 laser, Q Switch Laser, Chemical Peeling, Carbon Facial, Exosome Therapy and many more. All the procedures are performed by the highly trained skin doctor and specialists. We ensure hygiene, safety and privacy of our patients. Our melama treatment cost starts from 3000BDT, that quite affordable for everyone.
If you want an accurate diagnosis of your melasma and personalized treatment according to your skin type and the depth of your melasma, book your free consultation today with our expert dermatologist and discover your melasma type for the best treatment plan and faster results that your skin deserves.
Melasma may take time to treat, but with the right diagnosis, expert guidance, and consistent care, you can achieve visible improvement and lasting results. Whether your melasma is caused by sun exposure, hormonal changes, or post-pregnancy factors, modern dermatological treatments now make it easier than ever to restore your natural glow.
SUO XI Hospital (Skin Care) is the largest aesthetic clinic in Bangladesh for melasma removal. Our dermatologists combine science, technology, and personalized care to design the most effective plan for your unique skin type. From melasma after pregnancy treatment to advanced laser and microneedling options, we’re here to help you regain your confidence, and we look forward to seeing the safety, benefit and satisfaction of our valuable patients
Visit our Aesthetic Clinic in Dhaka:
Address: 3rd Floor (Lift-2), 122 Priyangon Faizunnessa Business Centre, Kakrail Rd, Dhaka 1217
Phone: 09613-002003
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