Customised melasma program
A physician-designed combination approach — gentle lasers, topicals and supportive care — tailored to control stubborn melasma safely over time.
Quick answer
Melasma is chronic and prone to recurrence. A complete plan starts with UV and visible-light protection, then adds prescribed or brightening topicals and, when appropriate, MesoBright, low-energy Pico Majesty or RedTouch Pro 675 nm after a physician evaluates melasma type and PIH risk.
Melasma is chronic and easily provoked, so the modern approach is gentle, layered and consistent rather than aggressive. We first identify the type — epidermal (surface), dermal (deeper) or mixed — and the triggers, because depth and drivers determine what is safe and effective for your skin.
A typical plan layers daily sun protection (the foundation), doctor-guided topicals that calm pigment production, carefully-dosed low-energy laser and barrier-supporting care. The goal is meaningful, lasting control — keeping melasma faint and stable — rather than a one-time "cure" that risks rebound darkening.
For selected cases, a doctor may consider Pico Majesty, RedTouch Pro 675 nm or another approach after assessing melasma pattern, skin response and risk. Read the RedTouch page for the Thai melasma study, its limitations, price and suitability information.
Triggers include UV and visible light, heat, hormones and genetics.
Pigment can sit at different depths — epidermal, dermal or mixed.
We treat the cause with layered care — sun protection, topicals and gentle laser.
Use broad-spectrum SPF 50+ consistently, reapply when exposed, seek shade and add hats or umbrellas. A tinted sunscreen containing iron oxides may help selected patients exposed to visible light. Photoprotection is the foundation for reducing relapse; no device replaces it.
A doctor may select prescription pigment-suppressing medicines and supportive brightening actives according to skin sensitivity, pregnancy status and prior irritation. More products are not always better: excessive layering can inflame the skin and worsen pigment.
Hori Clinic may add MesoBright to selected plans after reviewing the formula, allergies, pregnancy and medicines. It is an adjunct for skin-quality and pigment care, not a replacement for diagnosis, photoprotection or prescribed topical treatment.
For suitable melasma, the clinic may plan a gentle low-energy Pico Majesty series of about 6–9 sessions rather than one aggressive treatment. The actual number, interval and wavelength depend on melasma depth, skin type, response and PIH risk; published picosecond evidence is mixed across wavelengths.
See Pico Majesty, including freckles, sun spots and post-acne marks →
A prospective pre–post Siriraj study in 28 Thai women with Fitzpatrick III–V reported a mean 41% mMASI reduction at 3 months after three monthly 675 nm sessions, and 34% at 6 months. This small single-arm study had no comparison group, so the result is promising but does not guarantee an individual outcome.
Care begins with a consultation to assess melasma type and triggers. A personalised plan layers daily photoprotection, prescribed and brightening topicals, selected MesoBright support, low-energy Pico Majesty or RedTouch Pro 675 nm, paced safely over time rather than combining everything at once.
Because aggressive heat can worsen melasma, sessions are deliberately gentle. Strict daily broad-spectrum SPF 50 is essential between visits — it protects every other part of the plan.
Epidermal (surface) melasma can lighten within a few weeks; deeper pigment takes longer and steady commitment. Melasma is chronic, so the goal is lasting control — kept faint with maintenance and sun care.
Everyone responds differently. Before treatment, your doctor will examine the area and talk through a plan that makes sense for you.
It is chronic and can recur, so the realistic goal is long-term control — kept faint and stable with treatment plus daily sun protection and maintenance.
It may be suitable for selected patients when the diagnosis, wavelength and low-energy settings are chosen carefully. Aggressive treatment can worsen pigment, so a doctor must weigh benefit, PIH risk and non-laser options first.
UV and visible light can reactivate melasma, so consistent broad-spectrum photoprotection and reapplication are central to reducing relapse.
Your treatment is performed by a doctor
Dr. Peerapol Riawraengsattha (Dr. Lhong)
Anesthesiology · Aesthetic Medicine · Thai medical licence 58253
Tell us what you are concerned about. Our team can help you prepare for a conversation with the doctor.
Before you decide
We last reviewed these sources on 23 July 2026. They can help you prepare for a consultation, but they cannot replace an examination or a consent discussion with your doctor.
Melasma is chronic and may relapse. Diagnosis, sun and visible-light protection, triggers and topical treatment remain central; laser or light treatment is an adjunct for selected patients, not a universal cure.
Energy-based treatment can worsen pigmentation in some skin types or settings. A plan should include recurrence prevention and standardised follow-up photographs.
Regulatory references describe their own jurisdictions and are used for safety context; they do not by themselves establish Thai registration or an indication for a specific product.
The final choice depends on an examination by a licensed doctor. Meet the doctors
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246 Times Square Building, 4F, Room 411–412
Sukhumvit Rd, Khlong Toei, Bangkok 10110
Hours
Open 11:00–20:00
Open every day
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