
Vasant Vihar Clinic (South Delhi)
A-2/6, Vasant Vihar, New Delhi - 110057
+91 98109 77786 / +91 96677 21501

It crept in slowly. A faint brown shadow on both cheeks first, then a smudge on the forehead, and a line above the upper lip that looks almost like a moustache in photos. Every winter it fades a little. Every summer it's back, darker. For a lot of women it started during pregnancy and simply never left. That's melasma, one of the most stubborn kinds of pigmentation, particularly on Indian skin. It isn't harmful. It can still wear you down. At Dadu Medical Centre, a skin clinic in Delhi, melasma treatment is about fading the patches gently and keeping them from coming back. Dr. Nivedita Dadu and her team plan it around how deep your melasma sits and what sets it off.
Melasma is a long-term condition that causes brown or greyish-brown patches, usually on both sides of the face in a fairly matching pattern. Cheeks, forehead, the bridge of the nose, upper lip and chin are the usual spots. Now and then it shows up on the forearms or neck. It builds up over weeks or months, not overnight.
Some women get it for a few months during pregnancy and it goes away by itself. Many others live with it for years, watching it lighten and darken with the seasons. It never turns into anything serious. It just likes to come back, which is why treatment is really about control over the long run.
There's rarely one single trigger. Usually it's a combination.
You can't always stop melasma, but you can make it a lot less aggressive.
Sunscreen daily, indoors too. A tinted one also helps with visible light. Reapply when you're out.
Hat, dupatta, sunglasses. All of it helps.
Keep heat off your face where you can. Step back from the stove and skip the sauna.
Be gentle. No scrubs, no bleach, no lemon.
Avoid fairness creams with ingredients you can't check.
If you think the pill is a trigger, ask your doctor about other options.
Don't drop maintenance too soon. Melasma tends to return when treatment stops suddenly.
See a dermatologist early. Newer, lighter patches are much easier to handle.
Melasma does better with a slow, steady plan than with one strong treatment. Prescription creams, and tablets in some cases, are part of most plans. Alongside those:
often chosen for melasma because it fades the patches gently, without stirring up the skin.
for stubborn, hormone-driven melasma that hasn't shifted with other care.
Once the patches fade, daily sunscreen and a maintenance routine do the rest of the work.
Book a free consultation at our clinic in Delhi and find out how deep your melasma is and which treatment will suit it.
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With melasma, the wrong treatment can backfire. An aggressive laser or a strong peel can inflame the skin and leave the patches darker than when you started. At Dadu Medical Centre, our doctors first check how deep your melasma sits and what's driving it, whether that's sun, heat, hormones or something in your routine. Dr. Nivedita Dadu and her team keep treatment gentle and well-timed for Indian skin, and adjust the plan as your skin responds. You'll hear the honest version too. Melasma can be faded and kept quiet, but it needs patience and some upkeep.
Ans. A mix of sun, hormones and genes. Pregnancy, the pill, heat and irritating skincare can set it off or make it worse.
Ans. Usually with prescription creams, sometimes tablets, along with DMC Divagenesis or DMC Magic Blend. How deep the melasma sits decides the plan.
Ans. It can be faded a lot and kept under control. Sun, heat or hormonal changes can bring it back, though, so sun protection has to stay.
Ans. Yes, when they're gentle. Harsh lasers and strong peels are what make melasma worse, so they're avoided.
Ans. Some people see lightening within a few weeks. Deeper melasma needs a few months of steady treatment.
Ans. More sun and more heat mean more pigment. Summer is when sunscreen matters most.
Ans. Sometimes it fades after delivery on its own. If it doesn't, it can be treated once you've finished breastfeeding, as your doctor advises.
Ans. Yes, though it's much less common. The approach is the same.
Ans. Very little. Maybe some mild redness for a few hours after a session.
Ans. Please don't. Many have hidden steroids that damage the skin and make melasma harder to treat.
Book a free consultation at our clinic in Delhi and find out how deep your melasma is and which treatment will suit it.
Dr. Nivedita Dadu explains what triggers melasma, why it keeps coming back, and how to treat it safely without making it worse.

A-2/6, Vasant Vihar, New Delhi - 110057
+91 98109 77786 / +91 96677 21501

J-12/28, 1st Floor, Near Rajouri Garden Metro Station, New Delhi - 110027
+91 98109 77786 / +91 96677 21501
Recognised for excellence in dermatology and skin care.
Safe clinical protocols and technology-led treatment planning.
Personalised care delivered by experienced dermatology professionals.