Pigmentation &
Melasma, Patient,, sequenced management — not aggressive bleaching.

Multi-modal approach: topicals, oral tranexamic acid, peels and strict photoprotection.

  • Melasma (cheeks, forehead, upper lip
  • Post-inflammatory hyperpigmentation
  • Sun-induced photoaging spots
  • Hormonal pigmentation
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Dr. Shivali Sethi
SkinHairLaser

Considered pigmentation & melasma, plainly.

Melasma and pigmentary disorders are among the most stubborn dermatological conditions. Our protocol uses a layered, patient strategy: topical agents (kojic, arbutin, tranexamic, retinoids), gentle peels, oral therapy where indicated, and strict daily photoprotection. Aggressive treatment can worsen melasma — restraint is everything.

We sequence pigmentation & melasma into a course that respects how skin actually changes — visible result by the end of the schedule, with a written review at the halfway mark. Strength is stepped up only when the previous session has settled completely.

A consultation precedes the first session: examination, history, and a written plan delivered the next morning. We do not double-book.

The cases we see most.

Hover or tap any indication for context. The decision to treat depends on the examination — we explain plainly when it is the right answer and when it is not.

01
Melasma (cheeks, forehead, upper lip
Common presentation · responds to pigmentation & melasma
02
Post-inflammatory hyperpigmentation
Common presentation · responds to pigmentation & melasma
03
Sun-induced photoaging spots
Common presentation · responds to pigmentation & melasma
04
Hormonal pigmentation
Common presentation · responds to pigmentation & melasma
05
Periorbital and perioral darkening
Common presentation · responds to pigmentation & melasma
06
Resistant or relapsing pigmentation
Common presentation · responds to pigmentation & melasma

From day one to held.

Day 0
In-clinic
The pigmentation & melasma session. Examination, planning, and the procedure itself.
Week 1
Early
Initial changes settle. Strict skincare for the first 72 hours.
Week 4
Visible
Considered result begins to show. Photograph for the record.
Month 3+
Held
Sustained result. Maintenance discussed at review.

The details,
plainly.

Duration

Per Session

30 min

Quick, focused sessions. Cleansing, treatment, soothing finish.

  • Examined under good light
  • Documented with photographs
  • Aftercare card on departure
Protocol

Typical Course

6–8 sessions

Sequenced over four to six months, with topical maintenance throughout.

  • Halfway written review
  • Strength stepped up only when ready
  • Maintenance schedule discussed
Investment

Indicative

On Consultation

Quoted in person after a full assessment. The practice does not publish prices online.

  • Personalised quote
  • No package pressure
  • Discussed at consultation

The things most often asked.

If your question isn't here, write to us. We answer every enquiry — usually the same day.

Ask the practice →
Will it ever go away?+
It can fade significantly but tends to recur with sun or hormones. Maintenance essential.
Lasers OK?+
In select cases yes — but aggressive use can worsen melasma. Conservative approach.
How important is sunscreen?+
It is the entire foundation of treatment.
Oral medication?+
Tranexamic acid well-studied; safe under monitoring.
Dr. Shivali Sethi

Dr. Shivali Sethi

Twenty-five years of considered dermatology — examined first, prescribed second. The practice has only refined the standard.

MBBSDDVLFACSIDermatosurgeon

Personalized care. Thoughtful approach.

Tailored to you.

Every skin is unique. That's why we begin with a detailed assessment to understand your concerns and recommend what truly suits your skin.

In-depth skin assessment
Personalized treatment plan
Safe, effective & honest care
No pressure. Just honest advice.