What is Melasma?

Melasma is a type of hyperpigmentation that appears as brown, greyish, or dark patches on the face. It usually affects the:

• • Cheeks

  • Forehead

  • Nose bridge

  • Upper lip

  • Chin

Unlike normal freckles or sun spots, melasma is influenced by hormonal changes, genetic predisposition, and sun exposure, making it more persistent and challenging to treat.

Why Melasma is Common in Malaysia

Living in Malaysia means year-round exposure to UV rays. Even on cloudy days, harmful rays penetrate the skin, stimulating melanin production. Combined with our tropical lifestyle, here are the main risk factors for Malaysians:

1. Sun Exposure – Outdoor activities without proper sun protection accelerate melasma.
2. Hormonal Factors – Pregnancy, birth control pills, and thyroid issues can trigger melasma.
3. Genetics & Skin Type – Melasma is more common in Asian skin due to higher melanin activity.
4. Lifestyle & Environment – Heat, stress, and even visible light from devices can worsen pigmentation.

Why Old-School Treatments Are No Longer Recommended

In the past, creams like hydroquinone were prescribed as the main solution. However, in Malaysia and worldwide, long-term use is discouraged because:

• • Risk of ochronosis (a permanent bluish-black pigmentation)

  • Rebound pigmentation – melasma worsens after stopping

  • Possible carcinogenic risk with prolonged use

Today, dermatologists in Malaysia recommend safer, scientifically proven methods.

Best Melasma Treatments in Malaysia (2025)

1. Nano MD & Oxithione (Skin Whitening Oral Supplements)

Nano MD and Oxithione are oral antioxidants that help regulate melanin production at the cellular level. Unlike topical creams, they work internally to improve skin tone and prevent pigmentation from recurring.

2. Oral Tranexamic Acid (TXA)

TXA has become one of the most effective oral medications for melasma in Malaysia. It reduces abnormal blood vessel activity linked to pigmentation. Studies show TXA helps lighten melasma patches when combined with lasers or topical treatments.

3. Topical Depigmentation Creams (Cyntra, Heliocare)

Instead of hydroquinone, newer formulations like Cyntra and Heliocare are used. These products contain safer ingredients such as azelaic acid, kojic acid, vitamin C, and sunscreen boosters, making them suitable for long-term use.

4. Pico Laser

Pico laser is one of the gold standard treatments for melasma in Malaysia. It works by breaking down pigment particles with ultra-short laser pulses while stimulating collagen renewal.

• • Minimal downtime

  • Safe for Asian skin

  • Effective for both superficial and deep pigmentation

5. Sylfirm X

Sylfirm X is a microneedling radiofrequency device that targets abnormal blood vessels and pigmentation simultaneously. Since vascular changes often contribute to melasma, Sylfirm X is highly effective when combined with Pico laser.

6. Meso Depigmentation Therapy (Dermal Sign E+)

Meso depigmentation involves microinjections of active brightening ingredients directly into the skin. Dermal Sign E+ is one of the latest protocols available in Malaysia, giving faster and longer-lasting results compared to creams alone.

Combination Therapy – Why It Works Best in Malaysia

For most Malaysians, a single treatment is not enough. At NextMed Clinic, doctors often combine:

• • Oral TXA + Nano MD / Oxithione

  • Topical depigmenting agents (Cyntra, Heliocare)

  • Energy-based devices (Pico Laser + Sylfirm X)

  • Meso depigmentation

This multimodal approach delivers better, longer-lasting results with reduced recurrence.

Choosing the Right Clinic for Melasma in Malaysia

When looking for the best melasma treatment in Malaysia, consider:

• • Experienced doctors in pigmentation management

  • Latest technology (Pico laser, Sylfirm X, mesotherapy)

  • Customized protocols instead of one-size-fits-all

  • Holistic care including sunscreen and maintenance programs

Conclusion – Clearer Skin is Possible

Melasma may be stubborn, but with the right guidance, Malaysians now have access to advanced and effective solutions. From oral supplements like Nano MD, to state-of-the-art devices like Pico laser and Sylfirm X, you no longer have to settle for temporary or unsafe results.

👉 Explore our full guide here: Best Melasma Treatment in Malaysia – Options That Work in 2025.