What is Melasma and Why is it Difficult to Treat?

Melasma appears as brown or grey-brown patches commonly on the cheeks, forehead, upper lip, and nose. It is triggered by:

• • Hormonal changes (e.g., pregnancy, contraceptive pills)

  • Sun exposure (UV radiation stimulates melanin production)

  • Genetics (family history plays a role)

  • Heat and inflammation (worsening pigmentation in hot climates like Malaysia)

The difficulty with melasma is that it affects both the epidermis (surface layer) and the dermis (deeper layer) of the skin. This makes it prone to recurrence, especially if treatments are not carefully chosen.

That’s why laser treatments such as Pico Laser and Sylfirm X are gaining popularity – they can target pigmentation more precisely while minimizing damage to surrounding skin.

Pico Laser for Melasma – Fast, Precise & Effective

How Pico Laser Works

The Pico Laser delivers ultra-short pulses of laser energy (picoseconds) to break down excess pigmentation into tiny fragments. These fragments are then naturally cleared away by the body’s immune system.

Unlike older lasers, Pico Laser works at a much faster speed and with less heat, making it safer for Asian skin types, which are prone to post-inflammatory hyperpigmentation (PIH).

Benefits of Pico Laser for Melasma

✅ Targets both epidermal and dermal pigmentation
✅ Minimal downtime (redness subsides in hours to a day)
✅ Safer for darker skin compared to traditional lasers
✅ Stimulates collagen production for smoother skin
✅ Effective for other pigmentations too (sunspots, freckles, acne scars)

Pico Laser Treatment Process in Malaysia

• • Each session takes around 15–20 minutes

  • Most patients need 4–6 sessions for optimal results

  • Sessions are spaced 3–4 weeks apart

Who is Suitable for Pico Laser?

• • Patients with stubborn pigmentation not responding to creams

  • Those who want a fast and low-downtime treatment

  • Individuals with Asian or darker skin tones who need a gentler approach

Sylfirm X for Melasma – The RF Microneedling Advantage

How Sylfirm X Works

Sylfirm X is the world’s first FDA-approved pulsed RF (radiofrequency) microneedling device that targets both pigmentation and vascular issues. Unlike Pico Laser, which mainly focuses on pigment fragmentation, Sylfirm X repairs abnormal blood vessels and strengthens the skin barrier, which are often underlying contributors to melasma.

It combines microneedling with radiofrequency energy to penetrate deep into the skin, stimulating collagen, improving skin tone, and reducing pigment production.

Benefits of Sylfirm X for Melasma

✅ Addresses vascular component of melasma, reducing recurrence
✅ Strengthens the skin barrier to prevent rebound pigmentation
✅ Improves overall skin quality, texture, and firmness
✅ Safe for all skin types, including sensitive skin
✅ Minimal downtime – redness and tiny dots fade within 1–3 days

Sylfirm X Treatment Process in Malaysia

• • Each session lasts around 30–40 minutes

  • Recommended course: 3–6 sessions depending on severity

  • Spaced 4–6 weeks apart

Who is Suitable for Sylfirm X?

• • Patients with vascular melasma (pigmentation worsened by blood vessels)

  • Those with sensitive skin who want minimal risk of rebound pigmentation

  • Individuals who want anti-aging benefits along with melasma control

Pico Laser vs Sylfirm X – Which is the Best for Melasma in Malaysia?

👉 In short:

• • If you want fast pigment clearance, Pico Laser is an excellent choice.

  • If you want long-term prevention and skin strengthening, Sylfirm X may be better.

In many cases, a combination of both treatments gives the best results, especially for patients with recurrent melasma.

Complementary Treatments for Melasma at NextMed Clinic

At NextMed Clinic Malaysia, we don’t rely on just one solution. Melasma treatment is often more effective when combined with:

• • Medical-grade skincare (Cyntra, Heliocare)

  • Oral supplements (Nano MD, Oxithion, oral tranexamic acid)

  • Meso depigmentation therapy (Dermal Sign E+)

  • Sun protection strategies

This holistic approach reduces the chances of rebound pigmentation and ensures more sustainable results.

Why Choose NextMed Clinic for Melasma Laser Treatment in Malaysia?

• • Latest technology – Pico Laser & Sylfirm X available

  • Personalized treatment plans based on your melasma type

  • Experienced aesthetic doctors who understand Asian skin

  • Comprehensive aftercare to maintain long-term results

Conclusion – Your Journey to Clearer, Brighter Skin

Melasma can be frustrating, but with the right treatment plan, it can be controlled effectively.

If you’re wondering whether Pico Laser or Sylfirm X is the right choice for your melasma, our doctors at NextMed Clinic Malaysia can assess your skin and recommend the best personalized treatment plan.

👉 Don’t let pigmentation hold you back – take the first step towards clearer skin today.

📍 Learn more here: Best Melasma Treatment in Malaysia – Options That Work in 2025