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In Spain, melasma treatment typically combines sun protection and, if necessary, depigmenting agents or procedures prescribed by a dermatologist. Melasma is an acquired hyperpigmentation that appears mainly on the face and is aggravated by sun exposure.
In public or private clinics, diagnosis is usually clinical and the plan is tailored to how deep the pigmentation is, your skin type, and triggers. Pregnancy, contraceptives, and some hormonal changes are linked to flare ups, as summarized by the AEDV.
What options are included in melasma treatment?
A common approach to treating melasma includes sunscreens and topical depigmenting agents, and in selected cases, chemical peels or laser therapy may be added. Some reviews also describe the use of tranexamic acid under medical supervision, with variable results depending on the case.
These are common options that a dermatologist can assess based on your skin and medical history. There are at-home treatments using depigmenting creams and, when necessary, in-office procedures. The goal is usually to lighten and stabilize the skin, rather than promising complete removal.
| Option | What can it contribute? |
|---|---|
| Sun protection | Base and maintenance |
| Topical depigmenting agents | They clarify gradually |
| Chemical peel | Improvement in consultation |
| Laser or light | Selected cases |
| Tranexamic acid | In some cases |
How long does it take for melasma treatment to show results?
Melasma treatment typically takes weeks or months to show visible lightening, and the process is often not linear. Many people notice improvement, only to have the area darken again if it is re-exposed to the sun or if hormonal factors changeโa phenomenon repeatedly described in dermatological sources.
How to reduce melasma relapses
To reduce melasma relapses, the most consistent piece is usually daily, sustained sun protection, together with reviewing possible triggers with a specialist. If topical medicines such as tretinoin are used, follow up helps adjust the plan if the skin does not tolerate it well.
This text is for informational purposes only and does not replace professional advice. To choose the most appropriate treatment and learn about precautions, review the official information for each product and follow the instructions of your doctor or pharmacist.





