Melasma

Causes, Triggers & Advanced Skin Treatments in Nepal

Melasma is a common skin condition that causes brown or gray-brown patches, usually on the face—particularly the cheeks, forehead, upper lip, and nose. It’s more prevalent in women, especially those with medium to dark skin tones, and often linked to hormonal changes, sun exposure, and genetics.

In Nepal, melasma cases are increasingly common due to heightened sun exposure, harsh UV rays at higher altitudes, and limited access to preventive skin care. At Cutis Care, we provide advanced, medically supervised treatments to help you manage melasma effectively.

What Causes Melasma?

Melasma is caused by overproduction of melanin, the pigment that gives skin its color. Triggers include:

  • Hormonal fluctuations during pregnancy (chloasma), use of birth control pills, or hormone therapy
  • Excessive sun exposure, especially without sunscreen
  • Genetics or family history of pigmentation disorders
  • Certain medications or skincare products that irritate the skin
  • Heat and pollution—worsened by Nepal’s increasingly intense climate and urban conditions

Why Melasma is a Growing Concern in Nepal

The high UV index in cities like Kathmandu, Pokhara, and other areas of Nepal means more exposure to harmful sun rays year-round. In many parts of the country, people are unaware of the long-term damage caused by unprotected sun exposure, which is the number one external trigger for melasma. Combined with rising temperatures, humidity, and air pollution, melasma is becoming a significant dermatological concern among both women and men.

Melasma vs. Other Pigmentation Disorders

Unlike freckles or sun spots, melasma is deeper, often recurrent, and resistant to over-the-counter treatments. It requires a multi-layered approach that includes sun protection, pigment suppression, and skin renewal therapies.

Melasma Treatments at Cutis Care – Nepal’s Trusted Skin Clinic

We offer a range of evidence-based treatments tailored for your unique skin type and condition severity:

  • Sun Protection Protocols: Including prescription sunscreens suited for Nepal’s UV conditions
  • Topical depigmenting agents: Hydroquinone, Kojic acid, Azelaic acid, and Retinoids
  • Oral antioxidants and skin supplements: To reduce oxidative stress and melanin production
  • Chemical Peels: Gentle exfoliation with glycolic acid, lactic acid, or trichloroacetic acid to brighten skin
  • Laser Therapy: Safe and effective pigment-targeting technologies
  • Micro needling with PRP: Helps lighten pigmentation and rejuvenate skin
  • Hydrafacial/skin boosters: HydraFacial deeply cleanses and brightens the skin, while skin boosters hydrate and repair from within—together improving melasma by enhancing skin tone, texture, and resilience
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