Melasma treatment is one of the top aesthetic needs when pigmentation is increasingly complex and difficult to control. At Dr. Thi Ra , the Melasma Clear Therapy treatment program uses PicoSure Laser technology to provide a medical-standard melasma treatment solution that is safe and highly effective for each level of melasma.
With in-depth knowledge of dermatology and experience in treating pigmentation types such as melasma, deep melasma or mixed melasma, Dr. Thi Ra helps clients regain bright, smooth, even-toned skin without affecting the skin structure.
Overview of the medical standard Laser Melasma Clear Therapy treatment method at Dr. Thi Ra
Melasma — especially Melasma — is a common skin pigmentation problem that is prone to recurrence and is difficult to treat with conventional topical creams. Therefore, modern laser methods are becoming the preferred choice when wanting to achieve clear, fast and sustainable results.
At Dr. Thi Ra, we apply Melasma Clear Therapy with picosecond laser technology (PicoSure / PicoSure-Pro) — a medical-grade solution, with a personalized treatment process according to the condition of melasma, pigmentation depth, and skin sensitivity. As a result, customers can be assured of safety, high efficiency, and shorter treatment time compared to many traditional methods.
- According to a controlled study applying picosecond laser to 10 people with melasma: after 9 treatments/week, up to 90% of participants rated their melasma as “at least somewhat better”, and 80% were recognized by dermatologists as having a significant improvement compared to the skin that was not treated with laser.
- Quality of life scores (according to the MELASQoL scale) recorded an average increase of 5.7 points after the course of treatment — reflecting improvement in pigmentation while enhancing confidence and quality of life for the treated person.
- A recent meta-analysis of six randomized clinical trials (RCTs) showed that picosecond lasers (with wavelengths of 1064, 755, 595, 532 nm) were able to significantly reduce the melasma pigmentation index (MASI/mMASI) — meaning fading, reducing the area and intensity of melasma.
- In a cohort analysis, the 1064 nm picosecond laser specifically showed significant melasma reduction and few side effects — suitable for a wide range of skin types, including darker skin.

Causes of melasma
Melasma is a complex pigmentation disorder that causes melanin to proliferate abnormally and accumulate unevenly on the skin’s surface. Although there are many effective methods for treating melasma today, including Melasma Clear Therapy Laser , dermatologists have not yet identified a single cause of this condition. Instead, melasma often appears when pigment cells (melanocytes) are overactive due to the influence of many factors inside and outside the body.
Certain groups of people are at higher risk of melasma, especially women aged 25–45, due to hormonal fluctuations. Factors that trigger or worsen melasma include:
- Hormonal changes : Fluctuations in estrogen and progesterone levels in pregnant women, women taking birth control pills or hormone replacement therapy can stimulate excessive melanin production, leading to melasma.
- Pregnancy : The second and third trimesters are the most common time for melasma to appear, due to dramatic changes in hormones and the body.
- Prolonged sun exposure : UV rays stimulate melanocytes to increase pigment production, making melasma easier to form and become darker. With a tropical climate like Vietnam, frequent sun exposure increases the rate of melasma.
- Genetic factors and skin type : People with dark skin (Fitzpatrick types III–V) often have more active melanocytes, so the possibility of melasma is higher.
- Medications and cosmetics : Certain photosensitizing medications or cosmetics that cause mild, prolonged irritation can disrupt melanin production.

Due to multifactorial and difficult-to-control causes, melasma is likely to recur if not treated properly. Therefore, standard medical solutions such as Laser Melasma Clear Therapy are highly appreciated by doctors for their ability to directly impact the pigment, helping to improve melasma more effectively than conventional methods.
Note: Content is for reference only and is not a substitute for professional medical advice.
How to recognize and detect melasma early
Melasma is a phenomenon of increased melanin pigmentation on the skin surface, often manifested as brown or gray spots, darker than the natural skin color. Early detection of melasma will help the melasma treatment process become more effective, especially when applying modern methods such as Melasma Clear Therapy Laser Melasma Treatment according to medical standards.
Some typical signs of melasma include:
- Brown or gray spots appear on the skin, clearly distinguishable from the natural skin tone.
- The cheeks are usually evenly affected, but melasma can also appear on the forehead, upper lip, chin, or around the nose.
- Sun-sensitive areas of skin such as the cheeks and forehead are often more likely to show melasma.
- The level of melasma increases with frequent exposure to sunlight, because UV rays stimulate melanocytes to work more strongly, causing melanin pigment to accumulate on the skin surface.
- The color and size of dark spots change over time, especially with hormonal changes, stress, or environmental factors.
Correctly identifying these signs not only helps you choose the right time for treatment but also increases the effectiveness of the Laser Melasma Clear Therapy procedure at Dr. Thi Ra, ensuring even, healthy skin and reducing the risk of melasma recurrence.

Can melasma be effectively treated and prevented?
The answer is yes, but the effectiveness of melasma treatment depends on the cause of melasma, the level of melanin pigment accumulation and the individual’s constitution. In some cases, melasma may fade after giving birth, stopping birth control pills or balancing hormones. However, to achieve clear and sustainable results, combining modern treatment methods is necessary.
Commonly applied solutions include:
- Melasma Treatment with Laser Melasma Clear Therapy: PicoSure laser technology directly affects the melanin pigments, breaking down melanin without damaging the skin structure.
- Biological peeling: helps remove the layer of pigmented keratinocytes, brightens the skin and increases the effectiveness of laser treatments.
- Nutrient iontophoresis and HA injection: helps enhance skin recovery, provides moisture and nourishes the skin after melasma treatment.
- Special creams or ointments: help reduce pigmentation, lighten dark spots, increase effectiveness and maintain treatment results.
However, melasma can recur if the skin is not protected from the effects of sunlight, polluted environment or hormonal changes. Therefore, after treatment, careful skin protection with broad-spectrum sunscreen (SPF ≥ 30), limiting direct exposure to sunlight, and regular check-ups with Dr. Thi Ra will help maintain long-term effectiveness and prevent melasma from returning.
Current methods of treating melasma
Choosing the right melasma treatment method plays a decisive role in the effectiveness of treatment and the ability to maintain even skin tone. Currently, dermatologists divide the methods into internal melasma treatment and melasma treatment at home or in the clinic with the support of modern technology, helping to reduce melanin pigmentation, fade brown spots, and improve overall skin health.
How to treat melasma from the inside
Treatment of melasma does not only rely on external influences but also requires care from within. Some supportive measures include:
- Hormone balance : For women who are pregnant, taking birth control pills or experiencing hormonal changes, hormone stabilization helps reduce the risk of melasma appearing or recurring.
- Nutritional supplements : Vitamin C, vitamin E, zinc and antioxidants help reduce melanin production, enhancing the skin’s ability to protect against sun damage.
- Drink enough water and maintain a healthy lifestyle : Get enough sleep, avoid stress and exercise to help balance the body, thereby supporting the skin pigmentation recovery process.
Treat melasma at home with specialized cosmetics
Home skin care products play a supporting role in maintaining results after intensive treatment:
- Pigmentation reducing cream/serum : Contains ingredients such as kojic acid, niacinamide, arbutin to help inhibit melanogenesis, fade dark spots.
- Mild peel at home : Using AHA/BHA helps remove pigmented keratinocytes, increases nutrient absorption and enhances the effectiveness of other treatments.
- Protect your skin from UV rays : Broad spectrum sunscreen (SPF ≥ 30) is an important step to prevent melasma from returning.

However, home remedies are often only effective for mild melasma or to help maintain it , and are difficult to treat deep or long-term melasma.
Treating melasma with Laser Melasma Clear Therapy – The optimal trend today
Currently, melasma treatment with Laser Melasma Clear Therapy is considered by dermatologists to be the optimal solution thanks to its ability to directly impact melanin pigment without damaging the skin’s epidermis. Highlights of this method include:
- Modern PicoSure technology : Extremely fast laser pulses break down melanin, helping to effectively fade melasma patches, deep melasma, and mixed melasma.
- Safe and Medical Standard : Treatment is personalized based on skin type, melasma level and skin condition, minimizing the risk of side effects.
- Fast and lasting results : Customers can see improvement after just a few sessions, combined with proper skin care to help maintain long-lasting, even-toned skin.
- Supports skin recovery and regeneration : Laser Melasma Clear Therapy not only removes pigmentation but also stimulates collagen production, making skin smoother and healthier.
Thanks to these advantages, melasma treatment with Laser Melasma Clear Therapy at Dr. Thi Ra is currently the top choice of many customers who want a medical-standard, effective and safe melasma treatment solution.
Melasma Clear Therapy Laser Treatment Process at Dr. Thi Ra
At Dr. Thi Ra, the Laser Melasma Clear Therapy treatment is designed according to medical standards, combining modern technology and comprehensive skin care therapy, to achieve optimal results in fading melanin pigment, improving skin texture and preventing melasma from recurring. The treatment process includes the following basic steps:
- Step 1: In-depth skin examination and assessment: The dermatologist determines the type of melasma (patchy melasma, deep melasma, mixed melasma), the level of pigmentation, and accompanying skin conditions (telangiectasia, aging, etc.) to develop a personalized treatment plan.
- Step 2: Laser Melasma Clear Therapy: Using PicoSure technology with extremely fast laser pulses that directly impact melanin, breaking down pigment without damaging the epidermis. Laser simultaneously stimulates collagen and elastin, helping the skin to be firm, elastic and rejuvenated.
- Step 3: Apply melanin-inhibiting products: Special creams or serums containing anti-melanogenesis ingredients help prevent melanin from forming again and optimize the effectiveness of the laser.
- Step 4: Nutrients to restore and increase skin resistance: Nutrients rich in vitamins, peptides and antioxidants help regenerate the skin’s protective barrier, increasing its ability to resist environmental impacts and sunlight.
- Step 5: Support treatment of accompanying problems: If the skin has dilated capillaries or signs of aging, the doctor will combine additional care therapies to ensure healthy and even-toned skin after treatment.

With this scientific process, treating melasma with Laser Melasma Clear Therapy at Dr. Thi Ra not only effectively fades melasma but also improves overall skin health, reduces the risk of melasma recurrence and brings sustainable results.
Melasma Treatment with High-Tech Melasma Clear Therapy Laser – Safe at Dr. Thi Ra
Melasma treatment at Dr. Thi Ra applies the high-tech Laser Melasma Clear Therapy method, bringing outstanding results in treating melasma patches, deep melasma and mixed melasma. This is a standard medical solution, combining deep dermatological expertise with modern technology, helping to improve melanin pigmentation, while regenerating and enhancing skin health.
Outstanding advantages of the method:
- Absolutely safe for all skin types : PicoSure Laser directly affects melanin without damaging the epidermis, reducing the risk of inflammation or post-inflammatory hyperpigmentation (PIH).
- Fast and lasting results : Customers can see noticeable improvements after a few sessions, combined with proper skin care to help maintain long-lasting, even-toned skin.
- Stimulates collagen and elastin regeneration : Laser not only fades dark spots but also helps skin become firmer, more elastic, smoother, and at the same time enhances the skin’s natural resistance.
- Personalized treatment : Each client is assessed in detail by a dermatologist for the type of melasma, the level of pigmentation and the skin condition to design the optimal treatment, ensuring effectiveness and safety.
- Support treatment of accompanying problems : If the skin has dilated capillaries, redness or signs of aging, the doctor will combine additional therapies for comprehensive care.

Thanks to these advantages, treating melasma with Laser Melasma Clear Therapy at Dr. Thi Ra is not only an effective treatment for melasma but also helps the skin to be healthy, even-toned and minimizes the risk of melasma recurrence.
Note on skin care after treating melasma with Laser Melasma Clear Therapy to prevent recurrence
To achieve optimal results and prevent melasma from recurring, skin care after melasma treatment with Laser Melasma Clear Therapy at Dr. Thi Ra is extremely important. After the laser affects the melanin pigment, the skin needs time to recover and be carefully protected to maintain long-term results.
Important care steps and notes:
- Protect your skin from direct sunlight: Use a broad-spectrum sunscreen (SPF ≥ 30) every day, even on cloudy days or when indoors near a window. Wear protective clothing, a wide-brimmed hat, and limit going outside between 10am–4pm to reduce UV exposure.
- Moisturize and restore the skin barrier: Apply products containing peptides, ceramides, and hyaluronic acid to regenerate and strengthen the skin barrier. Helps reduce dryness, flaking, and increase resistance to agents that cause melasma.

- Limit mechanical and strong chemical impact: Avoid strong rubbing, over-exfoliation or using products containing high concentrations of acids for at least 1–2 weeks after laser. Help the skin recover and prevent irritation, redness, and reduce the risk of post-inflammatory hyperpigmentation (PIH).
- Use melanin-reducing products as directed by your doctor: Melanogenesis-inhibiting creams or serums help maintain the long-term effectiveness of Laser Melasma Clear Therapy . Avoid changing products or using treatments of unknown origin, as this can easily cause melasma to recur.
- Regular check-ups: Visit after 2-4 weeks of treatment or according to the doctor’s recommended schedule to monitor results and adjust the treatment if necessary. Helps control melanin and reduce the risk of melasma returning.
Properly following post-treatment skin care instructions not only helps maintain even skin tone but also improves overall skin health, increasing the skin’s ability to resist future melasma-causing factors.
Melasma is a complex pigmentation problem, easily recurring and affecting the aesthetics and confidence of many people, especially women. Choosing the right Melasma Treatment method, combining modern technology and proper skin care, plays a decisive role in achieving long-term effectiveness.
Treating Melasma with Laser Melasma Clear Therapy at Dr. Thi Ra provides a comprehensive solution: directly affecting melanin pigment, breaking down melasma patches, deep melasma and mixed melasma, while stimulating collagen, regenerating and increasing skin resistance. This is a standard medical method, safe and personalized for each skin condition, helping to minimize the risk of melasma recurrence.
With the combination of modern laser technology, medical-standard skin care and in-depth guidance from dermatologists, the Melasma Clear Therapy Laser Treatment at Dr. Thi Ra not only helps you fade melasma but also improves the overall health of your skin, giving you bright, even-toned, smooth and healthy skin for a long time.

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