MEDICAL SKIN CARE · PIGMENTATION

Pigmentation & Melasma Treatment: Sun Spots, Dark Marks and Realistic Results — Istanbul

Dark spots and uneven tone are a common concern, and an often misunderstood one. Pigmentation is not a single condition: sun spots, post-inflammatory marks and melasma have different causes and respond to different treatments. What they share is one rule: sun protection comes first. This guide explains the types, the pigmentation and melasma treatment options our physicians use in Nişantaşı, and what results are realistic, especially for melasma, which needs long-term care.

Last updated: October 2026

At a Glance

Step one

Daily SPF 50 sun protection

Main types

Sun spots · dark marks · melasma

Peel series

3–6 sessions, 2–4 weeks apart

Melasma

Chronic — needs maintenance

Consultation

Free, with a written plan

Three Types of Pigmentation

Identifying the type comes first, because a treatment that clears one kind of pigmentation can darken another.

Why Sun Protection Is Step One

Ultraviolet light stimulates the skin's pigment cells. Without daily protection, pigment returns and treatment results fade, so every option on this page depends on it.

Use a broad-spectrum SPF 50 every morning, all year, and reapply when you are outdoors; add a hat and shade in strong sun. Because heat can worsen melasma, it is also worth limiting saunas and steam rooms.

Pigmentation Treatment Options

Medical creams

Prescribed depigmenting creams are the foundation of medical skin care at home, used between sessions.

Chemical peels

Superficial peels such as glycolic, mandelic or lactic acid, as a series of 3–6, 2–4 weeks apart; light flaking for 2–5 days.

Cosmelan / Dermamelan

Depigmentation peels for stubborn pigmentation and melasma, combining an in-clinic treatment with a home-care phase.

Skin boosters

Skin boosters or mesotherapy (e.g. NCTF 135HA, Jalupro) for hydration and glow; usually 3 sessions, 2–4 weeks apart.

Laser or IPL

Carefully chosen laser or IPL can lighten sun spots; in melasma it is used selectively, if at all.

HydraFacial with booster

A HydraFacial with a brightening booster supports mild pigmentation and glow, with no downtime.

Which Treatment for Which Type?

TypeUsual optionsBe careful with
Sun spotsLaser or IPL, peels, medical creamsNew spots if SPF is skipped
Post-inflammatory marksTreating the cause, medical creams, superficial peelsIrritation and squeezing spots
MelasmaSPF, medical creams, Cosmelan/Dermamelan, superficial peelsHeat-based treatments, sun and heat

Many people have more than one type; your plan is set after examining your skin.

Laser, IPL and Melasma: Why We Are Careful

Laser and IPL work with heat. On a sun spot, the light targets the pigment; in melasma, the heat can stimulate more pigment. So for melasma our physicians start with sun protection, creams and peels, and consider laser or IPL only selectively. Darker skin tones also need careful settings, as temporary pigment changes are a known risk.

Realistic Expectations

Pigmentation improves gradually, over a series of treatments rather than one session. Sun spots tend to respond more predictably; post-inflammatory marks fade as the skin calms.

Melasma is chronic. Treatment can lighten and control it, but it can return with sun, heat or hormonal changes, so maintenance is part of every plan: daily SPF, home care and occasional in-clinic sessions. We do not promise complete clearance.

A Typical Treatment Timeline

Timing and Treatment for Visitors

A peel series is easier in the cooler months, when sun exposure is lower; avoid starting just before a beach holiday. If you live abroad, you can begin with a first consultation, an in-clinic treatment and a home-care plan, with follow-up questions by WhatsApp or video call.

Related treatments

Frequently Asked Questions

What is the difference between melasma and sun spots?
Sun spots are well-defined brown spots caused by years of sun exposure, often on the face, hands and chest. Melasma forms larger, symmetrical patches, usually on the cheeks, forehead and upper lip, and is influenced by hormones, sun and heat. The difference matters: laser or IPL can clear sun spots but may worsen melasma.
Can melasma be cured?
Melasma is a chronic condition: it can be lightened and kept under control, but it tends to return with sun, heat or hormonal changes. Good results depend on daily SPF, medical creams and in-clinic treatments such as peels, followed by maintenance. Our physicians explain this honestly, so your expectations match what treatment can do.
Does laser or IPL make melasma worse?
It can. Laser and IPL work with heat, and heat can worsen melasma. That is why they are not the first step for melasma and are used only selectively, if at all, with careful settings. For well-defined sun spots, carefully chosen laser or IPL is a useful option. Your physician decides after examining your skin.
What is a Cosmelan or Dermamelan peel?
Cosmelan and Dermamelan are depigmentation peels designed for stubborn pigmentation, including melasma. They combine an in-clinic treatment with a home-care phase using medical creams. As with other peels, redness and peeling can follow, and strict sun protection is essential. Your physician explains whether it suits your skin and pigmentation type.
How many sessions does pigmentation treatment take?
It depends on the type and the treatment. Chemical peels are usually a series of 3–6, 2–4 weeks apart; skin boosters usually 3 sessions, 2–4 weeks apart; a HydraFacial can be repeated every 4 weeks. Melasma also needs ongoing maintenance. Your written plan lists the sessions and the spacing between them.
Which sunscreen should I use for pigmentation?
Use a broad-spectrum SPF 50 every morning, all year round, including on cloudy days, and reapply when you are outdoors. A hat and shade help in strong sun. Sun protection is not optional with pigmentation: without it, dark spots return and the results of any treatment fade.
Can I start pigmentation treatment in summer?
You can, but it is harder. Peels and laser need strict sun protection, and summer heat can worsen melasma. Many plans therefore start in the cooler months and use summer for gentle maintenance: daily SPF, medical creams and treatments without downtime, such as a HydraFacial with a brightening booster.
Will dark marks after acne fade?
Post-inflammatory marks often fade gradually once the acne is under control. The first step is treating active acne, which needs medical assessment. Medical creams, superficial peels and strict sun protection then help the marks fade. Avoid squeezing spots, which can leave new marks. See acne treatment.
Is HydraFacial good for pigmentation?
A HydraFacial with a brightening booster can help mild pigmentation and dullness, with no downtime, and fits well between other treatments. It is a supportive treatment, not a stand-alone solution for melasma or deeper pigmentation, so it is usually combined with SPF, medical creams and, where suitable, a peel series.
Can I treat melasma during pregnancy or breastfeeding?
Melasma often appears or darkens during pregnancy. In this period, sun protection is the main step, and active treatments are discussed individually; many are postponed until after pregnancy and breastfeeding. A HydraFacial can be adapted, as its peel step is adjusted in pregnancy. Your physician advises what is suitable for you.

This page is general information and does not replace a medical consultation. The type of pigmentation and the right treatment are determined by our physicians after examining your skin.

Free Consultation — Pigmentation Treatment in Istanbul

Send us a WhatsApp message or book a video call with clear, make-up-free photos; the consultation is free. You receive a written plan before any treatment.

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