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.
- Sun spots (solar lentigines): well-defined brown spots on the face, hands and chest, caused by years of sun exposure.
- Post-inflammatory hyperpigmentation: dark marks left after acne, irritation or injury. They often fade gradually once the cause is controlled; darker skin tones are more prone to them.
- Melasma: symmetrical brown or grey-brown patches, usually on the cheeks, forehead and upper lip, influenced by sun, heat and hormones, for example pregnancy or the contraceptive pill.
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?
| Type | Usual options | Be careful with |
|---|---|---|
| Sun spots | Laser or IPL, peels, medical creams | New spots if SPF is skipped |
| Post-inflammatory marks | Treating the cause, medical creams, superficial peels | Irritation and squeezing spots |
| Melasma | SPF, medical creams, Cosmelan/Dermamelan, superficial peels | Heat-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
- ConsultationSkin assessment, medical and hormonal history, medicines and sun habits; photos only with your consent; a written plan.
- From day oneDaily SPF 50 and medical creams as prescribed.
- Every 2–4 weeksIn-clinic sessions, for example a series of 3–6 peels or 3 skin-booster sessions.
- After the seriesReview and photo comparison; the plan is adjusted to how your skin responds.
- Long termMaintenance: daily SPF, home care and occasional sessions, especially for melasma.
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?
Can melasma be cured?
Does laser or IPL make melasma worse?
What is a Cosmelan or Dermamelan peel?
How many sessions does pigmentation treatment take?
Which sunscreen should I use for pigmentation?
Can I start pigmentation treatment in summer?
Will dark marks after acne fade?
Is HydraFacial good for pigmentation?
Can I treat melasma during pregnancy or breastfeeding?
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.
Book a Consultation Contact via WhatsApp