Pigment and Melasma treatment in Karachi
Melasma, sun spots, post-acne marks and uneven tone, managed for brown skin with the MaQX Clear protocol, peels, Sylfirm X, laser toning and home care.
What is causing it?
- Hormones, sun, heat and inflammation drive pigment production in skin that makes melanin readily.
- Melasma also has a vascular component, which is why some treatments fail.
- Pigment is managed, with conservative tools, home care and sun protection, rather than blasted.
Understand the cause first.
Brown skin makes pigment readily, which is why melasma, sun spots, post-acne marks and uneven tone are the most common reasons patients visit the clinic. They are also the concerns most often made worse by aggressive treatment. Pigment is managed with the right tools at the right intensity and a routine that stops it coming back.
The Melasma and Pigment Clinic runs the MaQX Clear laser protocol, depigmentation peels, Sylfirm X for the vascular component, laser toning and prescription home care. Sun spots and lesions are cleared with the StarWalker Q-switched laser. Everything is chosen for brown skin.
The treatments that work for it.
Melasma and Pigment Clinic
The MaQX Clear four-step laser protocol and home care.
Melasma and Pigment Clinic → ToneAngel skin whitening
Laser toning for even brightness.
Angel skin whitening → VascularSylfirm X
Pulsed RF microneedling for the vascular part of melasma.
Sylfirm X → SurfaceChemical peels
Depigmentation and mandelic peels.
Chemical peels → SpotsPigmented lesions
Age spots and freckles cleared with the Q-switched laser.
Pigmented lesions → MarksAcne scar removal
Post-acne brown and red marks.
Acne scar removal →Good candidates
- Melasma on the cheeks, forehead or lip.
- Sun spots and freckles.
- Post-acne or post-injury marks.
- Uneven, dull tone.
Not suitable for
- Pregnancy for laser and some creams.
- A fresh tan.
- Recent isotretinoin for resurfacing.
- Expectations of a cure for melasma.
How the clinic approaches it.
Diagnosis
Wood's lamp and dermoscopy show depth and vascular component.
Conservative combination
Laser, peels and Sylfirm at the right intensity; home care from day one.
Prevention
Sun protection and maintenance keep it away.
From consultation to results.
Diagnosis and home care.
Four to eight.
Lighter, more even.
Seasonal sessions and daily SPF.
"Brown skin brightens beautifully when it is treated with respect. Aggression is what leaves it worse."
Consultant Dermatologist and Laser Specialist. Over 35 years of dermatology, trained in Zurich, practising in Clifton since 1999. Page medically reviewed September 2026.
Pigment and Melasma, answered.
Straight answers from the clinic. If your question is not here, ask on WhatsApp.
Ask on WhatsAppYes, with Nd:YAG wavelengths, low fluence and conservative settings.
It is controlled, not cured; maintenance and sun protection keep it away.
The Q-switched laser for discrete spots; toning and peels for diffuse pigment.
Two to three sessions for visible change; the full result over the course.
It depends on the combination. Ask on WhatsApp for current pricing.
Start with a consultation.
A twenty-minute consultation with Dr. Fehmida decides whether this is the right treatment for your face, or whether something gentler or stronger would serve you better. Message on WhatsApp or leave your number and the clinic calls you back.
D200, Block 5, Clifton, Karachi. Monday to Friday 9:00 to 5:00, Saturday 9:00 to 4:00.
Call or WhatsApp 0301 827 9630