Sita Clinic of Medicine · Ladlumgao, Pathumthani

Every day 08:00–19:30

Contact

082 474 2969

SITA
Medical Clinic · MELASMA & SKIN RECOVERY
Medical clinic

Everyday 08:00–19:30 · 082 474 2969

Consultation / Appointment
Appointment

Melasma · A guide to understanding and caring for melasma by a doctor

Melasma
Start with understanding.
Your wrinkles

Because pigmented spots that look similar may have different origins.

You don't need to know what type of freckle you have or how to care for it before coming to talk to us. This page summarizes what you need to know about freckles, from their appearance and associated factors to medical evaluation and long-term care.

Skin assessment appointment
Not sure yet? You can message LINE to tell us about your symptoms first.
Read more: What are freckles →

General content for understanding, not for diagnosis · Updated September 2016

02 — If you have ever cared for freckles before

If you arrive at this page
After trying many things,

You are not the only one; most of the clients who come to see us are. They have always been through something before. And it happens in one in five of these situations.

01
I have looked after many places before, but it still hasn't been as good as I hoped.

Past history is not something to be ashamed of. And it's not a new start from scratch. What you have used and how the skin has responded It is information that helps doctors avoid approaches that have not worked for you in the past.

02
The spots have faded and then come back again.

Recurrence is common in conditions that involve several factors. What needs to be reviewed are the factors that still exist. And the continuous care that can be truly provided in your life

03
The skin has been irritated by something that has been used or done before.

Skin that is thinner or more sensitive has limitations different from skin that is still strong. Care for melasma in this case usually begins cautiously. And sometimes you have to take care of the skin's condition first.

04
I'm not sure if the marks I see are freckles or another type of pigment problem.

Dark circles on the face can be caused by many reasons. And some people have more than one thing at the same time. Clarify the division before starting care It helps to avoid wasting time on approaches that don't address the problem.

05
I'm afraid I'll choose the wrong way to care for it again.

You don't have to choose how to take care of yourself. And you don't need to know what kind of freckle you have. That task begins with the doctor examining your skin first.

If it corresponds to any one of the situations. You can start by telling us about it first. No need to decide on the treatment today.

You can message LINE to tell us about your symptoms first. Or schedule a skin assessment →

Why the spots on each person's face are different
So it is not the same.

01
The time and context in which the spot began to appear

Dark spots that start after childbirth; dark spots that gradually become more pronounced with age. And the dark spots that appear after the skin has been irritated There are different contexts; even though the positions on the face are close to each other.

02
The skin condition that will support the care

Skin that is thinner and more prone to redness Or have ever used products that are not suitable for use There are limitations in care that differ from skin that is still strong. The same approach does not apply to everyone.

03
Past care history

What has been used, what has been done, and how has the skin responded? It is important information, not less important than the spots that are visible today.

03 — What is a cataract?

What is a cataract?

Melasma is a condition where the skin on the face produces more pigment than normal, resulting in dark patches that appear as dark spots. It usually appears on the bridge of the nose, the forehead, above the lips, and the bridge of the nose. It is generally present on both sides of the face, in a relatively symmetrical pattern, and has a less defined border than other types of dark spots caused by other factors.

Dark spots are not contagious and are not harmful to the body; rather, they are a condition that is associated with many factors working together and is prone to change with time, seasons, and daily skin care practices. Taking care of freckles is a matter of continuity, rather than a one-time treatment of the upper skin layer.

Common types of freckles

Position
Nose bridge, forehead, upper lip, and bridge of the nose
Edge characteristics
Not clear; gradually fades into the surrounding skin.
Symmetry
It is commonly found on both sides of the face.
Changes
It may become more intense during periods of intense sunlight or heat.

The above description is general information. Each person's skin may not exhibit all of these characteristics.

Illustrative images of pigmented spots on the cheekbones and under the eyes showing uneven pigmentation on the face to explain pigmented spots and the assessment before treating pigmented spots.
Illustrations to explain skin characteristics are not images of the treatment results.

What vision can tell us
And what cannot be said

Looking with the naked eye can tell you many things, but it doesn't tell you everything. And the part that can't be said It is often the part that has the most impact on care management.

Visible
The position of the dark spot
Size and scope
Overall intensity level
The symmetry of the two sides
Need an evaluation
At what level of the skin are the pigment spots located?
Is there any inflammation or redness present?
Is it all spots, or are there traces of other causes mixed in?
Current state of the skin's protective layer
04 — Factors related to the formation of freckles

Ceilings do not usually result from
One factor

But it is caused by many factors working together over a period of time. Understanding these factors makes care more comprehensive. Managing only visible marks

01

Sunlight and visible light

UV rays are the most common factor associated with freckles, and visible light is also involved. Therefore, protection from sunlight is fundamental to caring for freckles in all ways; it is not an additional step.

02

Heat accumulation

Heat from the sun, cooking Or being in a hot place for a long time Related to pigment-stimulating effects Even when you are not in direct sunlight

03

The context of hormones

Pregnancy, birth control pills Or changes in hormones during certain stages of life It is a context that is commonly found with freckles. But that doesn't mean that everyone with freckles has a hormone problem.

04

Irritation and inappropriate products

Excessive product use, too frequent skin exfoliation Or products that do not know the ingredients It may cause skin inflammation. And makes the dark marks even darker than before.

05

Genetics and individual skin characteristics

The pigmentation formation tendency of each person is not the same. It is one reason for the same care. The results are not the same for everyone.

These factors often interact in a cyclical manner. For example, an already irritated skin may become more sensitive to light. Identifying which factors are most important for your skin is part of the evaluation by a doctor.

05 — Evaluation before developing a care plan

Caring for freckles at Sitta
Start with evaluation
By a doctor

It does not start with choosing a method; the doctor will review your concerns, the associated history, the products and treatments you have used, your current skin condition and skin barrier protection. Including factors that may trigger the formation of freckles Before setting up the care plan

The guidelines set out are not fixed forever. However, it may be revised and adjusted based on the skin's response. And according to what was found in the follow-up study

What the doctor reviewed during the evaluation
01 Skin problems you are concerned about and what you expect from the care
02 History related to the occurrence of freckles and the duration of time they have been present
03 Products and treatments received, including past responses
04 Current skin condition and skin barrier
05 Factors in daily life that may be related to or trigger the formation of freckles

The content on this page provides general information for understanding. It is not a diagnosis or a personalized treatment recommendation.

06 — SITA’s Anti-Aging System

The care system for freckles
Of Sittha

These five steps are the decision-making sequence that applies to every case. It is not a program that stipulates that everyone will receive the same level of care.

01

Listen

Listen to what you are worried about, what you have already tried. And what worries me is what will happen Before starting to discuss any approach

02

Evaluate

The doctor assesses the skin condition and history. And the related factors combined together. Do not separate the marks that are visible.

03

Set the direction

Develop personalized care plans According to the actual skin condition and existing limitations Including what is actually possible in everyday life

04

Follow

Observe the skin's response at the appropriate time intervals. And record systematic changes

05

Review

Review and adjust the approach when the skin condition changes Or when the response is different from what was expected.

The care for freckles at Sita is case-by-case. It's not the only formula that works for everyone. Two people who came in with similar freckle characteristics You may receive different directions. Because skin conditions, histories, and environmental factors are different.

What happened before
The way we choose to care for it

These four points are not a comparison with others. But it is something that actually happens in our workflow. And that is why evaluation is always done before choosing a method.

01
The doctor assesses first, then sets a course of action.

It doesn't start with choosing a program or package. Then find out which program suits your skin.

02
It does not use the same approach for everyone.

The treatment is based on the skin condition and history. And the real limitations that each person has.

03
History of what has been used and treated before It affects the way we approach things.

What you have experienced is not ignored. Because it is information that tells you what your skin is reacting to.

04
Guidelines can be revised and adjusted based on the skin's response.

The map that is laid out is not something that remains constant. If the skin reacts differently than expected The guidelines will be reviewed.

07 — Care guidelines that may be included in the plan

Care guidelines
Which may be in the plan

Below is an overview of what might be included in the ceiling maintenance plan. It's not an item that everyone will receive. And it's not the order in which they have to be done.

01
Light protection and skin armor care

The foundation that underlies every care plan Because other methods are difficult to achieve the desired result. If the skin is still being stimulated every day

02
In-person care

Products or drugs used directly on the skin The doctor chooses the type and concentration. And the frequency is adjusted to the skin condition. And the sensitivity of each person's skin

03
Oral medication as determined by the doctor

Used only in certain cases. Depending on the evaluation results and medical history It's not something that's included in every care plan.

04
Procedure and drug delivery in clinics

Do it in a clinic under the supervision of a doctor. By considering the suitability to the skin condition Skin sensitivity and past reactions

These approaches are often used in combination rather than one being used alone. The proportions and order depend on the evaluation results. Results and duration vary from person to person, and there is no guaranteed way to prevent the appearance of new spots.

This page does not list prices or program listings. The decision regarding the treatment plan is made solely based on the evaluation by a physician.

08 — Before making a decision

What is often asked
Before coming to consult

These 6 questions are the most frequently asked before an appointment. And most of them are not questions about freckles. But the question is what will happen if they come to consult?

Illustrations of consultation and assessment of pigmented spot problems before developing a skin care plan by a doctor

Do you need to know first which type of freckle you have?

It is not necessary to specify the type of the stain; this is the responsibility of the assessment. It's not something you have to answer to first. You have told me everything you know and everything you are worried about.

I have already been treated elsewhere. Can you still assess me?

Yes, and past experience is useful in guiding the way. Products or treatments that you have received And the skin's response at that time This is information that the doctor reviews in conjunction with the current skin condition.

If your skin is thin or easily irritated, how should you start?

Current skin condition and skin barrier It is one of the things that the doctor assesses. In some cases, care of the scars may have to be started cautiously. Or take care of your skin to be ready before

Do everyone have to undergo the same procedure?

No, the care method is case-by-case. The procedure is only one of the components that may be included in the plan. And the doctor considers the suitability of each person's skin condition.

Does coming for consultation mean that treatment must begin immediately?

No, you can come and consult and get an assessment first. There is no need to start treatment on that day. And you can go back and make a decision beforehand.

Should I rest my face or stay out of the sun?

No need to rest the face And it is not necessary to avoid the sun to live a normal life; however, you should avoid direct sunlight or excessive exposure to the sun and maintain regular sun protection measures.

If you have any other questions, feel free to ask them first. Contacting us does not mean that treatment must begin.

Skin assessment appointment Not sure yet? You can message LINE first.
09 — Care Pathway: From consultation to follow-up

What you will find
From the very beginning

The duration of each period varies for each individual. And it can be adjusted according to the skin's response.

The first time
Consult and evaluate

Tell us about your concerns and past history. The doctor assessed the skin and explained what he found. And discuss the appropriate course of action.

During the initial care period
Starting to follow the plan we have laid out.

Start caring according to the plan, with instructions for skin care at home. Which is the part that affects the change. No less than what is done in the clinic

During the follow-up period
Watch the response and adjust the plan

Visit the doctor at the scheduled time to check the skin's response. If the results do not turn out as expected Or the skin has changed. The guidelines will be reviewed and adjusted.

During the follow-up care period
Maintain skin condition in the long term

When the skin condition stabilizes Care will focus on preventing the triggering factors. And monitoring as appropriate To reduce the chance that the freckles will darken again

The above sequence is a general overview. Number of times and distance of tracking It depends on the evaluation of the doctor in each case.

11 — Feedback from the service recipient

Voice from the service recipient

The views shared by service recipients publicly on Google Maps are selected from different situations. To help you find stories that are close to your own, everyone's experiences and outcomes are different.

Comment #01
I've looked after many places before.
“Before this, I kept trying to do things and they never worked out.” In the end, I found Sitta and wasn’t disappointed at all.”
Pimpabhorn U. I've tried a lot of different things to take care of it before. Google Review
Comment #02
Sensitive skin or history of irritation
“I’ve tried many methods, both laser and injections… And it makes the summer face dry, with more wrinkles than before.”
Pratip P. There have been skin problems after previous treatments. Google Review
Comment #03
The spots used to be faint and then came back again.
“I’ve had a spot for many years; I had a facial laser treatment… At first, it was fine when I was doing it, but after a while it got darker and I got really stressed.”
Malie District. The dark spots have become clearer after having previously taken care of them. Google Review

The above text is an excerpt from comments published in public. And it is a personal experience; it is not a guarantee of results.

See the comments on Google →
12 — Knowledge repository on ceiling

Knowledge repository on white spots

01 What causes a cataract? Related factors and why they are often not the sole reason 02 What are the differences between superficial and deep wrinkles, and mixed wrinkles? How does the depth of the pigment affect the treatment method and duration? 03 What is the difference between a blemish and a dark spot? Dark circles on the face that are often mistaken for each other 04 Hormones and freckles The context of hormones in each life stage and what should be understood 05 Sunlight, heat, and protection The basics that have the most impact on acne in everyday life 06 Long-term care of wounds What to do next after your skin starts to improve
A repository of all knowledge about white spots
13 — Frequently asked questions about freckles

Frequently asked questions about freckles

What should be considered is whether there is an evaluation by a physician before a course of action is determined, and whether there is continuous follow-up. And is the limitation explained clearly? Clinics that provide the same guidance to everyone without any assessment beforehand often do not meet the needs in the long run.

Cloudiness is related to many factors together, including sunlight and visible light, accumulated heat, and the context of hormones. Irritation from inappropriate products and the tendency to develop individual pigmentation. Determining which factors are most important for you requires evaluation.

Acne is a condition that is related to many factors and is prone to return when the triggering factors are still present. Treatment therefore aims to improve and control the skin condition in the long term, rather than guaranteeing that it will disappear completely. Results vary from person to person.

The most common reason is that the trigger factor is still present in daily life. For example, light and heat Or the care is discontinued when the skin starts to improve. Care that focuses only on the visible marks Without addressing the common factors There is a greater chance of returning.

These terms are used to describe the difference in the depth of the pigment layer, which affects both the approach and the duration of the treatment. Visual observation or examination of photographs provides limited information; therefore, the diagnosis is assessed by the physician in conjunction with the patient's history and overall skin condition.

All three are dark spots caused by pigment. But the distribution pattern, the scope And the related factors are different. And some people have more than one thing at the same time. It is important to clearly distinguish between the two before starting care. Because the approaches are different.

Pregnancy, birth control pills And changes in hormones during certain life stages are a common context with melasma. But that doesn't mean that everyone with freckles has a hormonal origin; and having a hormonal context doesn't make care impossible.

Different individuals have different timeframes. Depending on the skin condition, factors that still exist And the continuity of care Treating freckles is a long-term process by nature. The doctor will explain what to expect in the early stages. Be aware from the very beginning of the evaluation process.

Generally, it is not necessary to rest the face. It is not necessary to avoid the sun completely so that you cannot lead a normal life. However, sun protection is also an important part of caring for freckles. You should avoid direct sunlight or excessive exposure to sunlight, and follow your doctor's instructions. Following a method suitable for each individual's skin type

Prepare product information and any previous treatment methods. If you have photos of your skin before, that would be helpful. And if you are comfortable doing so. Coming without makeup helps to assess the skin condition more clearly.

The above answers are general information for a basic understanding. It is not a diagnosis or a personalized treatment recommendation. It is recommended to consult a doctor to assess your skin condition.

14 — Starting with an assessment

Start by asking first.
Okay then.

You don't need to know what your own freckles look like. No need to prepare a complete list of questions. And calling to talk to us doesn't mean that You must start the care today. First, tell us what you are worried about. Then start the evaluation together.

Skin assessment appointment Not sure yet? You can message LINE to tell us about your symptoms first.