Pigmentation Treatment in Singapore

Large, symmetrical brown or grey-brown patches appearing on the cheeks, forehead, upper lip, or bridge of the nose, melasma is driven by a combination of UV exposure, hormonal triggers, and heat, making it the most complex pigmentation condition to manage. A carefully calibrated multimodal approach is used, as aggressive laser treatment can paradoxically worsen melasma in some cases.

Well-defined, flat brown spots caused by cumulative long-term UV damage. Unlike freckles, lentigines are permanent year-round and do not fade with sun avoidance. They become more common from middle age onwards and are concentrated on areas with the most sun exposure which is the face, hands, and forearms.

Small, light-brown spots typically on sun-exposed areas, triggered by UV exposure and influenced by genetics. Freckles tend to darken in the sun and fade in less-exposed periods. While harmless, they are a common cosmetic concern treatable with precise light-based therapies.

These are flat, dark marks left behind after acne breakouts are healed. Caused by the skin’s inflammatory response that triggers excess melanin production, these spots can persist for months to years especially in darker skin tones. These spots can persist for months to years especially in darker skin tones. PIH affects both the epidermis and, in severe cases, the upper dermis.

Deep, blue-grey speckled patches mostly found on the cheekbones and nose bridge. Particularly prevalent in women of Chinese and East Asian descent, Hori’s Nevi sit in the deep dermis, making them resistant to topical treatments and requiring targeted laser energy that reaches deep pigment layers. Frequently mistaken for freckles or melasma, which is why accurate diagnosis is so important.

A blue or grey birthmark involving one side of the face, typically around the eye, cheek, and temple. Caused by deep dermal melanocytes, it is usually present from birth or appears around puberty. Deep-seated and permanent without treatment, it responds well to Q-switched laser over multiple sessions.

Raised, waxy, “stuck on” brown or dark patches that appear with age. While benign, they are often confused with more concerning lesions.

The gold standard for pigmentation treatment in Asian skin. Ultra-short nanosecond pulses target and shatter melanin granules into micro-particles without damaging surrounding tissue. Dual wavelengths (1064nm for deeper pigment; 532nm for surface pigment) make it effective across melasma, freckles, lentigines, and Hori’s Nevi.

Targets both melanin and vascular components using multiple wavelengths simultaneously. OPT (Optimal Pulse Technology) delivers more controlled, uniform pulses than older IPL systems. It is suitable for superficial pigmentation like freckles and mild sun damage, often combined with topical medicines and laser protocols.

Medical-grade topical agents are essential for both treating and maintaining pigmentation results, particularly for conditions like melasma where cellular overactivity and damage basement membrane must be addressed. Prescription topicals Dr Wong may incorporate include: Hydroquinone, Tranexamic Acid (topical and oral), Azelaic Acid and Cysteamine & Niacinamide.

This medical-grade chemical peels accelerate epidermal turnover by controlled exfoliation of the outer skin layer, revealing a brighter and more evenly pigmented skin beneath. Glycolic acid, lactic acid, salicylic acid, and mandelic acid peels each have differing depths of penetration and are selected based on the pigmentation type and skin sensitivity. These peels are often used as an adjunct to laser therapy to enhance the treatment outcome.

The supplement is typically used as an adjunct to laser therapy between sessions.

Glutathione works through several anti-melanogenic mechanisms: direct inhibition of pigment production, finding absorbing free radicals that triggers pigmentation and reducing melanocyte acitivity