Pigmentation & Melasma Treatment

Targeted treatment of facial hyperpigmentation, melasma, post-inflammatory marks and solar lentigines at Klinika preventivní dermatologie in Ostrava. The dermatovenereologist first classifies pigmentation by depth and driver — epidermal, dermal, mixed, hormonal or UV-triggered — before designing a personalised protocol. This classification step is critical: the wrong modality can worsen melasma rather than improve it. The physician-led approach then combines medical-grade chemical peels, laser and prescription brightening agents selected precisely for your pigmentation type and phototype. From 2,100 Kč per session.

Skin pigmentation is one of the most frequently mismanaged aesthetic concerns because different pigmentation types respond differently — and sometimes oppositely — to the same treatments. Melanin can sit in the epidermis (superficial, more accessible), the dermis (deeper, harder to reach) or mixed across both layers, and hormonal pigmentation such as melasma can flare rather than improve if treated with high-energy laser passes that stimulate the melanocytes. At Klinika preventivní dermatologie the physician begins by classifying the pigmentation correctly, using a Wood's lamp examination and dermoscopic assessment alongside the clinical history, before recommending any treatment. For epidermal pigmentation — solar lentigines, post-inflammatory hyperpigmentation from acne, superficial seborrhoeic keratoses and UV-driven uneven tone — chemical peeling is often the first-line approach. Superficial-to-medium peels using salicylic acid, mandelic acid, glycolic acid or a combination (such as a modified Jessner formula) dissolve the melanin-heavy surface cells and trigger controlled renewal, with each session improving overall clarity. The peel depth and agent concentration are selected by the physician based on phototype, pigmentation depth and the area being treated. For more resistant or deeper pigmentation, laser or IPL sessions are integrated into the programme. The treating physician selects parameters carefully, as aggressive settings on melasma-type pigmentation carry a risk of post-inflammatory flare. A slow, controlled approach — typically shorter pulses at moderate fluence, spaced adequately to allow inflammation to settle — is used in combination with a daily topical brightening protocol that may include prescription-grade hydroquinone, azelaic acid or tranexamic acid. Between and after sessions strict daily broad-spectrum SPF50+ photoprotection is non-negotiable: UV exposure re-activates the melanocytes that the treatment has been working to suppress, and without consistent sun protection results quickly reverse. The physician reviews progress at each session and adjusts the protocol. A full programme runs three to six sessions and costs from 2,100 Kč for the initial assessment-and-treatment session, with follow-up sessions from 1,800 Kč.