Hormonal Skin Pigmentation / Melasma Flare

No. Sun damage is cumulative ageing from UV rays. Hormonal pigmentation (melasma) is driven by internal hormonal signals and is often symmetrical and heat-sensitive. Treating it like sun damage (e.g. with IPL) can sometimes make it worse.

Hormonal pigment is sensitive to heat as well as light. Even if you block UV rays, the heat from the sun (infrared) can stimulate melanocytes to produce more pigment. Physical cooling and heat avoidance are key.

We are very cautious with lasers on melasma because the heat can trigger inflammation and cause 'rebound pigmentation'. We prefer chemical peels and microneedling which manage pigment without thermal risk.

Hormonal pigmentation is a chronic condition, meaning it can be managed and cleared, but it requires maintenance. If you stop suppression or have a hormonal shift, it can return. ULANDA focuses on long-term management strategies.

Yes. The combined contraceptive pill mimics pregnancy hormones, which can trigger melasma in susceptible women. If this is a driver, we may discuss this during your consultation.

Yes. Stress increases cortisol and inflammation, which stimulates pigment cells. Many clients notice their melasma darkens during stressful periods.

Hydroquinone is a prescription agent that is effective but should not be used continuously for long periods. ULANDA prescribes it (where appropriate) in structured cycles with safe breaks to prevent resistance or side effects.

Pigment correction takes time because we are working with the skin's renewal cycle. Most clients see significant brightening within 6–12 weeks of combined home care and treatment.

ULANDA is a nurse-led skin clinic in Ware, Hertfordshire offering structured Advanced Skin Health Consultations and programme-led treatment pathways. Many clients travel from Hertford, Hoddesdon, Broxbourne, Bishop's Stortford, Cheshunt and St Albans for safe, clinically guided pigment management.