Melasma Treatment in Bogotá keeping hormonal spots under control

Comprehensive medical protocol for melasma and dyschromia. Depigmenting peels and laser in selected cases, with settings adapted to skin phototypes III–V.

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Melasma and hormonal spot treatment at ALMO Clinic Bogotá
  • Wood's lamp assessment · helps estimate whether melasma is epidermal, dermal or mixed
  • Depigmenting peels as the base · Q-switched laser only in selected cases, with conservative settings
  • Hydroquinone-free protocols available · maintenance every 3 to 4 months to reduce relapse
In summary

Melasma is a chronic hyperpigmentation from melanin overproduction, associated with hormonal factors — pregnancy, birth control — sun exposure, and genetic predisposition. It's difficult to treat because it isn't cured: it's controlled. Any aggressive treatment can trigger a darker rebound. At ALMO Clinic (Bogotá) it's addressed with peels from $87 USD and combined protocols, always with strict sun protection, which is what sustains the result.

Starting from

$87 USD

  • Approach Control, not cure
  • Key to results Daily sun protection
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Wood's lamp assessment

Wood's lamp assessment

We assess the depth of your melasma — epidermal, dermal, or mixed — to choose the treatment that fits it.

Peels first, laser if needed

Peels first, laser if needed

Depigmenting peels as the base, and Q-switched laser only in selected cases that don't respond.

Maintenance to reduce relapse

Maintenance to reduce relapse

Sun protection plan and maintenance peels every 3 to 4 months to sustain the result.

Specialized Melasma Treatment in Bogotá

Melasma is a common reason for consultation in Bogotá, where the altitude increases the ultraviolet radiation the skin receives all year round. At ALMO Clinic we address it on three fronts: depigmenting agents that slow melanin production, controlled exfoliation with peels, and daily sun protection, with laser only for cases that don't respond, within our dermatology area.

To understand first what causes melasma, read our guide on what melasma is, its types and causes. If your case is related to pregnancy, see melasma and hormonal spots in pregnancy, and if you are wondering whether the spots ever go away for good, we explain it in does melasma have a cure?

  • Wood's lamp assessment: It helps estimate the depth of the melasma (epidermal, dermal, or mixed) and choose the treatment.
  • Depigmenting chemical peel: Mandelic, lactic or glycolic acid depending on your skin phototype. Lightening is gradual, over several sessions.
  • Q-switched laser: Reserved for melasma that doesn't respond to topical treatment and peels, with conservative settings, because laser can also darken the spots (post-inflammatory hyperpigmentation or rebound).
  • Maintenance protocol: Sun protection and at-home care plan to reduce relapse and sustain the result.

How treatment changes with the depth of melasma

How deep the melasma sits guides which treatments are more likely to work and which carry more risk. A Wood's lamp assessment is the first step.

Epidermal melasma

Melanin sits in the epidermis. It is the type that responds best to topical treatment and peels, always with sun protection.

Dermal melasma

Melanin sits in the dermis. It responds less to superficial peels and creams; lightening is slower and usually partial.

Mixed melasma

A combination of epidermal and dermal components, and a very common form. It usually needs combined treatment and more sessions.

Melasma treatment protocol at ALMO Clinic

Every protocol is designed individually. Sun protection isn't an optional recommendation: it's a mandatory part of any melasma treatment.

Lightening phase (3–6 months)

Chemical peel every 2–4 weeks (4–8 sessions depending on response). Daily topical depigmenting agents. For melasma that doesn't respond, Q-switched laser with conservative settings is considered.

Mandatory daily sun protection

Broad-spectrum SPF 50+ sunscreen, ideally tinted (iron oxides), because visible light also triggers pigment; reapplied every 2 hours during sun exposure. Sun is the main melasma trigger: without strict sun protection, any treatment loses effectiveness.

Maintenance phase (indefinite)

Maintenance peel every 3–4 months to remove superficial pigment and sustain the lightening. Nightly topical routine with retinoids or mild depigmenting agents, and periodic check-ups to catch a relapse early.

Treatment protocol for melasma and hormonal spots at ALMO Clinic Bogotá

Are you a candidate for melasma treatment?

The depth and extent of your melasma determine the most suitable protocol for your case.

Ideal candidate

  • Hormonal spots on forehead, cheeks, or upper lip
  • Post-pregnancy melasma or from oral contraceptives
  • Committed to daily SPF50+ sun protection
  • Not pregnant or breastfeeding at time of treatment
  • Any phototype; phototypes III–V are treated with more conservative settings

Factors to evaluate

  • Active pregnancy (treatment is postponed)
  • Use of hormonal contraceptives (any change is decided with your gynecologist)
  • Very deep dermal melasma with multiple prior failed treatments
  • Expecting results in few sessions without a maintenance phase
  • Prior allergic reactions to acids or peeling
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FAQ: Melasma treatment

Why treat melasma at ALMO Clinic?

Our medical team treats melasma with the specifics of Latin American skin (phototypes III–V) in mind, since it pigments easily. Every protocol is designed individually and adjusted conservatively to lower the risk of post-inflammatory hyperpigmentation. If your skin also shows redness or visible vessels, check out our rosacea and couperose treatment.

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