PIGMENTATION/MELASMA

Anyone experiencing unwanted pigmentation whether recent or long-standing is suitable for assessment. Melasma requires specialist management given its tendency to recur, its hormonal drivers, and its sensitivity to heat-based treatments. Skin tone (Fitzpatrick type) is a critical factor in treatment selection. Darrker skin types require careful, conservative approaches to avoid worsening pigmentation. Pregnant patients are not suitable for most active pigmentation treatments. Dr George can assess whether hormonal or systemic contributors may be driving your pigmentation.

Our multi-modal approach: -Medical-grade topical therapy (tranexamic acid, kojic acid, azelaic acid, or prescription depigmenting agents prescribed by Dr George where clinically indicated) -Micro-needling with boosters (delivers tyrosinase-inhibiting and brightening actives such as vitamin C, niacinamide, and tranexamic acid deep into the dermis; particularly effective for PIH and melasma where heat-based treatments are contra-indicated) -Chemical peels (mandelic, lactic, glycolic, or TCA selected by skin type and pigmentation depth) — PicoSure laser (picosecond photoacoustic mechanism shatters melanin without significant heat, reducing rebound hyperpigmentation risk. Ideal for freckles, sun damage, and sensitive skin types) — CO2 laser (for deeply embedded pigmentation and textural irregularities in appropriate skin types). Melasma note: Melasma is a chronic condition with hormonal and UV-driven components. Ongoing management and strict daily SPF 50+ use are the most important factors in preventing recurrence.

Pre: SPF 50+ use for at least 4 weeks before any pigmentation treatment is mandatory. Cease retinoids 5 days before most treatments. Avoid sun exposure for 4 weeks before laser sessions. Inform Renee and Dr George of all medications, contraceptives, and supplements. Post: SPF 50+ daily without exception. UV exposure immediately causes pigmentation recurrence and undoes treatment results. Avoid heat, steam, and sweating for 48 hrs post-peel or post-needling. Follow the prescribed home care regime precisely. Expect gradual improvement over a series of treatments. Attend all follow-up appointments so Renee can monitor progress and adjust protocols.

Cost: per session (varies by treatment modality) Dr Robert George & Renee. Medical consultations with Dr George for hormonally driven pigmentation may attract Medicare rebates. A Full treatment plan and pricing will be provided at your complimentary clinical assessment with Renee as your first line of treatment.