Deep Pigmentation & Melasma Laser Treatment

Pigmentation is one of the most challenging conditions to treat in aesthetic medicine, particularly in Asian and mixed-ethnicity populations where the risk of post-inflammatory hyperpigmentation (PIH) is elevated and conditions like melasma often involve both epidermal and deep dermal components. Ensoul Medical Clinic has built a dedicated pigmentation programme under Dr Kenneth Thean's 35+ years of clinical expertise, specifically designed to navigate…

The clinic categorises pigmentation into its component types before treatment. Epidermal pigmentation — including solar lentigines (sun spots), freckles, ephelides, and mild post-inflammatory marks — responds well to picosecond laser platforms and fractional resurfacing. The 755 nm Alexandrite picosecond system shatters melanin particles into finer fragments via photoacoustic pressure, triggering their clearance through the lymphatic system with minimal…

Deep dermal pigmentation — Hori's naevus, naevus of Ota, and deep inflammatory marks — requires penetrating laser energy at longer wavelengths. The 1064 nm Nd:YAG reaches the dermis effectively and can also be used in low-fluence toning modes (often called laser toning or carbon laser peel protocols) that gradually reduce diffuse pigmentation over a series of sessions without the aggressive single-session approach that triggers rebound darkening.