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Skin treatment · Rotterdam

Melasma, Rotterdam

An EU-licensed doctor reviews your case online. If treatment is appropriate, you can take your e-prescription to the pharmacy you choose in Países Bajos.

€40once
  • No appointment, no travel
  • Collect at your usual pharmacy
  • If it's not safe for you, we'll say so, at no cost
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EU-licensed doctors

Every case read by an EU-licensed doctor.

Reply in under 2 hours on average

In writing, in your private chat. The doctor can ask for a call when needed.

Full refund if it is not right for you

Not approved? Refunded in full, automatically.

Reviewed on Trustpilot

Independent reviews from real patients, published by Trustpilot.

Electronic prescription

Sent to the pharmacy you choose; each pharmacy decides whether it can dispense it.

Melasma treatments in Rotterdam

One-off consultation

One consultation, one doctor, one decision.

€40/ once
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Healthy skin starts with a real diagnosis

Answer a few simple questions and a doctor reviews your case in under 2 hours on average.

Start consultationIf the doctor cannot treat you online, we refund the full amount.
The clinical information on this page was reviewed by: Dr. Alejandro Infante, General medicine, on 27 July 2026. Barcelona College of Physicians, no. 080869277 View profile

If the doctor does not approve treatment, we refund the full amount. Every consultation is fully refundable. How refunds work

More about your care

What is it?

Melasma is an acquired hyperpigmentation that appears as symmetrical brown or grey-brown patches with irregular edges on the cheeks, forehead, upper lip and chin. It is caused by excess melanin production in light-exposed areas.

It is far more common in women and is linked to sun exposure, pregnancy, hormonal contraception and genetic predisposition. It tends to be chronic: it improves with treatment and protection, but returns with summer sun.

In the online consultation, the doctor confirms the pattern from your photos, rules out other pigmented lesions that need examination, and prescribes a time-limited depigmenting course, always with strict sun protection.

Read the full condition information

The doctor confirms melasma from your photos and prescribes a depigmenting treatment in a limited, supervised course. Daily sun protection is half the treatment.

HOW COMMON IT IS

Common in adult women, particularly with medium and darker skin types; hormonal factors, including pregnancy, are implicated in around a quarter of cases in women.

DermNet

CAUSES

  • Exposure to ultraviolet and visible light
  • Pregnancy and hormonal contraception
  • Genetic predisposition and medium to darker skin types
  • Some photosensitising medicines and irritating cosmetics
  • Thyroid disorders in a minority of cases

TREATMENT APPROACHES

  • Prescription treatment, when the doctor considers it appropriate
  • Daily SPF 50+ sun protection, ideally tinted with iron oxides, year-round
  • Review at the end of the course to decide on maintenance or a break
  • Peels, laser or oral tranexamic acid only through in-person care

WHEN TO SEE A DOCTOR

See a doctor if the patches persist despite sun protection or worry you. A single, asymmetrical, raised or changing dark spot is not melasma and must be examined in person. No depigmenting treatment is prescribed online during pregnancy or breastfeeding.

How it works, step by step

HOW IT WORKS · 5 STEPS

Five steps. No waiting room.

From the online consultation to ongoing follow-up, without leaving home.

  1. 1. 5 minutes

    Start your online visit

    Answer a 5-minute health questionnaire from home.

  2. 2. Under 2 hours on average

    A doctor reviews your case

    An EU-licensed doctor reviews your answers and replies personally.

  3. 3. Refund guarantee

    Review and payment

    If not approved, we refund your €40 one-off in full.

  4. 4. EU pharmacies

    Collect treatment from the pharmacy

    Collect it at the pharmacy you choose with your e-prescription; each pharmacy decides whether it can dispense it.

  5. 5. 4-week check-in

    Ongoing support

    Private chat, 4-week check-in, simple prescription renewal.

Payment and refunds

PRICING

If it is not approved, it costs you nothing.

€40 one-off. €25/month for weight loss or €15/month (billed €45 every 90 days) for hair growth.

ONE-OFF

One consultation, one doctor, one decision.

Photos reviewed by an EU-licensed doctor

WHAT'S INCLUDED

  • Consultation reviewed by an EU-licensed doctor
  • Electronic prescription if approved
  • Full refund if not approved

Full refund if a review is not approved

If a review is not approved, we refund the €40 consultation fee in full.

Note: The medication, if the doctor prescribes it, is paid separately at the pharmacy at the price it sets. Hi Doctor does not sell medications.

Read the refund terms
Melasma sits within the dermatology area that Hi Doctor covers. Our doctors review your case individually, not through an algorithm, and propose a therapeutic approach when indicated.
You fill in a dermatology-oriented medical questionnaire (~5 min). An EU-licensed doctor reviews your clinical history, current medication, allergies and background in less than 2 hours on average. If clarifications are needed, they message you via the private chat in your account.
The doctor proposes the most appropriate treatment among those authorised in the EU for dermatology. A skin consultation is a €40 one-off. Other areas: €25/month for weight loss, €15/month (billed €45 every 90 days) for hair growth and €35 per sexual health consultation. If your case is not eligible, the applicable fee is refunded in full.
It depends on the case. For dermatology, reasonable timelines are explained during the consultation and follow-up lives inside the private chat. The full medical record stays in an auditable thread inside your account.
Yes. Hi Doctor runs 100% online across the EU, so from Rotterdam you can fill in the questionnaire and receive the medical review without travelling. The EU-licensed doctor issues the electronic prescription under Directive 2011/24/EU, and each pharmacy decides whether it can dispense it; outside Spain some pharmacies do not accept PDF prescriptions, and those that do dispense the locally marketed equivalent of the same active ingredient.
The doctor reviews its appearance and progression, your history, allergies, current products and clear photos when needed. If your skin needs an in-person examination, the doctor refers you before prescribing.
The private electronic prescription (Receta Médica Privada Electrónica) is issued by an EU-licensed doctor. It is a PDF carrying every field required by EU Directive 2011/24/EU (patient, prescriber with country of registration, active ingredient, dose). Each pharmacy decides whether it can dispense it. In Spanish pharmacies it is dispensed from the QR; outside Spain, some pharmacies do not accept PDF prescriptions, and those that do dispense the locally marketed equivalent of the same active ingredient.
1) Fill in an online medical questionnaire in about 4 minutes. 2) A skin consultation is a €40 one-off. Other areas: €25/month for weight loss, €15/month (billed €45 every 90 days) for hair growth and €35 per sexual health consultation. 3) An EU-licensed doctor reviews your case and, if appropriate, issues an electronic prescription. 4) Collect it at the pharmacy you choose; each pharmacy decides whether it can dispense it. If the review is not approved, the applicable fee is refunded in full.

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