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.

How is Melasma evaluated in an online consultation?

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.

What treatments does the doctor consider for Melasma?

The doctor proposes the most appropriate treatment among those authorised in the EU for dermatology. The plan is 25 €/mês for weight loss or 15 €/mês (cobrado 45 € a cada 90 dias) for hair growth; sexual health remains a 35 € one-off consultation. If your case is not eligible, the applicable fee is refunded in full.

How long until you see results?

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.

Can I consult for Melasma from Roma?

Yes. Hi-Doctor runs 100% online across the EU, so from Roma you can fill in the questionnaire and receive the medical review without travelling. The electronic prescription issued by the licensed doctor is valid at any EU pharmacy under Directive 2011/24/EU; outside Spain the pharmacist dispenses the locally marketed equivalent of the same active ingredient.

How does a doctor assess a skin concern online?

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.

What is the private electronic prescription and why is it valid across the EU?

The private electronic prescription (Receta Médica Privada Electrónica) is issued by a licensed doctor in Spain. It is a PDF carrying every field required by EU Directive 2011/24/EU (patient, prescriber with country of registration, active ingredient, dose), which makes it legally recognised across all 27 EU member states. In Spanish pharmacies it is dispensed from the QR; outside Spain, the pharmacist dispenses the locally marketed equivalent of the same active ingredient.

How does Hi-Doctor work step by step?

1) Fill in an online medical questionnaire in about 4 minutes. 2) The plan is 25 €/mês for weight loss or 15 €/mês (cobrado 45 € a cada 90 dias) for hair growth; sexual health is 35 € per consultation. 3) An EU-licensed doctor reviews your case and, if appropriate, issues an electronic prescription. 4) Collect it at any EU pharmacy. If the review is not approved, the applicable fee is refunded in full.

DOENÇA · Roma

Melasma.

Manchas escuras no rosto: tratamento despigmentante supervisionado com fotoproteção rigorosa.

Iniciar consulta Explorar Dermatologia

35 € pontualReembolso total se uma avaliação não for aprovada

DERMATOLOGIA

Comece em cinco minutos.

Responda ao questionário. Um médico registado lê-o. Só paga se o tratamento for aprovado.

Iniciar consulta

Médicos licenciados na UE

Análise médica em menos de 2 horas, em média

Mais de 50.000 pacientes atendidos

Conta de paciente segura

COMO FUNCIONA · 5 PASSOS

Cinco passos. Sem sala de espera.

Da consulta online ao acompanhamento contínuo, sem sair de casa.

5 minutos
Comece a sua consulta online
Responda a um questionário de saúde de 5 minutos.
Menos de 2 horas
Um médico analisa o seu caso
Um médico lê as suas respostas e responde pessoalmente.
Garantia de reembolso
Revisão e pagamento
Sem aprovação, reembolsamos integralmente os seus 35 € pontual.
Farmácias da UE
Recolha o tratamento na farmácia
Levante o tratamento em qualquer farmácia da UE.
Check-in às 4 semanas
Apoio contínuo
Chat privado, controlo às 4 semanas e renovação simples.

DERMATOLOGIA

Melasma

O médico confirma o melasma nas suas fotografias e prescreve hidroquinona a 4% ou uma fórmula magistral tipo Kligman num curso limitado e supervisionado. A fotoproteção diária é metade do tratamento.

O QUE É

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.

QUÃO COMUM É

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

CAUSAS

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

ABORDAGENS DE TRATAMENTO

Hydroquinone 4% cream, applied only to the patches, in a supervised 60 to 90-day course
Hydroquinone 4% gel with glycolic acid for resistant patches
Kligman-type compounded formula (hydroquinone, a low-strength retinoid, kojic acid and niacinamide), at night, twice a week for three months
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

QUANDO CONSULTAR UM MÉDICO

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.

TRATAMENTOS RELACIONADOS

Tratamentos que um médico considera para Melasma

Hydroquinone 4%

Compounded melasma formula

PREÇOS

Só paga se o tratamento for aprovado.

25 €/mês para perda de peso ou 15 €/mês (cobrado 45 € a cada 90 dias) para crescimento capilar. Para saúde sexual está disponível uma consulta pontual de 35 €.