Pigment pattern
Symmetrical patches may suggest a different concern from isolated spots or marks after acne.
Pigment patternUnderstand melasma, freckles and post-acne marks before deciding whether an injectable depigmentation programme belongs in your care plan.

Considered care.
Personal to you.
Meso Depigment is a programme name for an injectable approach to selected pigmentation concerns. It does not identify one universally standardised formula. Melasma, sun spots and post-inflammatory marks differ, so MICHIKO starts with diagnosis and discusses the exact formulation alongside medical skincare, sun protection and other options.
Follow the story as you scroll.
Connect what you notice
with the questions that matter.
An educational illustration. Your assessment is individual.
01 / Pigment pattern
Symmetrical patches may suggest a different concern from isolated spots or marks after acne.
Pigment patternSunlight, visible light, hormonal factors and irritation can influence melasma.
TriggersAn inflamed or irritated barrier may need stabilising before a procedure.
Skin readinessMICHIKO · YOUR QUESTIONS, EXPLAINED
Pigmentation can reflect sun exposure, inflammation, hormonal influences and individual tendency. Melasma often appears as patches and may fluctuate, whereas freckles, sun spots and post-acne pigmentation have different patterns. Age and previous treatments also shape the assessment. A dark area that changes rapidly, bleeds or looks unusual should be examined as a medical concern before any brightening treatment.
The exact ingredient, concentration, delivery method and evidence determine what can reasonably be expected. An injectable option should be compared with topical treatment and other appropriate care, not assumed to outperform them. Tell the doctor about pregnancy, breastfeeding, allergies and all medicines. If a treatment contains a medicine with specific contraindications, the safety discussion must address that ingredient directly.
In Bangkok, a realistic plan considers commuting, outdoor work and holidays as well as sunscreen. Use broad-spectrum sun protection and shade. Tinted sunscreen containing iron oxides may be useful for melasma because visible light can contribute to pigmentation; ask what suits your skin. Avoid irritating mixtures or unprescribed bleaching creams. A sustainable routine matters more than frequent changes of product.
There is no universal promise of a full result in 7–14 days or a need to inject every 1–2 weeks. The formulation, diagnosis and response guide the schedule. Temporary redness, bumps, swelling or bruising can occur; infection, allergy and persistent lumps are possible. Follow the doctor’s specific aftercare and arrange a review if symptoms worsen. Ongoing melasma management may be needed even after colour improves.
WHY MICHIKO
At MICHIKO, Dr. Gift and our medical team discuss the diagnosis, previous reactions and daily sun exposure before considering an injectable plan. The aim is a sustainable approach to colour, with realistic review points and clear alternatives.
Describe what has changed and what you hope to improve. The assessment comes before a programme recommendation.
LISTEN
Compare the approaches that fit your assessment. Understand what each can improve, where its limits lie and whether a simpler first step would suit you.
ASSESS
Discuss the exact method or product, expected benefit, limits, risks and total cost. There is time to decide and room to choose a simpler plan.
PLAN
Know your aftercare, review timing and how to contact the team. Your response helps shape the next step.
CARE
MICHIKO · A CLOSER LOOK
Bring details of previous procedures, current medicines and supplements, allergies and any recent skin reaction. Tell the doctor if you are pregnant or breastfeeding. Mention work, travel and event dates so the plan can account for recovery and follow-up. Do not stop prescribed medicines without advice.
Follow the instructions for the exact product used. Temporary redness, swelling, bumps or bruising may occur. Avoid rubbing or massaging unless specifically advised. Contact the clinic for worsening pain, spreading redness, fever or persistent lumps; sudden vision symptoms or severe pain require urgent medical care.
Agree on a review point and the change you are hoping to see. Your response, side effects and priorities should guide the next step. Ask for a clear quote covering the proposed product or method, quantity where relevant, and follow-up.
BEFORE YOU VISIT
Melasma often recurs. No injectable programme should promise a permanent cure; sun protection and ongoing management remain important.
The technique may overlap, but the treatment goal and formula may differ. Ask for the ingredients and why they fit your pigmentation diagnosis.
No. The type of pigmentation and risk of irritation matter. The doctor may recommend skincare first or a staged combination.
Message MICHIKO on LINE and mention the service. Choose EmSphere or Phahonyothin 21, and confirm the relevant clinician and appointment before travelling.
Bring details of previous procedures, current medicines and supplements, allergies and any recent skin reaction. Tell the doctor if you are pregnant or breastfeeding. Mention work, travel and event dates so the plan can account for recovery and follow-up. Do not stop prescribed medicines without advice.

YOUR NEXT STEP
Message us on LINE, choose EmSphere or Phahonyothin 21, and mention Meso Depigment. Dr. Gift and our medical team will assess your concern, explain the options, risks and cost, and leave the decision with you.
Helpful to bring: previous procedures, current medicines and any allergies.
TRUSTED AT MICHIKO
Familiar faces. Personal care.
























MICHIKO · BANGKOK

9/2 Supalai Park Building 1, Phahonyothin 21, Chatuchak, Bangkok 10900
Sat–Mon 10:00–19:00 · Tue–Wed 11:00–20:00 · Thu–Fri 10:00–19:00

EM TOWER, Floor 7, Room 7T 01, EmSphere, 628, 630 Sukhumvit Road, Khlong Toei, Bangkok 10110
Daily 11:00–20:00