POSTED: 15 Aug 2025

Where to Get Melasma Treatments Online in the UK

Melasma is a chronic hyperpigmentation disorder that usually affects the face and is particularly common in women. Hormonal changes, sun exposure and heat often trigger or make it worse. Unfortunately melasma can be difficult to treat as it frequently relapses even after full clearance. Most of the time, melasma doesn’t tend to respond to over-the-counter skincare usually needing prescription treatments. In the UK, this was historically on available through specialist private clinics. However, in recent years, a number of online dermatology services have made it easier and more affordable than ever to access effective melasma treatments. In this post, we review the leading telehealth platforms where you can get prescription melasma treatments online in the UK.

What are Prescription Melasma Treatments?

Prescription melasma treatments target skin cells to directly control pigment deposition, inflammation and regeneration. These treatments aim not only to lighten existing patches of hyperpigmentation but to suppress the ongoing drivers of melasma thereby preventing relapse. The most common topical prescription treatments for melasma usually contain hydroquinone, topical retinoids like tretinoin, high strength azelaic acid (15–20%), mild steroids like hydrocortisone and tranexamic acid. These are typically used in carefully formulated combinations and often for limited periods. Rarely, some doctors may also prescribe oral tranexamic acid in rare cases.

How to Get Melasma Treatments in Person in the UK

Whilst some GPs maybe able to prescribe azelaic acid or pigmanorm, melasma and hyperpigmentation treatments are not usually available through the NHS dermatology. Private dermatologists can provide topical or oral melasma treatments. Aesthetic clinics mainly may provide peels or prescription skincare kits containing hydroquinone, arbutin and tretinoin. Although these services can be very effective, they are often often expensive and inconvenient.

Where to Get Melasma Treatments Online in the UK

First of all, it’s important to clarify that getting melasma treatment online does not mean buying prescription creams without assessment. Whilst a number of foreign pharmacies offer this, it is both illegal and extremely unsafe. Thankfully, there are a number of dermatology platforms in the UK where you can get safe and effective treatments. Below are the best virtual services where you can get melasma treatments online in the UK.

#1 City Skin Clinic

City Skin Clinic provides personalised topical cream and gel treatments for melasma following consultation with a doctor. Consultations are available via video or online forms. Treatment plans may involve a once daily or twice a day treatment depending on the severity of your melasma, skin type and goals. Your custom treatment may include ingredients like hydroquinone, tretinoin, azelaic acid, tranexamic acid and hydrocortisone depending on what your doctor deems appropriate. The same doctor will follow you up throughout your treatment journey and tailor each course of treatment based on your response. Treatments are delivered directly to your door and typically last around three months when used on the face. We do not operate a subscription model to allow flexibility and permit patients to order treatments when they need.

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#2 Skin+Me

Skin+Me offers once-daily compounded prescription creams following an online questionnaire which is reviewed by their clinicians. Treatments may include tretinoin, azelaic acid, niacinamide or hydroquinone if appropriate. Creams are delivered monthly as part of a subscription service. You log progress on their online platform.

#3 Dermatica

Dermatica also provides prescription topical creams for melasma following an online survey which undergoes review by their prescribers. Formulations may include retinoids like tretinoin, steroids, azelaic acid, tranexamic acid or hydroquinone where appropriate. Like Skin+Me, they deliver treatments monthly as part of a subscription. You can log your progress online through their platform.

#4 The Online Clinic

The Online Clinic provides access to prescription melasma treatments following an online questionnaire which is reviewed by their clinicians. Treatment options include off-the-shelf medicines like Pigmanorm, Azelaic Acid 20% or Tretinoin. Their service typically bundles consultation, prescription and medication into a single fee. They deliver treatments directly to patients.

#5 Treated

Treated offers prescription treatments for melasma via an online consultation form which is reviewed by their clinicians. They offer topical treatments such as high strength azelaic acid, hydroquinone, tretinoin and triple-combination creams. Treatment protocols are fixed rather than customised. They deliver directly to patients from their pharmacy and appear to also offer a subscription service.

Melasma is a chronic condition which at the best of time scan be difficult to treat. It requires long-term planning to both clear the hyperpigmentation and prevent relapse. Online dermatology services can provide safe and effective prescription treatment for melasma in the UK if they offer a through consultation and regular follow up. Your medical provider should also help put a plan in place to reduce the risk of relapse and maintain your results.

At City Skin Clinic, we believe that skincare is personal and should always pivot around your needs. Our doctors offer custom topical skin treatments for melasma using ingredients like tretinoinazelaic acidtranexamic acid, hydrocortisone and niacinamide where appropriate. If you would like a personalised skincare treatment please use our online skin consultation form or book a video consultationStart your treatment journey today and take your first step towards great skin.

This article is intended for general informational purposes only and is not a substitute for medical advice, diagnosis or treatment. Always consult a qualified medical provider for any medical concerns or questions you might have.

Authored by:

Dr Amel Ibrahim
Aesthetic Doctor & Medical Director
BSC (HONS) MBBS MRCS PHD
Founder City Skin Clinic
Member of the Royal College of Surgeons of England
Associate Member of British Association of Body Sculpting GMC Registered - 7049611

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