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Melasma Treatment Tips

Know Everything About Melasma

Dr. Tanvi Gupta 87% (77 ratings)
MBBS, MD - MD- Skin & VD
Dermatologist, Allahabad
Know Everything About Melasma

A common skin condition, which causes the discoloration of your skin in patches across the face, melasma is more of a social embarrassment and cause for distress rather than being a serious condition. Although it affects men as well, studies have shown that over 90 percent of patients are women. It is also known as the mask of pregnancy as many pregnant women develop this skin condition.

Causes of Melasma

Primary causes of melasma have been attributed to various hormonal changes within the body. Let's look at some of the factors that may cause this disorder:

  1. Pregnancy: This is often attributed as the leading cause of melasma, the primary cause has often been attributed to hormonal changes that a woman may experience due to pregnancy.
  2. Treatments that may change hormonal balance: Women on contraceptive pills or who have implants such as intrauterine devices may also develop this disorder. This is due to the balance of estrogen and progesterone being changed within the body.
  3. Sun exposure: Continued sun exposure may also lead to melasma. This is due to the activation of melanocytes within the body which start producing more melanin.
  4. Stress: Long periods of stress on the body can also trigger hormonal changes and cause melasma.
  5. Thyroid problems: If someone suffers from Hypothyroidism or low levels of the thyroid hormone, it can trigger other hormonal changes and also cause this skin disorder. 

It has also been noticed that people with generally a darker skin tone tend to get melasma and it is less common in people with fairer skin.

Certain characteristics of Melasma

Melasma develops in certain patterns which can be easily diagnosed either as spots on the skin similar to freckles or brown patches of skin that grow bigger. Some of these patterns are:

  1. Malar pattern: This grows on the nose and cheeks
  2. Mandibular pattern: Starts growing around the jaw line
  3. Brachial melasma: This grows on the upper arms and shoulders
  4. Lateral cheek pattern: Grows on the cheek on both sides of the face
  5. Centrofacial pattern: Nose, upper lips, forehead and cheeks

Treatment of Melasma

Most women who develop melasma during pregnancy report that it goes away after childbirth. However certain forms of melasma may appear in non-pregnant women due to hormonal changes. Treating the underlying hormonal changes usually, resolves the problem. However certain other methods may be required to resolve the issues such as skin creams, chemical peels, dermabrasion and microdermabrasion. If you wish to discuss about any specific problem, you can consult a dermatologist.

6 people found this helpful

All About Melasma

Dr. P. Phanisri 87% (88 ratings)
Diploma in Dermatology, Venereology and Leprosy - , MBBS
Dermatologist, Hyderabad
All About Melasma

A common skin condition, which causes the discoloration of your skin in patches across the face, melasma is more of a social embarrassment and cause for distress rather than being a serious condition. Although it affects men as well, studies have shown that over 90 percent of patients are women. It is also known as the mask of pregnancy as many pregnant women develop this skin condition.

Causes of Melasma
Primary causes of melasma have been attributed to various hormonal changes within the body. Let's look at some of the factors that may cause this disorder:
1. Pregnancy: This is often attributed as the leading cause of melasma, the primary cause has often been attributed to hormonal changes that a woman may experience due to pregnancy.

2. Treatments that may change hormonal balance: Women on contraceptive pills or who have implants such as intrauterine devices may also develop this disorder. This is due to the balance of estrogen and progesterone being changed within the body.

3. Sun exposure: Continued sun exposure may also lead to melasma. This is due to the activation of melanocytes within the body which start producing more melanin.

4. Stress: Long periods of stress on the body can also trigger hormonal changes and cause melasma.

5. Thyroid problems: If someone suffers from Hypothyroidism or low levels of the thyroid hormone, it can trigger other hormonal changes and also cause this skin disorder. 
It has also been noticed that people with generally a darker skin tone tend to get melasma and it is less common in people with fairer skin.

Certain characteristics of Melasma
Melasma develops in certain patterns which can be easily diagnosed either as spots on the skin similar to freckles or brown patches of skin that grow bigger. Some of these patterns are:
a. Malar pattern: This grows on the nose and cheeks
b. Mandibular pattern: Starts growing around the jaw line
c. Brachial melasma: This grows on the upper arms and shoulders
d. Lateral cheek pattern: Grows on the cheek on both sides of the face
e. Centrofacial pattern: Nose, upper lips, forehead and cheeks

Treatment of Melasma
Most women who develop melasma during pregnancy report that it goes away after childbirth. However certain forms of melasma may appear in non-pregnant women due to hormonal changes. Treating the underlying hormonal changes usually resolves the problem. However certain other methods may be required to resolve the issues such as skin creams, chemical peels, dermabrasion and microdermabrasion.

3887 people found this helpful

Know Everything About Melasma

Dr. Sandesh Gupta 92% (5137 ratings)
MBBS, Diploma in Venerology & Dermatology (DVD)
Dermatologist, Delhi
Know Everything About Melasma

A common skin condition, which causes the discoloration of your skin in patches across the face, melasma is more of a social embarrassment and cause for distress rather than being a serious condition. Although it affects men as well, studies have shown that over 90 percent of patients are women. It is also known as the mask of pregnancy as many pregnant women develop this skin condition.

Causes of Melasma

Primary causes of melasma have been attributed to various hormonal changes within the body. Let's look at some of the factors that may cause this disorder:

  1. Pregnancy: This is often attributed as the leading cause of melasma, the primary cause has often been attributed to hormonal changes that a woman may experience due to pregnancy.
  2. Treatments that may change hormonal balance: Women on contraceptive pills or who have implants such as intrauterine devices may also develop this disorder. This is due to the balance of estrogen and progesterone being changed within the body.
  3. Sun exposure: Continued sun exposure may also lead to melasma. This is due to the activation of melanocytes within the body which start producing more melanin.
  4. Stress: Long periods of stress on the body can also trigger hormonal changes and cause melasma.
  5. Thyroid problems: If someone suffers from Hypothyroidism or low levels of the thyroid hormone, it can trigger other hormonal changes and also cause this skin disorder. 

It has also been noticed that people with generally a darker skin tone tend to get melasma and it is less common in people with fairer skin.

Certain characteristics of Melasma

Melasma develops in certain patterns which can be easily diagnosed either as spots on the skin similar to freckles or brown patches of skin that grow bigger. Some of these patterns are:

  1. Malar pattern: This grows on the nose and cheeks
  2. Mandibular pattern: Starts growing around the jaw line
  3. Brachial melasma: This grows on the upper arms and shoulders
  4. Lateral cheek pattern: Grows on the cheek on both sides of the face
  5. Centrofacial pattern: Nose, upper lips, forehead and cheeks

Treatment of Melasma

Most women who develop melasma during pregnancy report that it goes away after childbirth. However certain forms of melasma may appear in non-pregnant women due to hormonal changes. Treating the underlying hormonal changes usually, resolves the problem. However certain other methods may be required to resolve the issues such as skin creams, chemical peels, dermabrasion and microdermabrasion. If you wish to discuss about any specific problem, you can consult a dermatologist.

4555 people found this helpful

Facts You Should Know About Melasma!

Dr. Aanchal Sehrawat 85% (93 ratings)
MBBS, Diploma In Dermatology & Venerology & Leprosy (DDVL), DNB Dermatology
Dermatologist, Gurgaon
Facts You Should Know About Melasma!

Melasma is a type of tan or dark skin discoloration in which hyper pigmented patches appear on cheeks, nose, upper lip and forehead. It is also known as chloasma or the mask of pregnancy when it appears in pregnant women causing them to lose their proverbial glow. It is also common among women on the verge of menopause (Skin Changes After Menopause), or those taking patch or oral contraceptives. It also tends to appear in women who are taking medications for hormone replacement treatment. Melasma is more common among women than men with a whopping 90% of women getting it. Melasma is also seen in other parts of the body that is exposed to the sun.

While the discoloration doesn't do any physical harm, it may leave you feeling out of place and self conscious.

Though it isn't totally clear what causes this problem, the common pattern of the problem in women shows that estrogen and progesterone sensitivity are associated with the condition. Stress and thyroid disease is also known to trigger this condition as both problems lead to hormonal imbalances. Sun exposure is also one of the known causes of melasma as it triggers tanning. Ultraviolet rays also affect the cells responsible for pigments or melanocytes.

Because one of the causes of melasma is hormonal imbalance, it often rectifies itself when the root cause is addressed. For some women it disappears on its own. If this doesn't happen, the doctor may prescribe external creams to lighten the skin. External skin treatment like chemical peels, dermabrasion, and microdermabrasion are also suggested depending on the severity of the condition. These are common skin treatments that strip away the top layer which may lighten the dark patches. Though external treatments can improve the overall appearance, it doesn't guarantee that the dark patches won't resurface again if the underlying hormonal problem isn't resolved. A combination of external and internal treatment can help improve the skin quality and prevent reoccurrence to an extent. During the treatment procedure and afterwards, you'll also have to limit your sun exposure and wear sunscreen regularly.

If you visit a dermatologist, they may mostly use the wood lamp method (a method in which the skin is viewed under a specific light) to determine the depth of your melasma.

Some treatments like those with tretinoin, an acid, cannot be used done during pregnancy.

If you've tried all the above but are yet to find relief, you'll need to find coping mechanisms. You can use concealers and makeup to cover the patch. You'll also need to wear and SPF 30 sunscreen and a big hat that shades your face.

If the disease is affecting you psychologically and you feel self conscious get help from a local support group.

The most important part of skin managment is Sunscreen, Strictly avoid steroid creams or triple combination creams like melalite, cosmelite and many more. It will give quick results and then you will get sensitive skin, white patches or vitiligo type skin unwanted hairs over face, thin skin and telangiectasia etc and also u become addicted to these creams. 

Always consult a qualified dermatologist.

3491 people found this helpful

Melasma: How Can It Be Diagnosed?

Amatrra Skin & Hair Clinic 90% (147 ratings)
Dermatologist, Delhi
Melasma: How Can It Be Diagnosed?

Melasma is a common skin problem where the skin becomes patchy brown, tan, or there is blue grey facial skin discoloration. It is also known as chloasma or mask of pregnancy. It occurs in women during the reproductive years and occurs rarely in men. It is primarily related to external sun exposure, external hormones like birth control pills and internal hormonal changes seen during pregnancy. Women with Melasma have a history of daily or intermittent sun exposure.

  • Symptoms of Melasma: Melasma causes patches of discoloration, which are darker than typical skin colour. It occurs symmetrically with matching marks on both sides of face. It normally appears on the upper cheeks, upper lip, forehead and chin. It can also occur on the other areas of one's body which are often exposed to sun. Skin discoloration is not physically harmful, but it can affect the self-confidence of a person. Darker skinned individuals are more at risk as compared to fair skinned individuals. Melasma is associated with oestrogen and progesterone sensitivity, thus it can be triggered by birth control pills, pregnancy and hormone therapy. In few cases, stress and thyroid disease can also cause Melasma. Women taking hormone replacement therapy during menopause are also at high risk of getting Melasma
  • Diagnosis of Melasma: A visual exam of the affected area is sufficient to diagnose Melasma. The doctor will perform the wood's lamp examination that uses ultraviolet (UV) light to look at the skin closely. However, the doctor may perform a biopsy to check for any serious skin conditions.
  • Treatment of Melasma: When Melasma is caused by pregnancy or birth control pills, it disappears on its own. One can use creams containing hydroquinone or prescribed topical steroids, which can lighten the tone of the affected areas. Other options include chemical peels, dermabrasion and microdermabrasion which will remove the upper layers of skin and help lighten dark patches. In cases of severe Melasma, doctor may suggest laser treatments to remove the dark pigment.

It is quite possible that Melasma will clear up with treatment, there are things one must do to not to aggravate the condition and minimize appearance of the discoloration. These include usage of makeup to cover areas of discoloration, wearing sunscreen daily or wearing a hat with wide brim to provide shade to the face. The patients with Melasma are known to be at a lesser risk for Melanoma. Even if Melasma disappears, it can strike back especially if preventive measures regarding exposure to sun are not followed. Resolution with strict sun avoidance and topical bleaching creams can take sufficient time and patients should expect slow, but gradual lightening.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3543 people found this helpful

Melasma - Know Everything About It!

Dr. Rishi Parashar 84% (14 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Dermatology
Dermatologist, Delhi
Melasma - Know Everything About It!

A common skin condition, which causes the discoloration of your skin in patches across the face, melasma is more of a social embarrassment and cause for distress rather than being a serious condition. Although it affects men as well, studies have shown that over 90 percent of patients are women. It is also known as the mask of pregnancy as many pregnant women develop this skin condition.

Causes of Melasma

Primary causes of melasma have been attributed to various hormonal changes within the body. Let's look at some of the factors that may cause this disorder:

  1. Pregnancy: This is often attributed as the leading cause of melasma, the primary cause has often been attributed to hormonal changes that a woman may experience due to pregnancy.
  2. Treatments that may change hormonal balance: Women on contraceptive pills or who have implants such as intrauterine devices may also develop this disorder. This is due to the balance of estrogen and progesterone being changed within the body.
  3. Sun exposure: Continued sun exposure may also lead to melasma. This is due to the activation of melanocytes within the body which start producing more melanin.
  4. Stress: Long periods of stress on the body can also trigger hormonal changes and cause melasma.
  5. Thyroid problems: If someone suffers from Hypothyroidism or low levels of the thyroid hormone, it can trigger other hormonal changes and also cause this skin disorder. 

It has also been noticed that people with generally a darker skin tone tend to get melasma and it is less common in people with fairer skin.

Certain characteristics of Melasma

Melasma develops in certain patterns which can be easily diagnosed either as spots on the skin similar to freckles or brown patches of skin that grow bigger. Some of these patterns are:

  1. Malar pattern: This grows on the nose and cheeks
  2. Mandibular pattern: Starts growing around the jaw line
  3. Brachial melasma: This grows on the upper arms and shoulders
  4. Lateral cheek pattern: Grows on the cheek on both sides of the face
  5. Centrofacial pattern: Nose, upper lips, forehead and cheeks

Treatment of Melasma

Most women who develop melasma during pregnancy report that it goes away after childbirth. However certain forms of melasma may appear in non-pregnant women due to hormonal changes. Treating the underlying hormonal changes usually, resolves the problem. However certain other methods may be required to resolve the issues such as skin creams, chemical peels, dermabrasion and microdermabrasion. In case you have a concern or query you can always consult an expert & get answers to your questions!

2473 people found this helpful

Melasma - Know Everything About It!

Dr. Zeenat Bhalwani 89% (13 ratings)
MD Skin, DDV (Diploma in Dermatology and Venereology), MBBS
Dermatologist, Mumbai
Melasma - Know Everything About It!

A common skin condition which causes the discoloration of your skin in patches across the face, melasma is more of a social embarrassment and cause for distress rather than being a serious condition. Although it affects men as well, studies have shown that over 90 percent of patients are women. It is also known as the mask of pregnancy as many pregnant women develop this skin condition.

Causes of Melasma
Primary causes of melasma have been attributed to various hormonal changes within the body. Let's look at some of the factors that may cause this disorder:

  1. Pregnancy - This is often attributed as the leading cause of melasma, the primary cause has often been attributed to hormonal changes that a woman may experience due to pregnancy.
  2. Treatments that may change hormonal balance - Women on contraceptive pills or who have implants such as intrauterine devices may also develop this disorder. This is due to the balance of estrogen and progesterone being changed within the body.
  3. Sun exposure - Continued sun exposure may also lead to melasma. This is due to the activation of melanocytes within the body which start producing more melanin.
  4. Stress - Long periods of stress on the body can also trigger hormonal changes and cause melasma.
  5. Thyroid problems - If someone suffers from Hypothyroidism or low levels of the thyroid hormone, it can trigger other hormonal changes and also cause this skin disorder. 

It has also been noticed that people with generally a darker skin tone tend to get melasma and it is less common in people with fairer skin.

Certain characteristics of melasma
Melasma develops in certain patterns which can be easily diagnosed either as spots on the skin similar to freckles or brown patches of skin that grow bigger. Some of these patterns are:

  1. Malar pattern - This grows on the nose and cheeks
  2. Mandibular pattern - Starts growing around the jaw line
  3. Brachial melasma - This grows on the upper arms and shoulders
  4. Lateral cheek pattern - Grows on the cheek on both sides of the face
  5. Centrofacial pattern - Nose, upper lips, forehead and cheeks

Treatment of Melasma
Most women who develop melasma during pregnancy report that it goes away after childbirth. However certain forms of melasma may appear in non-pregnant women due to hormonal changes. Treating the underlying hormonal changes usually resolves the problem. However certain other methods may be required to resolve the issues such as skin creams, chemical peels, dermabrasion and microdermabrasion. In case you have a concern or query you can always consult an expert & get answers to your questions!

2669 people found this helpful

Melasma - All About It!

Dr. Jagatjit Singh 85% (256 ratings)
MBBS, DHMS-Harvard, Masters in Clinical Dermatology
Dermatologist, Chandigarh
Melasma - All About It!

A common skin condition, which causes the discoloration of your skin in patches across the face, melasma is more of a social embarrassment and cause for distress rather than being a serious condition. Although it affects men as well, studies have shown that over 90 percent of patients are women. It is also known as the mask of pregnancy as many pregnant women develop this skin condition.

Causes of Melasma

Primary causes of melasma have been attributed to various hormonal changes within the body. Let's look at some of the factors that may cause this disorder:

  1. Pregnancy: This is often attributed as the leading cause of melasma, the primary cause has often been attributed to hormonal changes that a woman may experience due to pregnancy.
  2. Treatments that may change hormonal balance: Women on contraceptive pills or who have implants such as intrauterine devices may also develop this disorder. This is due to the balance of estrogen and progesterone being changed within the body.
  3. Sun exposure: Continued sun exposure may also lead to melasma. This is due to the activation of melanocytes within the body which starts producing more melanin.
  4. Stress: Long periods of stress on the body can also trigger hormonal changes and cause melasma.
  5. Thyroid problems: If someone suffers from Hypothyroidism or low levels of the thyroid hormone, it can trigger other hormonal changes and also cause this skin disorder. 

It has also been noticed that people with generally a darker skin tone tend to get melasma and it is less common in people with fairer skin.

Certain characteristics of Melasma

Melasma develops in certain patterns which can be easily diagnosed either as spots on the skin similar to freckles or brown patches of skin that grow bigger. Some of these patterns are:

  1. Malar pattern: This grows on the nose and cheeks
  2. Mandibular pattern: Starts growing around the jawline
  3. Brachial melasma: This grows on the upper arms and shoulders
  4. Lateral cheek pattern: Grows on the cheek on both sides of the face
  5. Centrofacial pattern: Nose, upper lips, forehead, and cheeks

Treatment of Melasma

Most women who develop melasma during pregnancy report that it goes away after childbirth. However certain forms of melasma may appear in non-pregnant women due to hormonal changes. Treating the underlying hormonal changes usually, resolves the problem. However certain other methods may be required to resolve the issues such as skin creams, chemical peels, dermabrasion, and microdermabrasion.

1 person found this helpful

Melasma - All You Should Know About It!

Dr. Neeharika Manchanda 90% (60 ratings)
MBBS, MD - Dermatology , Venereology & Leprosy, DNB - Dermatology & Venereology
Dermatologist, Delhi
Melasma - All You Should Know About It!

A common skin condition, which causes the discoloration of your skin in patches across the face, melasma is more of a social embarrassment and cause for distress rather than being a serious condition. Although it affects men as well, studies have shown that over 90 percent of patients are women. It is also known as the mask of pregnancy as many pregnant women develop this skin condition.

Causes of Melasma

Primary causes of melasma have been attributed to various hormonal changes within the body. Let's look at some of the factors that may cause this disorder:

  1. Pregnancy: This is often attributed as the leading cause of melasma, the primary cause has often been attributed to hormonal changes that a woman may experience due to pregnancy.
  2. Treatments that may change hormonal balance: Women on contraceptive pills or who have implants such as intrauterine devices may also develop this disorder. This is due to the balance of estrogen and progesterone being changed within the body.
  3. Sun exposure: Continued sun exposure may also lead to melasma. This is due to the activation of melanocytes within the body which start producing more melanin.
  4. Stress: Long periods of stress on the body can also trigger hormonal changes and cause melasma.
  5. Thyroid problems: If someone suffers from Hypothyroidism or low levels of the thyroid hormone, it can trigger other hormonal changes and also cause this skin disorder. 

It has also been noticed that people with generally a darker skin tone tend to get melasma and it is less common in people with fairer skin.

Certain characteristics of Melasma

Melasma develops in certain patterns which can be easily diagnosed either as spots on the skin similar to freckles or brown patches of skin that grow bigger. Some of these patterns are:

  1. Malar pattern: This grows on the nose and cheeks
  2. Mandibular pattern: Starts growing around the jaw line
  3. Brachial melasma: This grows on the upper arms and shoulders
  4. Lateral cheek pattern: Grows on the cheek on both sides of the face
  5. Centrofacial pattern: Nose, upper lips, forehead and cheeks

Treatment of Melasma

Most women who develop melasma during pregnancy report that it goes away after childbirth. However certain forms of melasma may appear in non-pregnant women due to hormonal changes. Treating the underlying hormonal changes usually, resolves the problem. However certain other methods may be required to resolve the issues such as skin creams, chemical peels, dermabrasionand microdermabrasion.

3300 people found this helpful

Melasma and it's Management

Kaya Skin Clinic 91% (379 ratings)
Dermatology Backed Expert Skin & Hair Care Solution
Dermatologist, Kolkata
Melasma and it's Management

Melasma is one of the most common forms of hyperpigmentation .It commonly appears as brow or gray -brown patches on the face . These patches are usually symmetrical and visible on cheeks,forehead,bridges of nose,above the uper lip and chin .

CAUSES OF MELASMA

Melasma is more common in women than men.

1) Sunexposure

2) A change of hormonal level ( pregnancy)

TREATMENT OF MELASMA

1} Sunprotection -is the key factor for decreasing melasma.

2} Depigmenting agents

a} Hydroquinone- the most common used agent ,works to inhibit a melanin -producing enzyme . It has potent antioxidant abilities.Topical hydroquinone creams comes in 2% and 4% concentrations alone or with tretinoin.Creams containing hydroquinone is intended for short-term use. A dermatologist recommendation is very important .

b} Arbutin -natural source of hydroquinone ,is considered to be much safer . It is dervided from the leaves of bearberry,cranberry,mulberry or blueberry shrubs .It too has the ability to ihibit melanin production.

To enhance skin-lightening ,the following ingredients may also help .

Pocedures fr Melasma

Chemical peels - eg. glycolic acid ,tricholroacetic acid )work well in treatment of melasma . These exfoliate the superfical layers of the skin and increase the cell turnover,which triggers the fading of unwanted pigmentation . The number of sessions depend on the level of pigmentation and skin sensitvity.

Lasers- escpecially the Q-switched Nd:YAG laser ,have a positive effect on early melasma . These are also relatively safe o Indian skin.The laser light beam acts on the pigment(melanin) clumps within the skin and fragments them.Once fragmented ,these are easily cleared by body's immune system . It is done in a gap f 15 to 20 days for a minimum of 8 to 10 sessions.

19 people found this helpful
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