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Melasma Health Feed

My doctor wrote melasma +Tc And amyloidosis I want to know What does that mean? Is it related to my symptoms? Or not I consulted her for pigmentation on my neck and blackheads on my nose with few pimples on my forehead and the treatment she gave me Tab conan 150 (week) Tab rexons 180 (daily once) D acne face wash Derma dew soap For 15 days And consult after 1 month Please give suggestions to start the treatment or not.

Dr. Parminder Punn 91% (173 ratings)
MD - Homeopathy, BHMS
Homeopath, Ludhiana
My doctor wrote melasma +Tc
And amyloidosis I want to know What does that mean? Is it related to my symptoms? Or not ...
 Melasma is a common skin problem. It causes brown to gray-brown patches, usually on the face. Most people get it on their cheeks, bridge of their nose, forehead, chin, and above their upper lip. It also can appear on other parts of the body that get lots of sun, such as the forearms and neck. Causes r  birth control pills, pregnancy, and hormone therapy can all trigger melasma. Stress and thyroid disease are also thought to be causes of melasma. Additionally, sun exposure can cause melasma because ultraviolet rays affect the cells that control pigment. Although you can start the treatment n can see the results urself in 15 days .if desirable results you get you contunue.
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Melasma - Know Everything About It!

Dr. Rishi Parashar 84% (10 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!

2467 people found this helpful

Melasma In Indian Population

Dr. Amey Kelkar 87% (51 ratings)
MD - Dermatology , Venereology & Leprosy, MBBS Bachelor of Medicine and Bachelor of Surgery
Dermatologist, Pune
Melasma In Indian Population

Melasma is one of the most common pigmentary disorders presenting to the dermatology clinics. The exact cause of melasma is unknown. Plenty of oral as well as topical medications are available for the management of melasma.

Causes of melasma:  

Melasma manifests as symmetric hyper pigmented macules on the face. It is common in people with Fitzpatrick skin types 4 to 6. Some of the causative factors are:

Hormonal Influence:

Patients with melasma have increased levels of luteinizing hormones and low levels of serum estradiol.

Drugs:

Drugs like phenytoin may lead to development of melasma.

Pregnancy :  Is a known factor in the development of melasma.

Sun Exposure : Also leads to the development of melasma.

Clinical Features:

Pigmentation and darkening of the skin is noted on the cheeks, nose as well as the forehead. Sometimes a generalised diffuse pigmentation is noted. There are 3 main patterns of distribution: Centro facial, malar and mandibular.

Treatment:

Hydroquinone and triple combinations are considered as gold standards in the management of melasma.

However they should be prescribed for a shorter period. Milder depigmenting agents like kojic acid, azelaic acid, glycolic acid can be given for a longer duration to avoid side effects of long term use of hydroquinone.

Chemical peels like glycolic acid peels or retinol peels also provide good results.

Recently tranexemic acid has been used in the management of melasma with good results. Both oral as well as topical formulations are used.

Melasma is a chronic condition with a high tendency to relapse. However with proper medications as well as sun protection, excellent results are obtained.

9 people found this helpful

Is there any permanent cure for melasma in ayurveda. Does it reoccur again and again?

Dr. Priya Barai 94% (1070 ratings)
BAMS, PG-Diploma In (Cosmetology & Laser Therapy)
Ayurveda, Kolhapur
Is there any permanent cure for melasma in ayurveda. Does it reoccur again and again?
Melasma occurs due to hormonal imbalance so when ever there will be imbalance, it will result in appearance of melasma but for cosmetic purpose you can fade it by 50-60 percent by peeling, micro derma abrasion and carbon laser.
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Doctor ,mere face mei melasma aur freckles aya hai. Mere age 28 years female. Kai bar doctor ko bhi dikhaya .thik hota hai medicine use karne se lekin fir se aa jate hai. Please doctor what to do. Kuch remedy bataiye.

Dr. Pavan Murdeshwar 93% (1802 ratings)
MCh - Plastic & Reconstructive Surgery
Cosmetic/Plastic Surgeon, Bangalore
Doctor ,mere face mei melasma aur freckles aya hai. Mere age 28 years female. Kai bar doctor ko bhi dikhaya .thik hot...
Hello. The blemishes or freckles can be treated by many ways. The sunscreen lotion definitely helps in further worsening of the condition if you are in the tropical zone. But these are best treated by the laser skin rejuvenation which permanently removes such pigmentations. Do consult a skin specialist for the same. U can consult online with me as well.
1 person found this helpful
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Hi, may I know how to use melalite cream, What time its effective more and how long can we use?

Dr. Jatin Soni 92% (37200 ratings)
MBBS
General Physician, Mumbai
Hi, may I know how to use melalite cream, 
What time its effective more and how long can we use?
It’s better to avoid using it because of risk of developing rashes in direct sunlight and cancer in near future
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Melasma ko kese fight kare. Kese care kare .can you suggest me. Is ke liye sahi cream konsa hai. Nd ye hamesh ke liye face se jata hai kya?

Dr. Abhishek Vijayakumar 91% (2093 ratings)
MCh Plastic Surgery, MS - General Surgery
Cosmetic/Plastic Surgeon, Bangalore
Melasma ko kese fight kare. Kese care kare .can you suggest me. Is ke liye sahi cream konsa hai. Nd ye hamesh ke liye...
Hello, Melasma is a difficult problem to correct as recurrance high. Creams, chemical peels, oral tranexamic acid laser are all options. But will always require maintenance with some depigmenting creams and sunscreen.
1 person found this helpful
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Is melasma is curable by any treatment or medicine , I usually two light patch on my cheek bone may due to hormonal pill I used kindly help.

Dr. Abhishek Vijayakumar 91% (2093 ratings)
MCh Plastic Surgery, MS - General Surgery
Cosmetic/Plastic Surgeon, Bangalore
Is melasma is curable by any treatment or medicine , I usually two light patch on my cheek bone may due to hormonal p...
Hello, Melasma is a difficult condition to treat as has high recurrence. The treatment involves creams, oral tranexemic acid chemical peels, lasers etc. After getting results it needs to be maintained with depigmentation creams and sunscreen.
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Your Guide to Melasma: How To Treat Tricky Age Spots?

Dr. Himanshu Singhal 91% (33 ratings)
MD - Skin,VD & Lepxsy, MBBS
Dermatologist, Rewari
Your Guide to Melasma: How To Treat Tricky Age Spots?

Melasma is a condition that causes the skin to bear a patchy appearance with dark and discoloured segments. It is also commonly known as chloasma when it is found in pregnant women. This is a condition that can be found in women more commonly than it is found in men. Let us cast a glance on the symptoms, causes, as well as the ways of identifying and treating this condition.

  • Identifying Melasma: There are many symptoms with which one can identify and recognise Melasma. These include brownish coloured patches that may appear on the cheeks, forehead, chin and even the bridge of the nose. These patches will usually be much darker than the actual skin colour of the patient, which makes them stand out even more prominently. One will generally see these symmetrical patches on either sides of the face and other parts of the body that are left exposed to the Sun for prolonged hours, on a regular basis. These symptoms can help you in identifying the condition, in which case you must immediately see a dermatologist who will help in formal diagnosis and immediate treatment.
  • Causes: The causes of Melasma are unknown so far. Sensitivity to estrogen and progesterone are also considered as the cause behind the advent of this skin condition, especially during menopause and for women who regularly take birth control and other hormonal pills for any other ailment. Constant exposure to the Sun can also alter the cells that create and control one's pigment also known as melanocytes.
  • Diagnosis: The diagnosis of Melasma is done with the help of a physical examination that will study the area that has been affected. Thereafter, the doctor may perform the wood's lamp examination where a light is held up against the skin so that the doctor can check the depth of the skin that has been affected. A biopsy may be conducted for more severe cases by taking a small portion of skin tissue and examining under the microscope.
  • Treatment: Most women report that Melasma disappears on its own. These patches slowly fade after delivery, or once the birth control pills and hormonal therapy stop. One needs to use a good sunscreen at all times of the day. A light makeup helps to camouflage the condition. The dermatologist can also ask you to use certain medicated creams that can help in fading the patches to a great extent. Also, chemical peels and dermabrasion are other mild procedures that can be carried out in such cases, to exfoliate the top layer of the skin. Q switched laser helps to treat the resistant dermal melasma cases. One must remember that these ointments and procedures do not guarantee that the condition will not recur in the future. In several patients, Melasma needs maintenance treatment to prevent recurrence.

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

 

4239 people found this helpful

Sir, I have melasma on my forehead and my forehead h discoloured please suggest me an effective ayurvedic cream which can permanently cure it.

Dr. Jagmeet Kaur 94% (1099 ratings)
MD-Ayurveda,Kayachikitsa(Ayurvedic physician), BAMS, MD
Ayurveda, Jammu
Sir, I have melasma on my forehead and my forehead h discoloured please suggest me an effective ayurvedic cream which...
Yes it is cureable apply kinky lepam oint for 15 days. If you Dnt find relief consult me for more details.
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