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Melasma

Melasma causes dark, blotchy patches on the skin due to hormonal changes. Discover causes, symptoms, and treatments at Derma Advance.

An old lady suffering with Melasma on her face.

What is Melasma?

Melasma is a skin condition marked by dark, blotchy patches on the face, usually due to hormonal changes. It's common during pregnancy or with oral contraceptive use.

Melasma results from an overproduction of melanin, leading to dark patches primarily on the face. This condition is often triggered by hormonal fluctuations, such as those occurring during pregnancy or from using birth control pills. Sun exposure exacerbates the condition, making the patches more noticeable.

Treatments for melasma include topical creams, chemical peels, and laser therapy. It’s important to protect the skin from the sun and follow a dermatologist's advice for effective management. While melasma can be persistent, proper treatment can significantly reduce its appearance.

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Image of a girl having Melasma skin condition on her face and cheeks.

What Melasma looks like?

Symptoms of Melasma

What are the Symptoms of Melasma?

Symptoms of melasma include dark, irregularly shaped patches on the face, particularly on the cheeks, forehead, nose, and upper lip. These patches are usually symmetrical and can vary in color from light brown to dark brown or gray.

Melasma is typically asymptomatic, meaning it doesn't cause physical discomfort. However, it can have significant psychological effects, impacting an individual’s self-esteem and confidence. Early diagnosis and consistent treatment are crucial for managing the condition effectively.

  • Facial Dark Patches

    Dark, blotchy patches typically appear on the cheeks, forehead, nose, and upper lip, with a symmetrical pattern.

  • Cheek Hyperpigmentation

    The cheeks are a common area for melasma, where dark patches may form due to hormonal changes and sun exposure.

  • Forehead Discoloration

    The forehead can develop dark patches, often worsened by sun exposure, forming a characteristic ‘mask-like’ appearance.

  • Upper Lip Pigmentation

    Melasma can cause dark spots on the upper lip, which can resemble a mustache, often aggravated by sun exposure.

  • Symmetrical Patches

    Melasma often presents as symmetrical patches, meaning both sides of the face are affected equally, a distinguishing feature of this condition.

  • Neck and Forearm Spots

    In some cases, melasma can also affect sun-exposed areas like the neck and forearms, leading to dark patches.

Diagnosis of Melasma

Diagnosing melasma involves a physical examination of the skin, reviewing medical history, and occasionally performing further tests to confirm the condition.

1

Physical Examination

A dermatologist will assess the affected areas for characteristic dark patches, examining their color, shape, and distribution.

2

Medical History Review

Reviewing your medical history helps identify potential triggers like hormonal changes or medication use contributing to melasma.

3

Wood's Lamp Examination

This test involves using ultraviolet light to examine the skin, helping to determine the depth and extent of pigmentation.

4

Biopsy

In rare cases, a skin biopsy may be performed to rule out other conditions and confirm the diagnosis of melasma.

5

Hormonal Assessment

An evaluation of hormonal levels may be conducted to identify imbalances that could be causing or exacerbating melasma.

6

Sun Exposure History

Assessing your history of sun exposure helps determine if UV radiation is a contributing factor to melasma.

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Meet Our Expert Melasma Specialists

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Dr. Divya Thakur
Dr. Divya Thakur is an Expert Dermatologist. She is a Gold Medalist and has achieved MBBS, MD, DVL.
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Dr. Aditi Singh
Dr. Aditi Singh is our expert Aesthetic Physician and she has 4 Years of Experience.
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Treatment of Melasma

How is Melasma treated?

Melasma treatment focuses on reducing the appearance of dark patches and preventing further pigmentation. Topical creams containing hydroquinone, tretinoin, or corticosteroids are commonly used to lighten the skin. These treatments help reduce melanin production and promote skin cell turnover.

More intensive treatments, such as chemical peels and laser therapy, can be effective in breaking down melanin and rejuvenating the skin. Chemical peels use acids to exfoliate the skin, while laser therapy targets pigment deposits with light energy. It’s crucial to perform these treatments under professional guidance to avoid complications.

Sun protection is essential in treating melasma. Regular use of a broad-spectrum sunscreen with an SPF of 30 or higher helps prevent the condition from worsening. Protective clothing and avoiding direct sunlight during peak hours are also recommended. Consistent follow-up with a dermatologist ensures the best results in managing melasma.

  • Topical Creams

    Creams containing hydroquinone, tretinoin, or corticosteroids help lighten dark patches by reducing melanin production.

  • Chemical Peels

    Chemical peels use acids to exfoliate the top layers of the skin, promoting cell turnover and reducing pigmentation.

  • Laser Therapy

    Laser therapy targets and breaks down melanin deposits in the skin, helping to lighten dark patches effectively.

  • Microdermabrasion

    Microdermabrasion is a minimally invasive procedure that exfoliates the skin, reducing the appearance of melasma by removing the outermost layer.

  • Sun Protection

    Regular use of broad-spectrum sunscreen with an SPF of 30 or higher helps prevent melasma from worsening and protects treated areas.

  • Oral Medications

    In some cases, oral medications like tranexamic acid may be prescribed to reduce melasma by addressing the underlying hormonal or vascular factors.

Causes of Melasma

1

Hormonal Changes

Fluctuations in hormones, such as during pregnancy or from birth control, can trigger melasma, leading to dark patches on the skin.

2

Sun Exposure

UV radiation stimulates melanin production, making sun exposure a significant factor in the development and worsening of melasma.

3

Genetics

Genetic predisposition plays a role, as individuals with a family history of melasma are more likely to develop the condition.

4

Medications

Certain medications, including some oral contraceptives and anti-seizure drugs, can cause or worsen melasma due to their effect on hormone levels.

5

Skin Inflammation

Inflammation from skin injuries or conditions like acne can trigger melanin overproduction, leading to melasma.

6

Cosmetic Products

Some cosmetic products that irritate the skin can increase the risk of melasma, especially if they make the skin more sensitive to sunlight.

How to Prevent Melasma?

Melasma is a skin condition marked by dark, blotchy patches on the face, usually due to hormonal changes. It's common during pregnancy or with oral contraceptive use.

A Girl showing how she prevented Melasma and now she has a clear skin.

Prevention of melasma involves diligent sun protection using broad-spectrum sunscreen with a high SPF. Wearing protective clothing and avoiding peak sunlight hours also reduce exposure.

Maintaining a healthy skincare routine, including gentle cleansing and moisturizing, helps keep the skin in optimal condition. It’s essential to manage hormonal changes under medical supervision and avoid triggers like harsh skin treatments. Early intervention can significantly reduce the risk of melasma.

Personal Awareness

Prevention starts with awareness. Having a basic knowledge of your body and being alert to any changes in it is crucial.

Regular Checkups

Regularly Checkups at reliable dermatology clinics like Derma Advance can help you detect any potential conditions beforehand.

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