Melasma Prevention and Treatment Tips

Melasma, localized to the face, is seen primarily in women. Irregular light to dark brown areas of pigmentation occur on the forehead, temples, upper lip, chin and cheeks. It is more common in patients with darker skin although patients with all skin types can be affected. Melasma mostly presents in 20s, 30s, and 40s although it is occasionally seen in other age groups.

There are many causes of melasma. Ultraviolet radiation (sunshine and tanning beds) is the most important factor in causing this dreaded skin condition. This is collaborated by the findings of melasma starting and worsening in the summer. Other factors that are important include hormonal influences (pregnancy and the use of birth control pills,) genetic predisposition (patients with the family history of melasma have higher chances of developing melasma themselves) as well as the use of irritating or fragrant skin care products.

The most important factoring preventing the development as well as worsening of melasma is appropriate facial sun protection with broad-spectrum sunscreen (UVA and UVB) as well as avoidance of tanning beds. This point can not be overemphasized.

Once melasma develops, we still need to continue sun protection as well as the introduction of pigment modifying methods. Hydroquinone, vitamin A derivatives, azelaic acid, topical vitamin C, kojic acid as well as glycolic and salicylic acid are the topical products with the most success. These can be used in over-the-counter (drug stores and cosmetic counters) as well as prescription strength varieties (dermatology offices as well as pharmacies with doctor prescription.) In addition, chemical peels (glycolic acid and salicylic acid) as well as light based technologies (IPL – Intense Pulsed Light and laser) can be used by the experts. The danger of inappropriate treatment is that melasma can get significantly worse – really complicating future therapies. It is also important to note that, at least some of the treatment for melasma, have to be continues for quite some time in an effort to keep melanocytes from becoming overactive.

Melasma is a common yet frustrating condition to treat. The good news is that with early therapy, appropriate facial sun protection, topical preparations, chemical peels as well as light-based technologies most patients can expect good results. It is critical to see an experienced skin expert such as a dermatologist for accurate diagnosis as well as optimal therapy. The objective is to stop melasma from casting a shadow on your inner beauty.