Melasma Treatment

Melasma is a common skin disorder seen in men and especially women. It is quite commonly seen in pregnant women and is often referred to as the “mask of pregnancy”. It presents itself as a dark facial skin rash with irregular borders. The rash is usually recognized by its symmetrical presentation on the cheeks, lips, nose or forehead. Skin discoloration can also occur on the upper arms. The skin discoloration can vary in color ranging from a dark brown to a deep grey.

The condition is universal and seen in all cultures and ethnicities; however it is far more commonly seen in Asians, Hispanics, Arabs and North Africans who all seem to have higher levels of melanin in their skin and a tendency to tan. Individuals with fair skin may experience a lighter shade of melasma which is not always recognized.

Treatment methods may include:

• Chemical peels. The most commonly used acid compounds to remove melasma include trichloroacetic acid, azelaic acid, glycolic acid, lactic acid and various fruit extracts. Stronger peeling agents tend to have a higher effectiveness rate than lighter strength peeling agents. Stronger peeling agents may also carry the risk of side effects such as burning, skin peeling, scarring and even worsening the skin discoloration.
• Skin lightening agents. There are many skin lightening agents on the market and the most commonly used is hydroquinone. Numerous other agents sold in herbal and nutrition stores may work as skin lightening agents as well, however each patient has a unique skin type and reactions to skin lightening agents vary.
• Sunscreens, especially those which are mineral based, such as zinc and titanium.
• Laser skin rejuvenation

 

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