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Melasma is a skin condition characterized by blotchy, brownish pigmentation on the face. Both sides of the face are usually involved with the forehead, cheeks, upper lip and bridge of the nose being the most common areas affected.
What causes melasma?
Melasma occurs mostly in women, especially those that are dark-skinned or who tan easily. Melanocytes, the cells in the skin that produce pigment, produce too much pigment in some areas with melasma. Any change in hormonal status may trigger melasma and it is commonly associated with pregnancy and the use of birth control pills. People with melasma are very sensitive to sun exposure and find that even light through the windows can cause an exacerbation of their pigment.
What Melasma treatment options are available?
Treatment for melasma can be very slow as not everyone responds the same to medication, so patience is necessary. Start gently, with any melasma treatment perscribed especially if you have sensitive skin. Harsh treatments may result in an increase in pigmentation rather than improvement.
Combining the following treatments is usually the most effective way to decrease melasma:
· Daily sun protection including sunscreens with an SPF of at least 30
· Chemical peels to increase exfoliation
· Professional strength skin products used daily to decrease the over-production of pigment
· IPL, Profractional and Laser Peels are sometimes effective in people who are light skinned and who don't tend to respond to irritation with increased pigment
How fast will I see results from melasma treatments?
Since the treatment for melasma involves decreasing the production of pigment, it takes at least 2 months for the new, lighter skin to reach the surface. There is not a best way to treat melasma but about 30% of patients can achieve complete clearance with a prescription agent that contains a combination of hydroquinone, tretinoin and a topical corticosteroid. This medication can be obtained from Skinspirations. Long term control requires melasma treatments with persistent sunscreen use as well as close supervision by your skin care physician but the results are worth the effort.
Call our office now at 727.571.1923 or contact us online to learn more about the best way to treat melasma and how we can help you achieve the look you want. |
