What is Melasma?

Melasma is a common acquired hypermelanosis predominantly of the face and neck and, occasionally, the forearms, According to the American Academy of Dermatology, 5-6 million American women have melasma. Melasma is seen most frequently in young women taking birth control pills and also occurs commonly during pregnancy.

Melasma

Melasma is a challenge to successfully treat and requires great discipline with regards to continuous sun protection. Melasma also increases in patients with thyroid disease. Melasma is a cosmetic problem that is difficult to treat.

Treatments

Treatments to hasten the fading of the discolored patches include:Topical depigmenting agents, such as hydroquinone (HQ) either in over-the-counter (2%) or prescription (4%) strength. Treatments are based on the idea of total sun protection and the use of products designed to decrease pigmentation within the surface skin layer. In all of these treatments the effects are gradual and a strict avoidance of sunlight is required. Many physicians outside the dermatologic community have not been aware of available treatments and therefore, have typically not addressed the problem unless asked, or have reassured their patients that the hyperpigmentation would fade after delivery. Fortunately, most people can obtain satisfying results with a combination of sunscreen/avoidance and appropriate topical treatments.

Melasma is a chronic and recurrent disorder. Melasma is often associated with the female hormones estrogen and progesterone. Melasma is a cosmetic problem that is difficult to treat.


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