Melasma is the brown discoloration of the skin that appears on the cheeks, nose, upper lip and forehead. Often initiated by hormonal fluctuations or heredity, the condition is exacerbated by sun exposure and skin irritants. There is no cure for melasma but there are some treatments to lighten or prevent further worsening of the area.
A combination therapy approach seems to work best for melasma. Since sun exposure, even incidental exposure will make the condition worse, a sunscreen of at least SPF 30 and or a sun block of zinc or titanium oxide is essential. In addition, skin bleaching or lightening creams will decrease the pigmentation. The bleaching creams do not bleach the skin as much as inhibit the activity of pigment producing skin cells. Over the counter products that contain hydroquinone or retinol products can be effective. However stronger concentrations of hydroquinone, kojic acid or azelaic acid are available by prescription and tend to be more successful. Generally three or more months are required to see improvement.
Chemical peels, microdermabrasion and some laser treatments can also be helpful in decreasing the pigment. Unfortunately these treatments are not always consistent with their results and maintenance sessions are required. Contact your dermatologist or skin care specialist to discuss your melasma issues. They will be able to direct you to the best approach for your skin. |
