Pigmentation (Melasma / Freckles)

PIGMENTATION

ABOUT FRECKLES

Freckles are small, multiple, symmetrical,discrete, flat, pale brownish hyperpigmented lesion, that occurs in sun exposed area of fair complexioned individuals. It is caused by UV radiation leading to localized excess of production of melanin (pigment responsible for skin colour).

It is more commonly seen in genetically predisposed individuals and mostly, over face, shoulder and back. Seasonal variation i.e., increases in summer and decrease in winters in the number is also seen in this condition.

MELASMA / CHLOASMA

About Melasma

It is an acquired patchy tan brown or blue-gray skin discoloration seen on the face and generally common among women in their reproductive years. Though also possible in males, it is seldom seen in them.

Occurrence

Melasma typically appears on the forehead, upper cheeks, upper lip, forehead, and chin of women between 20-50 years of age.

Triggers

While its exact cause is still unknown, some of the common triggers are –

• A history of daily or intermittent and unprotected sun exposure.
• External hormones like birth control pills, hormone replacement therapy, and internal hormonal changes during pregnancy. Melasma that occurs during pregnancy is called chloasma or “the mask of pregnancy” and is caused due to an increase in hormone levels like estrogen, progesterone and a melanocyte stimulating hormone.
• Family history
• Anti-seizure medications
• Certain products or treatments that cause an increase in melanin production.

Management

• Use mild gentle cleansers that are not too harsh and do not erode the natural moisture of the skin.
• Skin lightening creams can be used like hydroquinone, azelaic acid, glycolic acid, tretinoin creams, kojic acid, soy, arbutin and those containing liquorice. But these should be used under strict guidance and as prescribed.
• Use of a good sunscreen with an SPF of 30+ with both UVA and UVB protection filters, is a must. Sunscreens containing physical blockers, such as zinc oxide and titanium dioxide, are recommended to block UV rays. The regular use of sun protection enhances Melasma treatments.

Treatments at skin & you clinic for melasma?

• CACI treatment
• Mesotherapy treatment
• Chemical peels
• Derma roller treatment
• Whitening injections – glutathione injections can be injected in the patches and they cause whitening of the area of pigmentation.

Why Skin & You Clinic for Melasma and freckles Treatment?

Melasma is a difficult condition which requires careful management. Any aggressive treatments can make it worse. At Skin & You Clinic, Mumbai, we specialize in the treatment of Melasma. After establishing the type of Melasma you have and the depth of pigmentation, treatment plans are formulated. We have a wide range of treatments available that are combined with the best technology, customised to best suit your skin type.