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 licorice. 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

• Micro-pulse treatment
• Mesotherapy treatment
• Chemical peels
• Dermaroller treatment

Why Skin & You Clinic for Melasma 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.