Melasma
Melasma: What it is & how to manage it.
What is Melasma?
Melasma is a common skin condition characterized by brown or grayish-brown patches on the skin, typically appearing on the face. These patches most commonly affect areas such as the cheeks, forehead, bridge of the nose, upper lip, and chin. The condition can also appear on other parts of the body that are exposed to the sun, such as the forearms and neck.
The exact cause of melasma is not fully understood, but it is believed to be linked to several factors including hormonal changes, sun exposure, dilated blood vessels, inflammation, and genetic predisposition. Hormonal changes, particularly those related to pregnancy, birth control pills, or hormone replacement therapy, are known to trigger melasma. This is why the condition is often referred to as the “mask of pregnancy.”
how is melasma treated?
The best treatment for Melasma depends on the severity of the condition and the individual’s skin type. Generally a combination of treatments using different modalities to target the various underlying triggers of Melasma. Nutrition and lifestyle changes are very important in maintaining results after treatment.
Here are some treatment options that may be effective:
Sun Protection
Protecting the skin from sun exposure is crucial in managing melasma. Sun exposure can worsen the condition, making the patches darker and more prominent. Effective sun protection strategies include:
- Using a Broad-Spectrum Sunscreen: Apply a broad-spectrum sunscreen with an SPF of at least 30 daily. Ensure the sunscreen provides protection against both UVA and UVB rays.
- Wearing Protective Clothing: Utilize wide-brimmed hats, long sleeves, and sunglasses to shield the skin from direct sunlight.
- Avoiding Peak Sun Hours: Stay indoors or seek shade during peak sun hours, typically between 10 AM and 4 PM.
Topical Creams
Prescription-strength topical creams are often used to lighten the dark patches caused by melasma. These creams contain various brightening agents, including:
- Hydroquinone: Often considered the gold standard for melasma treatment, hydroquinone works by inhibiting melanin production.
- Kojic Acid: A natural skin lightener derived from fungi, kojic acid can help reduce the appearance of dark spots.
- Arbutin: An extract from the bearberry plant, arbutin has skin-lightening properties and is less irritating than hydroquinone.
- Tretinoin: A derivative of vitamin A, tretinoin helps promote cell turnover and the removal of pigmented cells.
- Corticosteroids: These can help reduce inflammation and lighten dark patches.
Topical treatments may take several weeks or months to show noticeable results and should be used under the guidance of a licensed dermatologist with expertise in melasma.
Oral Medications
Oral medications can also play a role in the management of melasma. These include:
- Tranexamic Acid: An antifibrinolytic agent that has shown promising results in treating melasma. It works by inhibiting the activation of melanocytes.
- Melatonin: Known for its antioxidant properties, melatonin can help protect the skin from UV damage.
- Lutein and Zeaxanthin: These carotenoids, found in green leafy vegetables, can help protect the skin from UV damage and improve skin health.
Chemical Peels
Chemical peels involve applying a chemical solution to the skin, which causes the top layers to peel off. This can help improve the appearance of melasma by removing the pigmented layers. Commonly used acids in chemical peels for melasma include:
- Glycolic Acid: An alpha-hydroxy acid that helps exfoliate the skin and reduce pigmentation.
- Salicylic Acid: A beta-hydroxy acid that helps with skin exfoliation and is particularly effective for oily skin.
- Trichloroacetic Acid peels with brighthening agents and anti-oxidants
- Cosmelan peel -proprietary controlled peel system designed to restore balance to the skin and maintain results.
Dermal Infusions
Hydrafacial and Glo2 Oxygeneo facials are a non-invasive procedures that combines microdermabrasion with the infusion of hydrating serums. This treatment helps remove the outermost layer of skin, promoting cell turnover and reducing the appearance of melasma. Multiple sessions may be required to achieve optimal results.
Laser Therapy
Laser therapy can be an effective treatment for melasma by targeting and breaking down the excess pigment in the skin. Various types of lasers can be used, including:
- Fractional Lasers: These create micro-injuries in the skin, promoting the removal of pigmented cells and stimulating collagen production.
- Q-Switched Lasers: These target the melanin in the skin, breaking it down and reducing pigmentation.
Multiple treatments over several months may be required to achieve the desired results. It is important to note that laser therapy should be performed by a skilled and experienced dermatologist to minimize the risk of side effects and ensure the best outcome.
MANAGING MELASMA: LIFESTYLE AND HOME CARE TIPS
In addition to professional treatments, there are several lifestyle and home care measures that can help manage melasma:
- Consistent Sun Protection: As mentioned earlier, protecting the skin from sun exposure is crucial. Make sunscreen application a daily habit, even on cloudy days.
- Avoiding Triggers: Identify and avoid potential triggers such as certain medications, cosmetics, and stress, which may exacerbate melasma.
- Gentle Skincare: Use gentle, non-irritating skincare products to avoid inflammation and further pigmentation. Avoid harsh exfoliants and abrasive scrubs.
- Healthy Diet: A balanced diet rich in antioxidants can support skin health. Include foods high in vitamins C and E, as well as omega-3 fatty acids.
what results can I expect from melasma treatment?
Given the complex nature of melasma, the best treatment and management plan involves taking action to remove dark patches, inflammation and blotchy blood vessels, attention to diet and nutrition to eliminate potential inciting agents, while faithfully applying topical inhibiting creams and protecting the skin with sunscreen.
