Treatment FAQ

what is a melasma treatment

by Forrest Runte PhD Published 2 years ago Updated 2 years ago
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Medication

Treating Melasma from the Inside

  1. DIM (Diindolylmethane) One of the most effective and powerful supplements you can use is known as DIM or Diindolemethane. ...
  2. Indole 3 Carbinol Indole 3 Carbinol or I3C for short is another product which helps your body break down estrogen and is also found in certain plants . ...
  3. Zinc Picolinate

Therapy

  • Minimizing sun exposure is key. ...
  • Try these safer remedies. ...
  • Avoid these treatments. ...
  • Elta MD UV Clear Broad-Spectrum SPF 46, $36. ...
  • La Roche-Posay Mela-D Pigment Control, $39.99. ...
  • The Ordinary Azelaic Acid Suspension 10%, $7.90. ...
  • glo Skin Beauty Triple Action Serum, $78. ...
  • OMI Revitalize Get Even Day Cream, $100. ...
  • Dermablend Foundation for Dark Spots, $40. ...

Self-care

  • Hydrafacials! ...
  • Using a retinol cream every night! ...
  • Vitamin C Serum - this is the other product Rachel recommended and I use this before my retinol cream every night. ...
  • A good exfoliator! ...
  • Dermaplaning - I have done this twice in the last 5 months but doing this a few times a year can also really help! ...

Nutrition

Melasma home remedies

  • Aloe vera. A 2017 study on pregnant women with melasma found using a topical, liposome-encapsulated aloe vera preparation significantly improved their melasma.
  • Polypodium leucotomos. This is a fern native to Central and South America. ...
  • Tranexamic acid. ...
  • Glutathione. ...
  • Sun protection. ...

How to cure melasma from the inside out?

What is melasma and how to treat it?

How I got rid of melasma naturally?

Can you treat your melasma with home remedies?

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How can I remove melasma from my face?

Doctors often use hydroquinone as the first line of treatment for melasma. Hydroquinone is available as a lotion, cream, or gel. It works by lightening the color of the skin patches. A person can apply the hydroquinone product directly to the patches of skin that are discolored or uneven.

What is the main cause of melasma?

There are two main causes of melasma: radiation, whether ultraviolet, visible light, or infrared (heat) light; and hormones. Ultraviolet and infrared radiation from the sun are key in making melasma worse.

How can I remove melasma from my face naturally?

Here are 5 expert-backed home remedies to cure melasma:Aloe vera gel. Aloe vera is known to relieve many inflammation issues in the skin. ... Lemon juice. Lemon juice helps to treat melasma similar to that of apple cider vinegar. ... Black tea. Black tea water can be used as a spot-lightening treatment. ... Turmeric. ... Tomato.

Can melasma be cured permanently?

The bad news is that melasma is a chronic condition that isn't currently curable. The good news is that the dark patches this condition causes do fade over time and can be effectively managed.

Which is the best cream for melasma?

Plus the 4 best melasma creamsThis Melasma Cream with Azelaic Acid and Arbutin. SkinCeuticals Phyto A+ Brightening Treatment. ... This Melasma Cream with Arbutin and Vitamin C. Obagi Medical Nu-Derm Clear Fx. ... This Melasma Cream with Azelaic Acid and Glycolic Acid. ... This Melasma Cream with Niacinamide and Kojic Acid.

What melasma looks like?

Melasma patches are brown or grayish-brown. They may form on your upper lip, or on other parts of your face or neck. They're often symmetrical. They may appear under each nostril, or on your entire upper lip, giving it a darkened, mustache-like appearance.

What is the best soap for melasma?

The best facial scrub for melasma is Pidanti Smoothing Polish Face and Body Scrub, which gently removes dead skin cells and leaves a smooth, even-toned appearance.

What vitamins are good for melasma?

Conclusions: Full-face iontophoresis of vitamin C appears to be an effective short-term treatment for melasma and postinflammatory hyperpigmentation.

Which deficiency causes melasma?

Background — Melasma is a chronic acquired localized hypermelanosis, causing aesthetic problem for women and impairing their quality of life. Evidence has suggested that hyperpigmentation can occur as a result of iron deficiency anemia and vitamin B12 deficiency.

What makes melasma worse?

Sun exposure: Exposure to the sun's rays can make melasma worse and this includes being in the heat and visible light. It doesn't have to be a very hot day out, but if the sun is beaming on your skin, the melasma can immediately get worse.

Can lemon remove melasma?

Lemon juice is acidic in nature which helps in removing the outer layer of the skin, thereby eliminating the layer of the hyper pigmented skin. You can apply lemon juice on the melasma spots and gently rub it for two to three minutes everyday. You can use this remedy twice for three weeks.

What hormone causes melasma?

Melasma is often associated with the female hormones estrogen and progesterone. It is common in: Pregnant women. Women taking birth control pills (oral contraceptives)

How to diagnose melasma?

Your dermatologist or other healthcare provider will examine your skin to diagnose melasma. They’ll use a Wood’s lamp (a black light) to see changes in the color of your skin. You might have your thyroid checked because there does seem to be an association between thyroid disease and melasma.

How long does melasma last?

Melasma is a typically chronic disorder. This means that it’s long-lasting (three months or more). Some people have melasma for years or their entire lives. Other people may have melasma for just a short time, such as during pregnancy.

Why is melasma worse?

Ultraviolet and infrared radiation from the sun are key in making melasma worse. Other possible causes of melasma include:

What does it mean when you have a dark brown spot on your face?

Melasma is a common skin disorder. Loosely translated, the word means “black spot.”. If you have melasma you’re probably experiencing light brown, dark brown and/or blue-gray patches on your skin. They can appear as flat patches or freckle-like spots. Commonly affected areas include your face, including the cheeks, upper lip and forehead, ...

Why is melasma called the mask of pregnancy?

Melasma is sometimes called the “mask of pregnancy” because it frequently affects pregnant women. Melasma typically darkens and lightens over time, often getting worse in the summer and better in the winter. Another, less common name for melasma, is chloasma.

What color is melasma?

Epidermal: Epidermal melasma has a dark brown color, a well-defined border, appears obvious under black light and sometimes responds well to treatment. Dermal: Dermal melasma has a light brown or bluish color, a blurry border, appears no differently under black light and doesn’t respond well to treatment.

How common is melasma?

Melasma is a very common skin disorder, especially among pregnant women. 15% to 50% of pregnant women get it. Between 1.5% and 33% of the population may get melasma and it happens more often during a woman’s reproductive years, and rarely happens during puberty. It usually starts between 20 and 40 years of age.

What is the best treatment for melasma?

Doctors often use hydroquinone as the first line of treatment for melasma. Hydroquinone is available as a lotion, cream, or gel. A person can apply the hydroquinone product directly to the patches of skin that are discolored. Hydroquinone is available over the counter, but a doctor can also prescribe stronger creams.

How long does melasma last?

For other people, melasma can last for years or even for the rest of their lives.

What is triple cream?

In some cases, a dermatologist may choose to prescribe combination creams that may contain hydroquinone, corticosteroids, and tretinoin in one. These are called triple creams.

Why does melasma occur?

Causes. Doctors do not fully understand why melasma occurs. It may be due to the malfunction of the melanocytes (the color-making cells) in the skin , causing them to produce too much color.

What is the name of the pigmentation disorder that causes brown patches on the face?

Symptoms. Diagnosis. Treatment. Outlook. Melasma is a common pigmentation disorder that causes brown or gray patches to appear on the skin, primarily on the face. The most common areas for melasma to appear on the face include: the bridge of the nose. the forehead.

What is the most common area for melasma to appear?

The most common area for patches of melasma to appear is the face.

Where does melasma appear?

the upper lip. Melasma may also appear on other areas of the body, especially those exposed to a lot of sunlight. These areas may include: the forearms. the neck. the shoulders. According to the American Academy of Dermatology, only 10 percent of all cases of melasma occur in men.

What is the best treatment for melasma?

“ There are prescriptions such as Triluma, which contains a combination of hydroquinone, a retinoid, and steroid for the treatment of melasma,” Garshick shares.

How to reduce melasma?

Another great way to reduce the appearance of melasma is by stimulating cell turnover, which will help to gradually replace pigmented cells: “Our EGF Activating Serum contains natural epidermal growth factors that stimulate the skin’s ability to regenerate and heal, gradually brightening and lifting hyperpigmentation over time,” Benjamin says.

What is it called when you have dark spots on your face?

Melasma —maybe you’ve heard of it. Or perhaps you’re scratching your head wondering what on Earth it is. Which, to be honest, makes sense, considering it’s more commonly referred to as dark spots on your face. Now that we have your undivided attention, let’s dive in.

What is the best way to remove dark spots on your face?

Turmeric, aloe, papaya, almond oil, and yogurt can be applied topically on the skin to fade dark spots naturally, however, the results may not happen as quickly or as consistently as formulated products.

Can melasma reoccur after treatment?

Because of this, Green reminds us that melasma can reoccur post-treatment, especially if you don’t make the treatments a regular part of your routine, or if repeated sun exposure is part of your day-to-day. But don’t let that discourage you.

Can birth control cause melasma?

Because melasma has been linked to hormonal changes and imbalances, it's possible that birth control can play a role in exacerbating your melasma. 1  If you use hormonal birth control, consult your physician or a dermatologist about how your prescription might be making your melasma worse, and if there is a different contraceptive that might be better suited for you.

Does melasma come and go?

Although there are various treatments that help improve melasma and many people do find success with them, Garshick tells us that melasma is a skin condition that can come and go with the seasons and varying levels of estrogen. What’s more, while it’s largely not something to worry about in the grander scheme of health, Green says that the appearance of melasma can be an indication of underlying health conditions such as thyroid disease or other endocrine problems. Because of this, if the treatments above don’t seem to do you any good, you should most definitely seek out a derm’s professional opinion on what’s going on with your skin and health as a whole.

What is melasma?

Melasma is a form of hyperpigmentation that typically presents as brown patches on the face (most often on the forehead, cheeks, chin, and above the upper lip), although it can also appear on the arms or neck. While scientists don’t know exactly what causes melasma, they believe that hormones play a role since it’s primarily seen in women.

Causes of melasma & why does melasma happen?

Melasma seems to kick the melanocytes in the skin into overdrive. Melanocytes are the cells that produce melanin (aka pigment). Because the melanocytes in people with darker skin tones are already more active than those in individuals with lighter complexions, people with darker skin are more likely to develop melasma.

What are the types of melasma?

There are actually three kinds of melasma, although you’ll need a dermatologist and their Wood’s lamp (a device that emits black light to detect pigment irregularities, among other things) to know conclusively which one you have.

How to Treat Melasma

Resolving melasma requires a two-pronged approach: Fade the existing patches and prevent them from returning.

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What is the best serum for melasma?

For existing melasma, board-certified dermatologist Fran Cook-Bolden likes to use treatments both morning and night. For the mornings, she recommends ISDIN Pigment Expert, a highly concentrated serum formulated to target discoloration. It includes glycolic acid, which exfoliates and evens out skin tone; licorice-root extract for brightening; and a pigment corrector.

What causes melasma flares?

Two main factors that contribute to melasma are exposure to UV light and hormone changes, so “summertime and pregnancy are common times when melasma flares,” adds Dr. Nava Greenfield of Schweiger Dermatology Group. While Charles, Greenfield, and the five other dermatologists we talked to say a combination of prescription-strength medications ...

How does hydroquinone help with melasma?

Six of our experts named it as an extremely effective way to treat melasma flare-ups, especially via products that combine hydroquinone with other active ingredients like exfoliating acids.

How much is Belli sunscreen?

Belli Pure Radiance Mineral Sunscreen. $24. If you’re pregnant, Greenfield recommends this 100 percent mineral sunscreen — which is also fragrance, paraben, and oil free — to help prevent melasma breakouts. “It’s formulated to be pregnancy safe, which can help prevent flares during pregnancy,” she says. $24 at Amazon.

What is the best exfoliant for dark spots?

Dr. Lian A Mack, a board-certified dermatologist, recommends glycolic acid, a chemical exfoliant, for fighting discoloration because it (like most exfoliants) speeds up cellular turnover and helps to reduce dark patches.

What is the term for dark spots on the forehead?

14 items in this article 2 items on sale! Melasma, a common form of skin discoloration that typically appears as dark-brown patches on the forehead, cheeks, nose, and upper lip, can be exceedingly frustrating to get rid of. It affects both men and women (and can flare up even if you’ve gone years — or your whole life — without a breakout), ...

Can you use topical medication for melasma?

While Charles, Greenfield, and the five other dermatologists we talked to say a combination of prescription-strength medications and in-office treatments is always the most comprehensive way to treat melasma, there are over-the-counter topical products you can use to help prevent and fade it. Below, our experts’ recommendations for the most effective over-the-counter ways to treat and prevent melasma, including a couple of products specifically picked for pregnant women.

What is the best treatment for melasma?

Laser treatments can be a good option for treating melasma that’s resistant to other treatment options, like skin-lightening agents or chemical peels. Lasers permeate your outer layer of skin, resulting in cell renewal for brighter, more even skin.

What is a melasma?

When to talk with a pro. Takeaway. Melasma is a skin condition that causes gray or brown spots of discoloration on your skin. It can happen to anyone, and is not dangerous to your health, but it can be an annoying cosmetic issue. Melasma most commonly involves sun-exposed areas of your skin including: cheeks. upper lip.

How long does it take for melasma to clear after laser treatment?

You may need follow-up treatments because sometimes melasma clears days after laser therapy, but returns in about 3 months.

How to prevent melasma from worsening?

To prevent melasma from worsening or returning post-treatment, always wear high SPF sunscreens, even on cloudy days. Your doctor may also recommend that you continue to use a skin-lightening treatment post-laser.

Is laser treatment for melasma bad?

What to Expect from Laser Treatments for Melasma. Melasma is a skin condition that causes gray or brown spots of discoloration on your skin. It can happen to anyone, and is not dangerous to your health, but it can be an annoying cosmetic issue.

Is melasma more common in women than men?

Melasma is more common in women than men. People with light brown skin from regions of the world with intense sun exposure experience it.

Is Q switch laser good for melasma?

Another 2017 research review. Trusted Source. showed that people who experience melasma during pregnancy, and do not plan to become pregnant again are good candidates for laser treatment.

What is the best treatment for melasma?

Retinol. Retinoids are a must for melasma. They speed up your cell's turnover rate, meaning they help push those damaged, hyper-pigmented skin cells to the surface (and then slough them off) to make room for fresh, new, and undamaged skin cells.

How to treat melasma at home?

After years of trial and error (read: trying lots of products that either did absolutely nothing or fully sizzled my skin off), I've found that a consistent routine of brightening serum plus a thick layer of mineral SPF in the morning, along with a retinoid at night is the best way to treat melasma at home. But be warned: You don't want to overdo it since inflammation can trigger melanocytes and end up worsening your melasma, says Dr. Okereke. That means chill with the dermarollers/microneedlers and scrubs and stick to these tried-and-true products, below, instead.

How long does it take for melasma to go away?

Don't expect to slather on a bunch of products and suddenly be melasma free. Be patient with it—most routines take three to four months to yield visible results. Now for the good news: If you can't be patient and want your melasma gone ASAP (like for a wedding or special event), you can head to the derm for a chemical peel (Dr. Obayan recommends one with salicylic acid, trichloroacetic acid, or glycolic acid) or a laser treatment (like IPL or ngYAG). These treatments are on the pricey side ($300+), but are great for when you want ~dramatic~ results and fast.

What does melasma look like?

Unlike dark marks or post-inflammatory hyperpigmentation (which both look like small spots in concentrated areas of the face), melasma is often widespread, appearing as grayish-brown, mask-like patches on the cheeks, bridge of nose, chin, forehead, and above upper lip, explains Uchenna R. Okereke, MD, dermatologist at The Dermatology Specialists in NYC.

Why is melasma hard to treat?

The overactivity can happen for any number of reasons (which is one of the reasons melasma is so hard to treat), but the two biggest causes are sun exposure and hormones, hence why you sometimes hear melasma referred to as a "sunstache" (sun!) or "pregnancy mask" (hormones!).

What serum can I use to fade melasma?

Brightening serum. It's going to do all the heavy lifting when it comes to fading your melasma. Look for one with vitamin C (ideally in the 10 to 20 percent range), tranexamic acid, kojic acid, and/or hydroquinone (which, FYI, is the most intense and potentially irritating of the brighteners, so skip if you have anything but "tough" skin).

Does melasma go away?

Not only is melasma be caused by a zillion different things, but it's also STUBBORN. So once you get it, it doesn't just magically go away, even if you throw a ton of products at it.

What is the best treatment for melasma?

triple cream (combination of hydroquinone, tretinoin, and a corticosteroid) azelaic acid. kojic acid. If topicals aren’t working, your dermatologist might recommend a procedure to treat your melasma, such as: chemical peel. dermabrasion.

How to prevent melasma from returning?

And once your melasma clears, your doctor might recommend maintenance therapy to prevent it from returning. No matter what treatment is the best option for you, remember prevention is key. Wear sunscreen every day and a wide-brimmed hat whenever you’re outside. Last medically reviewed on October 12, 2018.

How long does it take for melasma to clear?

You may have melasma if you have gray-brown patches of skin on your face. Your doctor can confirm a diagnosis and provide treatment. Be patient during treatment. It often takes months before results are seen. And once your melasma clears, your doctor might recommend maintenance therapy to prevent it from returning.

What is a gray-brown skin disorder?

Overview. Melasma is a common skin disorder characterized by gray-brown discolored patches of skin on areas of the face exposed to the sun. Melasma can affect anyone, but it appears most often in women who have darker complexions. It’s been associated with female hormones.

What are the causes of melasma?

Melasma can affect anyone, but it appears most often in women who have darker complexions. It’s been associated with female hormones. Melasma is also a common skin disorder for the following groups: 1 women using birth control pills 2 pregnant women 3 menopausal women using hormone replacement therapy

Does aloe vera help with melasma?

A 2017 study on pregnant women with melasma found using a topical, liposome-encapsulated aloe vera preparation significantly improved their melasma.

Can you get melasma at home?

Melasma home remedies. If your melasma is triggered by pregnancy or birth control pills, it’s possible the discolored patches will fade on their own after the pregnancy or if you stop taking the pills. You might consider treating your melasma at home, though. Here are some common home remedies:

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