Treatment FAQ

what is melasma treatment

by Cydney Block Published 3 years ago Updated 2 years ago
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Your dermatologist may prescribe one or more of the following: Hydroquinone: This is a common treatment for melasma. It is applied to the skin and works to even out the skin tone. Hydroquinone is no longer available in products that you can buy without a prescription.Feb 15, 2022

Medication

Feb 15, 2022 · Your dermatologist may prescribe one or more of the following: Hydroquinone: This is a common treatment for melasma. It is applied to the skin and works to even out the skin tone. Tretinoin and a mild corticosteroid: This combination contains a retinoid and an anti-inflammatory, which can even ...

Therapy

Are there any procedures that can help melasma? Chemical peel: In this procedure, your dermatologist will put a chemical on your skin that may make it peel. The skin... Light-based procedures like intense pulsed light, non-ablative fractionated …

Self-care

Thyroid disease may also spur the appearance of melasma. What can treat Melasma ? Though some women can suffer from melasma for years due to their use of contraceptives, melasma usually subsides of its own accord after time, usually a few months. Dermatologists can treat melasma with topical depigmenting agents or other medications.

Nutrition

Aug 13, 2020 · If a topical medication does not help your melasma, a procedure might. Some treatments commonly used to treat melasma are chemical peels (such as glycolic acid), microdermabrasion, micro-needling and lasers. **Melasma treatment should only be done by a medical professional.

How to cure melasma from the inside out?

Feb 04, 2022 · Resolving melasma requires a two-pronged approach: Fade the existing patches and prevent them from returning. Treatment for current cases Ingredients such as vitamin C and kojic acid can help remedy excess pigmentation by inhibiting tyrosinase (an enzyme in the melanocytes that triggers melanin formation).

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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What is the most effective treatment for melasma?

Triple combination cream (hydroquinone, tretinoin, and corticosteroid) remains the most effective treatment for melasma, as well as hydroquinone alone. Chemical peels and laser- and light-based devices have mixed results. Oral tranexamic acid is a promising new treatment for moderate and severe recurrent melasma.

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.Jul 27, 2020

Which cream is good for melasma?

What Are The Best Skin Lightening Creams For Melasma?Skin lightening cream by Eva Naturals – $15.95.Dark spot corrector cream for the face by PurePeaks – $26. ... SkinMedica Lytera 2.0 pigment correcting serum – $154.00.Pigmentclar by La Roche-Posay – $39.00.Glytone dark spot corrector.Hydroquinone.Azelaic Acid.Kojic Acid.May 3, 2020

How can I treat melasma naturally?

Apple cider vinegarCombine equal parts apple cider vinegar and water in a container.Apply to your dark patches and leave on two to three minutes.Rinse using lukewarm water.Repeat twice daily you achieve the results you desire.

Which vitamin is good for melasma?

Called melasma, this condition is believed to be treatable through the use of topical vitamin E. Studies show that hyperpigmentation may be only moderately affected by using topical vitamin E oil. The most effective way to use vitamin E to treat hyperpigmentation is to pair it with vitamin C.Mar 7, 2019

How can I remove melasma from my face?

Treatment options for melasma include:Hydroquinone. Share on Pinterest A person can apply hydroquinone lotion directly to melasma to lighten the skin. ... Corticosteroids and tretinoin. Corticosteroids and tretinoin come in creams, lotions, or gels. ... Combined creams. ... Additional topical medications. ... Medical procedures.

Which oil is best for melasma?

What Are The Best Essential Oils For Melasma Treatment?Argan oil. Argan oil for melasma is one way that is said to treat melasma. ... Bio oil. Bio oil is another potential treatment for melasma. ... Black seed oil. ... Castor oil. ... Coconut oil. ... Tea tree oil.Apr 30, 2020

Does melasma ever go away?

Most people with melasma do not need treatment. Melasma may fade away slowly if you stop taking birth control pills or hormone replacement therapy. If melasma appeared while you were pregnant, it may go away a few months after you have the baby.Aug 30, 2018

How does melasma look like?

Melasma causes patches of discoloration. The patches are darker than your usual skin color. It typically occurs on the face and is symmetrical, with matching marks on both sides of the face. Other areas of your body that are often exposed to sun can also develop melasma.

Can aloe vera remove melasma?

i) Aloe vera for melasma So much so that clinical trials have shown that liposome-encapsulated aloe vera has shown to relieve melasma in pregnant women. It works by rehydrating dry skin, penetrating deep into the skin's layer to nourish it and protect it from the harmful effects of UV exposure.Aug 27, 2020

Is lemon good for melasma?

Other home remedies may actually make melasma worse. Don't apply things like lemon juice, apple cider vinegar, raw onion, or garlic to your skin. These highly acidic ingredients can irritate your skin, which can lead to darkening of the very spots you're trying to lighten.Mar 7, 2021

Is Potato good for melasma?

Some proponents claim that potatoes can help lighten dark spots related to skin freckles, sunspots, and melasma due to a skin-bleaching enzyme called catecholase. In these so-called remedies, raw pieces of potato are blended with other acidic ingredients like yogurt and lemon juice to create a lightening face mask.Nov 18, 2019

Why is melasma so hard to treat?

Your melasma will take daily care - and it may get worse at times - even when you're doing everything right. Hormones continuously trigger these da...

Does the sun make melasma worse?

All wavelengths of sunlight - including the light we can see - can jumpstart melasma. Dr. Lance Setterfield explains in his book, The Concise Guide...

Why does it take so long to fade my dark spots from melasma?

Because there isn't a good way to remove pigment from deep in the dermis (the 2nd layer of skin), it takes longer to fade than pigment in the epide...

What's the best treatment for melasma?

The first / most recommended line of treatment is a topical combination hydroquinone cream, avoiding sun, and NO estrogen exposure. The BEST treatm...

Are there any skin treatments that help melasma?

If a topical medication does not help your melasma, a procedure might. Some treatments commonly used to treat melasma are chemical peels (such as g...

How often does melasma occur?

It usually starts between 20 and 40 years of age. Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission.

How long does it take for melasma to go away?

Melasma is typically a chronic disorder. This means that it’s long-lasting (three months or more). Depending on the person, melasma may go away on its own, it may be permanent, or it may respond to treatment.

What is an example of an antiseizure medication?

An example of an antiseizure medication is Clobazam (Onfi®). · Contraceptive therapy (birth control): Melasma has been observed in individuals who use oral contraceptive pills that contain estrogen and progesterone. Estrogen/Diethylstilbestrol: Diethylstilbestrol is a synthetic (man-made) form of the hormone estrogen.

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, ...

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.

Why do they use a woods lamp?

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. Melasma can sometimes be mistaken for another skin condition.

Why do I have brown spots on my face?

It’s often called the “mask of pregnancy.”. Melasma happens because of overproduction of the cells that make the color of your skin. It is common, harmless and some treatments may help.

How to get rid of melasma?

Take oral contraceptives. Take patch contraceptives. Use hormone replacement therapy drugs. Have a darker (more tan) skin color and live in sunny areas. Have a family history of melasma. Are allergic to certain medications or cosmetics. Thyroid disease may also spur the appearance of melasma.

What is melasma on the face?

What is Melasma? Melasma appears on the face as sections of tan or dark skin not consistent with the patient’s normal skin color. Melasma usually appears slowly and is thought to be the result of sensitivity to hormonal changes.

What is the result of increased production of melanocytes through the hormones progesterone and estrogen?

Melasma is the result of increased production of melanocytes through the hormones progesterone and estrogen when the face is exposed to ultraviolet light. Melasma appears as sections of skin – almost always on the face – that are darker than the patient’s normal skin tone.

How long does it take for melasma to subside?

Though some women can suffer from melasma for years due to their use of contraceptives, melasma usually subsides of its own accord after time, usually a few months. Dermatologists can treat melasma with topical depigmenting agents or other medications.

Is melasma a long term condition?

The dark facial patches are irregularly shaped and have no symptoms beyond their appearance. There are no long-term physiological effects of melasma; however, melasma may cause mild depression in people who are concerned about its effect on their appearance.

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 causes dark spots on the face?

According to cosmetic dermatologist Dr. Michele Green, melasma is a skin condition that causes patches of dark discoloration on the skin. “It usually occurs on the face, predominantly on the cheeks and forehead,” she explains, noting that it’s usually caused by hormonal changes and/or sun exposure. While there are no known health risks associated ...

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.

Is hydroquinone over the counter?

Garshick expands on this, noting that hydroquinone is a well-known lightening cream that has been used for the treatment of melasma for many years with different concentrations available (it used to be available over the counter, but is now only available with a prescription).

Is melasma a health risk?

While there are no known health risks associated with melasma, Green acknowledges that the uneven color has been known to lead to feelings of self-consciousness. Since we believe that everyone should be empowered to feel their most confident, we’ve rounded up a handful of ways to make melasma a skin concern of the past.

What is the best treatment for melasma?

The first / most recommended line of treatment is a topical combination hydroquinone cream, avoiding sun, and NO estrogen exposure. The BEST treatment is what works for you. You may need to experiment with several different treatments to determine the best combination for your melasma.

What is the FDA approved triple cream for melasma?

Currently, the FDA has only approved a triple-combination cream known as Tri-Luma for melasma treatment. It contains 4% hydroquinone / 0.05% tretinoin / and 0.01% fluocinolone acetonide (a steroid that reduces skin inflammation and relieves itching).

What is the chemical that decreases the number of melanosomes and dendrites?

Kojic Acid. Kojic acid is naturally found in soy and mushrooms. It decreases the number of melanosomes and dendrites. (Melanin / pigment is made in the melanosomes then sent to the top layer of skin cells (keratinocytes) via long arm-like structures called dendrites.)

What is HQ in melasma?

Hydroquinone (HQ) Hydroquinone has been used for years in melasma treatment. It's still used alone or combined with other products. HQ blocks a critical step in the formation of melanin. It lightens the skin, essentially by bleaching the pigment where it is applied.

What is silymarin used for?

Silymarin, which comes from milk thistle seeds, is the latest addition in the treatment of melasma. The main component of silymarin is the antioxidant silibinin. And although we don't yet know exactly how it works, it's been shown to have some great effects on skin. Silymarin reduces the dangerous effects of the sun's UV rays (oxidative stress, inflammation, swelling, redness, DNA damage and immune responses). It's also been shown to prevent the production of melanin (which gives your skin its color - and in melasma creates those dark spots) without damaging your cells.

How long does hydroquinone last?

In an effort to minimize side effects, dermatol­ogists commonly cycle hydroquinone. In other words, they prescribe hydroquinone products for 4 months, stop for 4 months, then start again for 4 months, and so on. During off months, a HQ-free skin brightener is recommended.

Is hydroquinone an antioxidant?

It is a potent antioxidant. Dr. S. Larry Schlesinger, MD, FACS, says, "I have been treating Melasma for several years with a cream that I invented with a compounding pharmacy in Hawaii. Although we put hydroquinone as an ingredient in our cream, the key ingredient is Kojic acid.

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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