Melasma is a common skin condition that involves chronic and relapsing hyper-pigmentation. It is extremely common in Indians, occurring both in females and males, though there is a higher incidence in females.
It occurs as bilaterally symmetrical and well-demarcated brown patches on the areas of cheeks, nose, jawline, around the upper lip.
Main causative factors include:
- Sun exposure
- Birth control pills
- Genetic predisposition
- Thyroid disorders
- Hormone replacement therapy
- Anti-seizure medications
- Pregnancy – blotchy spots of darker skin appear, a condition known as chloasma or mask of pregnancy.
Treatment of melasma at our clinic is customized to each patient. Dr. Neha Sharma, the best dermatologist in Gurgaon, believes in first identifying the cause, eliminating the triggering factors and then proceeding to the treatment.
Different options for treatments are available which depends on the suitability and type of pigmentation. There are available options such as:
- Chemical peels aim to uniform the skin.
- Laser technique by employing the use of lasers to treat vascularity and pigmented lesions. The laser procedure is performed by emitting controlled light energy to the treatment area.
- Active ingredients in the form of topical creams for pigment suppression.
Following precautions can go a long way to minimize recurrences:
- Limiting sun-exposure.
- Using a medicated sunscreen.
- Wearing a hat when outside.
I have been taking Chemical peels from Dr Neha for treating melasma. I am very content with the results that I have got. She is a very genuine and honest doctor.
Doctor!!! thanks to you for treating my melasma ....so worried about my looks and already visited multiple doctors for same but it's you ...your treatment and humble Nature...never had chance to say thanks ...thanks for your laser treatment ...!!!
What is the main cause of melasma?
Sun exposure is the main cause of melasma. Other causes include Pills for birth control, pregnancy, and hormone therapy, few anti anxiety medications and thyroid disorders.
What is the best treatment for melasma?
Sunscreen, limiting sun exposure form the main basis of treatment. Various topical preparations like kojic acid, alpha arbutin, glycolic acid, hydroquinone, azelaic acid, retinoids when used in right concentrations help in curing pigmentation. Chemical peels, Instant power radiance and LASERS help in faster and better resolution of pigmentation.
How do you stop melasma from spreading?
Daily sunscreen use, limiting sun exposure and outdoor hats (broad-brimmed hats help keep rays off vulnerable parts of the face) can prevent melasma from spreading. Also, any other underlying cause like medications or hormones, needs to be addressed.
Can Melasma be cured?
Yes, melasma can be treated and it can go away though complete clearance requires effort and strict precautions. Topical medications, Chemical Peels, Microdermabrasion and LASER are various options that your doctor can recommend depending on the pigmentation.
Is microneedling good for melasma?
Microneedling alone or used in combination with vitamins and antioxidants can cause lightening of pigmented spots. Multiple sessions may be required.
Does stress aggravate acne?
Yes, stress can aggravate acne. Stress activates propriomelanocortin gene which prompts the skin to produce more pigment. Our bodies also interprets lack of sleep as stress so even this can aggravate melasma.
How long does it take melasma to go away?
If the melasma occurred because of hormonal changes like those in pregnancy or due to birth control pills, it will fade after stoppage of the pills or after deliver.
While in other cases melasma can be quite stubborn and may last for years. In some cases, it can be permanent as well. If the discoloration does not fade away then it would be better to seek treatment.
Does melasma go away?
Although melasma is a chronic disorder with periodic ups and downs, it does go away. Correct and early treatment helps in faster resolution. Also, the exact cause should be ruled out.