Melasma

Melasma is a dark skin discoloration that appears on sun-exposed areas of the face. Melasma is a very common skin disorder. Though it can affect anyone, young women with brownish skin tones are at greatest risk. Melasma is often associated with the female hormones estrogen and progesterone. It is especially common in pregnant women, women who are taking birth control pills and women taking hormone replacement therapy during menopause.

Over the years, various treatments developed to treat melasma including:

  • Chemical peels. The most commonly used acid compounds to remove melasma include trichloroacetic acid, azelaic acid, glycolic acid, lactic acid and various fruit extracts. Stronger peeling agents tend to have a higher effectiveness rate than lighter strength peeling agents. Stronger peeling agents may also carry the risk of side effects such as burning, skin peeling, scarring and even worsening the skin discoloration.
  • Skin lightening agents. There are many skin lightening agents on the market and the most commonly used is hydroquinone. Numerous other agents sold in herbal and nutrition stores may work as skin lightening agents as well, however each patient has a unique skin type and reactions to skin lightening agents vary.
  • Sunscreens, especially those which are mineral based, such as zinc and titanium.
  • Laser skin rejuvenation
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