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Melasma

Melasma

Melasma, also known as chloasma, is a condition that causes uneven skin coloration. It occurs when there is an excess of skin pigmentation due to the overproduction of melanin by melanocytes, the cells responsible for producing melanin.

There are several factors that can contribute to the development of melasma, including exposure to ultraviolet light, genetic predisposition, and hormonal imbalances. Interestingly, the blue light emitted from LED screens, such as those found on cell phones, televisions, and laptops, can also play a role in the formation of melasma.

Melasma tends to appear on areas of the skin that are frequently exposed to the sun, such as the forehead, nose, cheeks, upper lip, chin, neck, arms, and back.

How is Melasma Diagnosed?

Diagnosing melasma can often be done by examining the discolored skin. In some cases, a Wood’s lamp, also known as a black light, can be used to determine the depth of the irregular pigmentation. This device can highlight differences in fluorescence within the skin pigment, making it easier to assess the extent of the condition.

Melasma can be classified into three types: dermal, epidermal, and mixed.

Dermal melasma does not have well-defined borders and may appear bluish or light brown. It does not differ in appearance under a black light and is the most challenging type to treat.

Epidermal melasma presents as dark brown patches with distinct edges and is easily visible under a black light.

Mixed melasma is the most common type and is characterized by a combination of brown and bluish colors. Its appearance under a black light shows a mixed pattern. Treatment options can vary depending on the type of melasma.

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The Treatment

Am I a Candidate for Melasma Treatment?

If you are concerned about bluish or brown patches of skin, it is recommended to consult with a dermatology provider at The Art of Skin Dermatology  for a diagnosis and assessment of your eligibility for melasma treatment. Generally, candidates for treatment should be in good overall health. It is preferable for patients to be non-smokers, although smokers can still be considered if they are willing to quit smoking for a period of time. Having realistic expectations is crucial, as melasma can be challenging to treat, and the effectiveness of treatments can vary from person to person. Some cases of melasma may resolve on their own once the underlying cause, such as medication use, is addressed.

Who Does Melasma Effect?

Melasma is more common in women, especially those in their reproductive years who take hormones or use oral contraceptives. Pregnancy can also increase the likelihood of developing melasma, often referred to as the “mask of pregnancy.” Certain medications, such as anti-seizure drugs, and thyroid disorders can also contribute to the development of melasma.

What Treatments are Available for Melasma?

Treatment options for melasma depend on various factors, including skin tone, skin type, and the severity of the hyperpigmentation.

Topical medications like hydroquinone and tretinoin can be effective in lightening the skin, but they may cause skin irritation and dryness.

Microneedling can be recommended to prevent melasma recurrence and promote healing after laser skin resurfacing.

Vitamin C serums, which have antioxidant properties and inhibit melanin production, are often incorporated into melasma treatments. Chemical peels containing salicylic acid or glycolic acid can help even out the skin tone.

Overall, melasma is a complex skin condition that requires personalized treatment approaches based on individual factors. Consulting with a dermatologist is essential for proper diagnosis and the development of an effective treatment plan.

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Tania is very thorough and answers any questions you have. She always makes you feel comfortable and you leave knowing that if you need her you can email her anytime.

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High regards for Art of Skin. Very positive experience. Special thanks to Nicole G., PA-C, for her sensitivity, patience, sense of humor and medical expertise.

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Time was taken to answer every question. I never felt hurried and the wait to be seen was minimal. All my concerns were addressed and the overall experience was one of caring about me as a patient. Would absolutely recommend to everyone.

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Excellent!!! From the second you walk in, you know you made the right decision to use their services.. highly recommend.

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