Melasma

WhatIs ?

Photos

WhatCauses ?

Clinical Presentations Of

Complication Of

Treatment Options For

Prevention Of

What Is Melasma?

Melasma is a pigmentation disorder affecting different layers of skin. It is an extremely difficult and frustrating condition since it takes a long time for patients to notice any considerable improvement.

Photos

melasma_ skincare remotederm
Melasma
melasma sample - remoterdem
Melasma
melasma Example - remoterdem
Melasma
What Causes Melasma?

It presents as light to dark brown irregular patches on face and less commonly on extensor forearms & mid upper chess areas. Facial melasma can be divided into 3 patterns: centrofacial, malar as well as mandibular patterns.

Clinical Presentations Of Melasma
Complication Of Melasma

Melasma can induce significant psychosocial distress on patients.

Treatment Options for Melasma
  • Over the counter medications
    • Sunscreen with SPF 30 minimum, especially the physical barrier ones containing Zinc Oxide or Titanium Dioxide
  • Prescription
    • Topical medications
      • Hydroquinone 2-4% + Tretinoin 0.05–0.1% + low potent topical steroid
      • Glycolic acid, Kojic acid and azelaic acid
      • Salicylic and Glycolic acid chemical peels
    • Systemic therapy
      • Oral Tranexamic acid can be also beneficial
    • Cosmetic therapy
      • Salicylic and Glycolic acid chemical peels
      • Nano Alex laser for superficial melasma
      • Nano ND:YAG for deeper melasma
      • Fraxel 1550 + 1927 nm fractional laser
Prevention Of Melasma
  • Sunscreen with SPF 30 minimum, especially the physical barrier ones containing Zinc Oxide or Titanium Dioxide is the best defense against melasma
  • Avoiding oral contraceptive or hormonal therapy (if possible) in patients at risk for melasma
  • Avoiding any topical therapy in which causes burning sensation or inflammation to skin

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Melasma is a pigmentation disorder affecting different layers of skin. It is an extremely difficult and frustrating condition since it takes a long time for patients to notice any considerable improvement.