Melasma is a pigmentary disorder of the skin which appears as brown patches on the face of young person. Both sides of the face, especially the cheeks, bridge of nose, on the ears and eye led, forehead, and upper lip, are involved. Some patients may have mild involvement in just a few of the above areas. This problem is very common, particularly those who have with darker/black skin types. Melasma predominantly occurs in persons with skin of color, and 80% are women. Latin-America, Asia, Middle East, and northern Africa re areas with a higher prevalence of melasma. People with brown skin, mainly in areas of high sun exposure, are especially susceptible to getting melasma problem.
Although the exact cause of melasma is unknown by the doctors , affected people usually have a family history of melasma. Post-menopausal hormone replacement therapy has not been shown to cause melasma disease. Sun and light exposure are some of the most common reasons for the appearance of melasma. Ultraviolet light from the sun and visible light from light bulbs can stimulate pigment-producing cells in the skin called melanocytes are particularly active in those with brown or black skin. Even small amounts of light exposure, such as driving in a car or walking in a parking lot to a store can induce melasma and may account for the long duration of this condition in many people. Irritation of the skin can produce a brown color as it heals, and any irritation of the face in those with melasma may cause it to worsen. Although melasma disease can cause significant brown staining of the skin as well as psychological stress of a patient and a negative impact on quality of life of a person, it is localized only to the skin and is not related with any internal diseases or organ malfunction.
Melasma can start in the first trimester and continue throughout pregnancy. Melasma during pregnancy is the appearance of brown or greyish spots or patches on your skin. In addition, a change in hormonal status of a person, particularly pregnancy and birth control tablets, are commonly associated with melasma, and melasma is mainly referred to as the (mask of pregnancy).
Several treatments are available for melasma, but non work in every patient. While some patients have melasma only for a few weeks or months, many have it for years or decades. Pregnancy-associated melasma usually resolves within a few months after delivery, although women in sunny climates may have persistence of the pigmentation for many years. Because the sun and lighting are major causes of melasma, sunscreens are very important in any treatment plan. Broad spectrum sunscreens, which protect against UVA and UVB ultraviolet light should be used. A physical block, such as zinc oxide and titanium oxide, may be used on top of chemical sunscreens to block light even more. Daily use of sunscreens is important, since even small doses of light can worsen melasma. Visors and tinting can protect from ultraviolet light while driving.
Is Treatment for melasma on face your major concern? Melasma is a common skin disorder that causes brown to gray-brown patches and pigmentation on the face. Melasma is more common in women than in Men, in dark skinned patients and can happen to anyone between the age of 20--40 years. Treatment for melasma on face instantly absorbs to hydrate dull, dry & tight skin to help brighten skin & fortify skins moisture barrier.
Oral contraceptive pills may need to be discontinued if they cause melasma. irritating creams or makeup should be stopped, and the skin should be trated as gently as possible.
While many bleaching creams are available for the treatment of melasma, these agants do not actually (bleach) the skin by destroying the melanocytes, but reduce their activity. Hydroquinone is the most commonly used depingmenting agent and is available in low strengths over the counter and in higher strengths through prescription from a physician. Hydroquinone is the most effective of all the depigmenting agents, and takes 3-7 months to reach maximum results. Combination medicine consisted of tretinoin, steroids, and glycolic acid along with hydroquinone to increase its depigmenting effect. Azelaic acid and kogic acid are two other main agents that have depigmenting effects and are effective for many people. Several over the counter natural products are available to bleach the skin and may be effective for mild to moderate cases of melasma. Various procedures, such as:- chemical peels, microdermabrasion, and laser surgery have been used in patients with melasma treatment, but results of these treatments so far have not been consistent. Procedures like these, which remove first layers of the skin, have the potential of causing significant irritation, which can worsen melasma disease.
If done proper way, however, these procedures may produce some effective benefits in selected patients of melasma. Generally, these procedures should be performed with great care by those who are familiar with their use in patients with skin of color.
In summary, while melasma disease can be a persistent, frustrating and difficult skin disorder, a comprehensive management approach should be use, like:- avoidance of sun and irritants, use of sunscreens, depigmenting agents, occasional procedures etc and close supervision by your dermatologist (skin doctor) can lead to a successful outcome.
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