You could have heard that melasma is known as the “mask of pregnancy” since it is typically triggered by a rise in hormones in pregnant women. But while the condition will be common amongst pregnant women, you don't should be pregnant to experience melasma.
Melasma will be difficult to treat.
Although melasma is just not painful and poses no health risk, it may cause significant emotional distress. Dr. Kurosh says the condition will be difficult to treat, and there's a variety of misinformation about its causes.
According to the American Academy of Dermatology, you're more prone to have melasma if you've got a darker skin tone, probably because your skin naturally has more lively pigment-producing cells. Melasma appears when these cells turn into overactive and produce an excessive amount of pigment in certain areas of the skin. Melasma is more common in women, but it may affect men as well. It could have a genetic component, because it often runs in families.
Causes of Melasma
Dr. Korosh says there are numerous different causes of melasma. Two specifically stand out:
- Hormones (including hormonal drugs). Fluctuations in certain hormones could cause melasma, which is why it normally occurs while pregnant. Dr. Gilchrist says melasma can even occur while you either start or stop hormonal contraception, including contraception pills, or while you take hormone alternative therapy.
- Sun exposure. The sun is the largest wrongdoer in triggering melasma. “Underlying factors such as hormonal changes may not show up until someone goes on vacation to a southern location like Florida, or during the summer when they spend a lot of time in the sun,” says Dr. Korosh. are “The sun is a major increasing factor, whatever the underlying cause.” Melasma will be caused or worsened not only by the sun's rays, but additionally by heat and visual light. This signifies that even sunscreens that protect against skin cancer aren't enough to stop melasma, Dr. Korosh says. This makes treating melasma a challenge, especially through the summer months.
Finding the Cause of Melasma
The first step is to substantiate that the dark spots are indeed melasma and take a look at to discover the cause. Melasma treatment is unlikely to be effective if the underlying cause is just not addressed, says Dr. Korosh. “Even the oral treatments that are now available for severe cases of melasma are really pointless to do, if there's still a trigger,” she says. “We take a thorough medical history to find out what's causing the melasma,” says Dr. Korosh. Then adjustments are made. If hormonal contraception is causing the issue, a girl may consider switching to a non-hormonal option, comparable to a copper intrauterine device.
Medications and treatment of conditions
Some commonly used options are topical retinols and retinoid treatments, that are applied to the skin to assist speed up your body's natural cell turnover process. This may also help the dark spots clear up faster on their very own. In addition, some doctors may prescribe bleaching agents, comparable to hydroquinone, which works by blocking melanin production. But while hydroquinone products will be purchased over-the-counter, they need to only be used under a physician's supervision and only on dark areas of skin. “High doses of hydroquinone can cause white patches on the skin,” says Dr. Gilchrist. The drug may even cause skin darkening in some cases. Other topical lightening agents (comparable to kojic acid or azelaic acid) could also be really helpful. Other treatment options may include chemical peels, laser treatments, and microneedling of the skin. But for the time being they're not reliably effective, says Dr. Gilchrist.
An necessary a part of treatment: protect the skin from the sun.
It could be very necessary to stop the sun from worsening this condition. This may require extreme diligence. “The sun is more powerful than any medicine I can give you,” says Dr. Korosh. The most significant technique to clear up melasma is to make use of a robust sunscreen. But remember that not all sunscreens are created equal. To prevent melasma, you would like a sunscreen that not only blocks the sun's rays, but additionally its light and warmth, comparable to zinc or titanium dioxide. Chemical sunscreens don't offer the identical protection for melasma, and in some cases, they'll even trigger allergic reactions that could make melasma worse, she says.