July 29, 2010

Melasma is a skin discoloration. Any one can be affected by Melasma, but it is most commonly diagnosed in women who are at the age of 20-50 years old. The appearance of these pigmentation patches occurs mostly on the facial areas in brown, tan or blue-gray color and it may also appear on two other locations such as cheekbone, and jaw line. Melasma is not completely caused by sun exposure, two other factors can also become a cause for Melasma such as genetic predisposition and some kind of hormonal change. Some kind of topical creams can be used for treating Melasma that contains the hydroquinone.


It’s a common thought about Melasma to become more active for the production of pigment cells through the sex hormones of female progesterone and estrogen in order to produce extra pigments of melanin when the skin is under sun exposure. Mostly these types of conditions develop on the skin areas of those women who are having the skin type of brown color because of living in intense regions where there is a strong sun exposure.

In few cases genetic predisposition becomes a major factor that contributes a lot for developing Melasma. Some kind of allergic reactions to cosmetics and medications can also cause Melasma.

According to the Dr. FJJ Schmidt of Rotterdam who discovered in 1859 that Melasma is a symptom of Addison’s disease that is mainly caused by some kind of minor injury or pressure on skin .


It can easily be diagnosed by seeing or with the help of wood’s lamp. In epidermis the excessive production of melanin can be recognized from the dermis under the wood’s lamp.


There are different kinds of treatments available for treating Melasma that can be selected according to your skin type and the condition of spots. Such as:

  • Topical depigment creams in which hydroquinone is included is a good treatment for Melasma. Hydroquinone (HQ) is a chemical that prevents an enzyme known as tyrosinase that helps in producing melanin.
  • Another treatment is the use of tretinoin acid that usually helps to increase keratinocyte. Avoid taking this treatment during pregnancy.
  • Azelaic acid that works to decrease the melanocytes activity.
  • The chemical peels with the combination of glycolic acid and the facial peels with the alpha hydroxy acids are also effective treatments.
  • Laser treatment is also effective for Melasma. It has brought many improvements in so many patients.

The best treatment and cure for Melasma is to avoid the sun exposure. In case you if can’t avoid try to use some good quality sunscreens.

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