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Melasma is a very common form of skin hyperpigmentation. Appearing typically on the face, these unsightly brown or grayish skin spots of skin pigmentation are likely to be found in individuals who have gone through hormonal changes. Melasma can also appear on the forearms and neck, and is often called “the mask of pregnancy,” as it frequently appears during pregnancy. Up to 90% of melasma cases occur in women, although men can be affected as well. Pregnancy, birth control and hormone therapy are among the most common trigger factors; however, sun exposure can aggravate melasma, making it darker and harder to improve. Many people use over-the-counter skin bleaching products to treat skin pigmentation problems, though this type of melasma treatment may or may not work.
The best way to determine if one has melasma is to review their history of “hormonal changes”, and have a dermatologist evaluate the appearance of the pigmented area. Melasma will usually appear with very specific “borders” almost like a “patchy” appearance of dark spots. Commonly seen on the upper lip area, cheeks, jawline and forehead, this skin condition can become very unattractive if left untreated.

Example of melasma on the forehead
If one is lucky, melasma will fade on its own. Unfortunately, most cases will need to be treated with some form of topical products and/or professional procedure to lessen the hyperpigmentation. Skin lightening creams, ideally prescription strength, are the most common topical product available. These might include a combination of hydroquinone, kojic acid, and/or tretinoin (Retin-A). In addition to topical products, superficial peels and low-dose lasers/light therapy can be used as an adjunct or as a more aggressive hyperpigmentation treatment.
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The patient to the left received treatments for her melasma at Sanctuary Medical Aesthetic Center.
As mentioned earlier, sun exposure can aggravate melasma, so sun protection is a must! A product that offers broad-spectrum protection will guard against the darkening of melasma, in addition to providing anti aging benefits. Treating melasma requires a comprehensive approach while under the care of a professional, and lots of patience during the process!

To find out how you can decrease the appearance of melasma, click here to book a complimentary consultation with our aesthetician, Cheryl Staurowksy
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