Melasma Removal Treatment

Q. What is Melasma?

Melasma is a common skin condition where brownish patches of pigmentation develop on the face of adults. It usually affects both males and females. Sites commonly affected by melasma are both cheeks, forehead, bridge of nose and upper lip area. Complexions of dark skin, especially Hispanics, Asians, Indians, individuals from the Middle East, and Northern Africa, have a tendency to have melasma more than others

Although the exact cause of melasma remains obscure, the following factors are commonly associated with melasma:

  1. Iron deficiency
  2. Thyroid hormone imbalance
  3. Family history of melasma
  4. Intake of oral contraceptive pills
  5. Pregnancy
  6. Hormonal disturbances
  7. Excessive sun exposure

Q. How is Melasma treated?

At Skinhealers, we treat pigmentation with a combination of home care treatment and in-office procedures. However, one who is seeking for melasma removal treatment must bear in mind that one needs to be regular with sunscreen for the rest of his/her life in order to avoid recurrences. Also, in severe cases a safe night cream as a maintenance therapy needs to be used regularly to avoid recurrences. Details about the home care therapy advised at Skinhealers, is as follows:

1. Sunscreens: Sunscreens are an essential part of melasma removal treatment. Broad spectrum sunscreens with protection against both UVA and UVB and an spf of 30 or higher are recommended. Based on your skin type and your work routine, Dr. Amanjot will prescribe you a sunscreen best suited for you, one which will not feel heavy or coated and not appear as white on your face and could provide camouflage for your blemishes till they clear with treatment. Sunscreens are supposed to be worn everyday irrespective of the fact that you are going outdoors or not or if its sunny or not

2. Skin lightening creams: These creams are used to decrease theproduction of pigment by melanocytes in the skin. Various skin lightening agents are available these days in cream formulation which work by different mechanisms of action. Depending upon the type of pigmentation, Dr. Amanjot usually prescribes the cream best suited for your skin type and pigmentation. These creams usually take around 3 months to significantly reduce melasma. Keep in mind, that a sunscreen needs to be used everyday along with the skin lightening cream. Apply the cream first then the sunscreen to finish everything. As melasma often occurs in pregnancy, one must not use any over the counter available skin lightening cream as many of the creams contain ingredients which are strictly contraindicated in pregnancy.

ONE MUST BE BEWARE of THE OTC CRAMS THAT ARE ADVERTISED ON TV, BUSES, INTERNET AS PERMNENT CURE FOR MELASMA as very commonly these creams contain potent steroids, which when used inadvertently, can cause much more harm than good and prove very dangerous for your skin.

3. Oral treatment: usually when the patient comes, the patient is investigated to look for nutritional deficiency or hormonal imbalance. Then the patient is usually given oral treatment to correct the same. Also, antioxidants are sometimes added to the treatment to prevent further sun damage.

4. Procedures:

  1. Chemical peels- At Skinhealers, a variety of peels like the TCA peel/ glycolic acid peel/ koijic acid peel/ Vitamin A peel are available for melasma removal treatment. Dr. Amanhjot always chooses the best type pf peel suited for your pigmentation and gradually increases strength of the same so that you get the best resusts withour any side effects. It is always recommended that you apply sunscreens are skin lightening creams 3-4 weeks before starting chemical peels to see best results.  Usually 3-6 sittings at 3-4 week intervals are recommended to see significant reduction in pigmentation. These peels can be used to expedite the results of topical treatment.
  2. Laser toning: Laser toning with potent lasers such as Q switched Nd YAG have also shown good results in melasma. 3 sessions at15 days intervals in combination with chemical peels can be used for patients with severe melasma.

Melasma management requires a far reaching and expert approach by your dermatologist. Avoiding the sun and aggravations, utilization of sunscreens, use of depigmenting specialists, and close supervision by your dermatologist can prompt a fruitful result.

It is necessary to follow the instructions of the dermatologist carefully so as to get the maximum benefit from your medical procedure regimen and to avoid irritation and other side effects of the same.

Q. How to prevent Pigmentation?

For melasma ‘prevention is always better than cure’ for which the following measures can be taken:

  1. The first and most essential preventive measure lies in the utilization of expansive range sunscreens. By expansive range, we imply that the sunscreen ought to be successful against both UV-A and UV-B with an SPF of at least 30. Likewise, Sunscreens shouldn’t be utilized just when out in the sun. The UV beams are constantly present in the climate and thus, despite the fact that it is stormy or you are inside your home, sunscreens ought to be worn.
  2. Be aware of the hypersensitivities or slight irritation that any of the make-up items is causing you. Indeed, even a slight tingle ought to be a reason enough to stop the utilization.
  3. For women who are taking pills for contraception, one of the reactions can be melasma. The perfect arrangement is a search for elective techniques for control and stops utilization of anti-conception medication pills. Additionally, different skin helping creams containing Hydroquinone with both of Tretinoin.

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