Melasma is defined as hyperpigmentation of the face. It occurs mostly in women during pregnancy and while using birth control. Melasma usually settles on the upper cheeks, bridge of the nose, forehead and upper lip. The sun darkens melasma, so usage of sunscreen is recommended.In an article published in Modern Medicine Magazine, Dr. William Baugh MD stated that we have known about melasma for centuries but our understanding of it in well controlled studies is significantly lacking.
He goes on to say that a spectrum of drugs, including minocycline can cause patchy hyperpigmentation. Likewise topical exposure to certain plant derived chemicals combined with sunlight exposure may produce an acquired patchy hyperpigmentation of the skin that may also mimic melasma.The most accurate way to diagnosis melasma is to use a ultraviolet lamp (wood's lamp). This device helps to classify the depth of the pigmentation into superficial, deep and compound types of melasma. Dr. Baugh goes on to say that current classifications does not often take that into consideration.
Dr. Baugh recommends using a sunscreen that blocks UVA rays along with UVB rays to work along side topical bleaching creams and other therapies. Anti-oxidants are now being used to help treat melasma. Anti- oxidants are known to reduce inflammation which is a major factor with melasma. Anti- oxidants also capture ultraviolet light. Vitamin C is an anti-oxidant that have demonstrated the ability to have photo- protective and pigment lightening effects on the skin.Dermatologist have more options in medical therapies to pair with chemical peels and laser treatments for melasma.You probably know, there is probably something else even more fantastic on the horizon to assist with treating melasma. When I hear about it I will let you know!
Until next time... Love the skin you're in!
Skinchick'-)
