Melasma Treatment

Melasma is not considered to be a dangerous condition, and will not necessarily require medical treatments. In many cases, the condition will naturally fade away without specific treatments, usually after a change in hormonal factors. Patients often experience a fast recovery after the end of pregnancy, or discontinuing oral contraceptives.

Sun avoidance

Excess sun exposure is one of the major triggers for this condition for those that are predisposed. All treatments for melasma require strict sun avoidance; sun exposure will often quickly reverse any progress that is made in treating melasma. The following recommendations will apply to all patients who are seeking treatment for melasma:

• Daily use of broad-spectrum sunscreens with an SPF of 30 or higher in areas of the skin that are exposed, and particularly in areas that are affected by melasma.
• Apply sunscreen in generous quantities. Studies show that most people apply sunscreens in quantities that aren't even close to an adequate amount. A shot-glass full is a guideline that can be used for each use.
• Wearing wide-brimmed hats can help cover the skin
• Minimize outdoor exposure from 10AM to 3PM when the sun is at its strongest

Topical Treatments

Many topical treatments are available for the treatment of melasma, over the counter, and in prescription strength. These take effect by inhibiting the production of melanin or increasing the speed of cell turnover. The following are the most popular active ingredients:

• Hydroquinone
• Azelaic acid
• Tretinoin

Procedures

• Microdermabrasion
• Chemical Peels
• Laser treatment