Melasma is a particularly difficult pigmentation to treat and can never be ‘cured’, but there are treatment options that can lighten it to a cosmetically acceptable level. Correct diagnosis of melasma as well as the depth in the skin is essential before treatment can be planned.
Melasma Quick Facts
- Melasma appears as map like brown patches most common on upper lip, cheeks and the forehead.
- Melasma is caused from sun exposure + oestrogen which is why it occurs in women and more common while on the oral contraceptive pill.
- Sunscreen is the most important treatment measure you can take.
- A combination of superficial peels and prescription lightening agents are effective in fading melasma in a high percentage of women.
- IPL and other inappropriate treatments can worsen melasma.
- Newer Fractional lasers can be used but are not recommended as first line treatment.
Skin Revision Treatment of Melasma
We have found that compounded creams containing vitamin A, vitamin C and hydroquinone combined with a series of peels can be effective in achieving lightening of melasma in the majority of women.