MELASMA
WHAT IS MELASMA?
Melasma, or chloasma, is a skin condition that involves uneven skin coloration. It results when melanocytes, or melanin-producing cells, form an excess of skin pigmentation.
Causes include ultraviolet light exposure, genetics, and hormonal imbalances. The blue light emitted from LED screens, such as those of cell phones, televisions, and laptops, can contribute to melasma as well.
Melasma is most likely to form on skin that is frequently exposed to the sun. The forehead, nose, cheeks, upper lip, chin, neck, arms, and back are common areas affected by melasma.
In many cases, Dr. Gujjar can diagnose melasma by examining the discoloured skin. To identify the exact depth of the irregular pigmentation, a Wood’s lamp, or black light, can be used. This device can spotlight differences in fluorescence within the skin pigment to make it easier to see the extent of the condition.
The black light assists Dr. Gujjar in identifying the type of melasma present. There are three classifications of melasma:
DERMAL
This type of melasma does not have well-defined borders and may be bluish or light brown. Its appearance doesn’t differ when observed under a black light. Dermal melasma is the most difficult to treat.
EPIDERMAL
Melasma that presents as dark brown patches of skin with distinct edges is called epidermal melasma. Under a black light, epidermal melasma is quite obvious. Successful treatment of epidermal melasma is possible.
MIXED
Mixed melasma is more common than dermal and epidermal cases. It is characterized by brown and bluish colours. When examined with a black light, it appears to have a mixed pattern. Mixed melasma can be improved to varying degrees with treatment.
QUALIFICATIONS
WHO DOES MELASMA AFFECT?
GENETICS
A family history of melasma increases the likelihood that you will develop this skin condition. It is more common among those with darker skin tones than in those with lighter skin. If you spend significant time in the sun or tanning beds and/or live in a geographical area with stronger than average UV radiation, you are more likely to be affected by melasma.SEX
Melasma is much more prevalent in women than in men. The probability of experiencing melasma is particularly high among women who are in their reproductive years, take hormones, and/or use oral contraceptives.PREGNANCY
Pregnancy is another factor that makes women more susceptible to developing melasma. This is thought to be related to the increased progesterone and estrogen hormones that accompany pregnancy. Melasma is commonly referred to as the “mask of pregnancy” since so many women experience this skin condition during pregnancy. Pregnancy-related melasma symptoms may dissipate after childbirth.MEDICATION
There are some types of medication that can contribute to a patient’s development of melasma. Anti-seizure medications have been connected to melasma formation. Additionally, medications that cause phototoxicity, or sun-sensitivity, can trigger this skin condition. Sensitivity to sunlight is a side effect of some antibiotics, blood pressure medications, and retinoids. Stopping the medication may or may not clear the melasma symptoms.THYROID
Thyroid disorders can also make you more vulnerable to melasma. In some instances, correcting the thyroid issue also resolves the hyperpigmentation.WHAT CAN I DO TO PREVENT MELASMA?
MINIMIZE UV LIGHT EXPOSURE
There are many ways to reduce the likelihood of phototoxicity-induced melasma. Any use of tanning beds should be ceased, as this UV light has the same detrimental effects as that of natural sun rays. When it comes to UV light from the sun, diligent, frequent sunscreen application is absolutely crucial if your goal is to avoid exacerbating existing hyperpigmentation and/or prevent new patches of melasma from appearing. No matter the weather, sun protection should be a priority. As an added measure of risk reduction, you should take care to plan outdoor activities around the most intense periods of UV radiation. Wearing protective clothing, long sleeves, and wide-brimmed hats can offer additional preventative benefits.Selecting an appropriate broad spectrum sunscreen product is essential. You want to choose a product with an SPF of at least 30. It is also important to avoid using sunblock that contains ingredients known to cause pigmentation issues and/or to disrupt hormonal balance. Dr. Gujjar can advise you regarding safe sunscreen products for your skin.
CUSTOMIZED SKIN CARE REGIMEN
Scented soaps and certain topical skin products are thought to contribute to the formation and worsening of melasma. Harsh cleansers and irritating skin products may cause melanocytes to produce additional pigment, which can cause melasma patches to darken.It can be difficult to discern what skin care products are suitable for your skin, but a board-certified dermatologist like Dr. Gujjar can help. Dr. Gujjar is passionate about helping patients access high-functioning skincare products crafted from top-quality ingredients.
For years, patients have relied on his input for the ideal cleansers, moisturizers, anti-aging, wrinkle-reducing, and irritation-relief products for their skin. He has assisted many melasma patients in managing chronic hyperpigmentation issues with a targeted skin care treatment consisting of advanced skincare products with science-backed ingredients.
WHAT TREATMENTS ARE AVAILABLE FOR MELASMA?
The course of treatment varies in relation to the patient’s skin tone, skin type, and other factors. The depth and severity of the hyperpigmentation is an important factor in determining a treatment approach as well. At Dr. Gujjar’s medical practice in Skinwood, melasma treatments can include one or more of the following interventions:TOPICAL MEDICATIONS
Medicinal creams can be an effective intervention for some melasma cases. Prescription topical creams like hydroquinone and tretinoin can provide a skin-lightening effect. Regular use is required for noticeable results. These products can cause skin irritation, dryness, and/or redness, so prescription melasma creams may not be well-tolerated by patients with sensitive skin.MICRONEEDLING
To prevent melasma from recurring and to encourage and support optimal healing after laser skin resurfacing, a microneedling procedure may be recommended. The tiny wounds created during this treatment stimulate the body’s healing process. Two or more microneedling sessions may be needed to best address melasma.VITAMIN C SERUM
Dr.Gujjar incorporates specially formulated vitamin C serums into many melasma treatments. The antioxidants present in vitamin C support healthy skin, and this essential vitamin also inhibits tyrosinase, which is an enzyme the body requires to produce melanin.CHEMICAL PEELS
Chemical peels that contain salicylic acid or glycolic acid can help to even out the skin tone. Cosmelan peels are often Dr. Gujjar’s preferred chemical peel for patients with melasma. Cosmelan works on its own to reduce the production of melanin in the skin, is an excellent pre-treatment for laser skin treatments, and is safe for every skin type. Dr. Gujjar also regularly performs HydraFacial MD peels for melasma patients.RED LED LIGHT THERAPY
The wavelengths of red LED light have anti-inflammatory benefits. This treatment helps to rejuvenate and heal skin cells, making this therapy a valuable complement to other melasma treatments.LASER SKIN RESURFACING
Dr. Gujjar frequently follows chemical peels with a laser skin treatment with Starwalker MAQX .MORPHEUS8
Morpheus8 is a radiofrequency (RF) microneedling device that is ideal for many patients melasma concerns. Morpheus8 allows Dr. Gujjar to precisely target tissue affected by hyperpigmentation and vascular irregularities. This gentler microneedling approach is safe for patients with darker skin and can be used even in delicate areas, such as around the eyes.
WHAT CAN I DO TO PREVENT MELASMA?
MINIMIZE UV LIGHT EXPOSURE
There are many ways to reduce the likelihood of phototoxicity-induced melasma. Any use of tanning beds should be ceased, as this UV light has the same detrimental effects as that of natural sun rays. When it comes to UV light from the sun, diligent, frequent sunscreen application is absolutely crucial if your goal is to avoid exacerbating existing hyperpigmentation and/or prevent new patches of melasma from appearing. No matter the weather, sun protection should be a priority. As an added measure of risk reduction, you should take care to plan outdoor activities around the most intense periods of UV radiation. Wearing protective clothing, long sleeves, and wide-brimmed hats can offer additional preventative benefits. Selecting an appropriate broad spectrum sunscreen product is essential. You want to choose a product with an SPF of at least 30. It is also important to avoid using sunblock that contains ingredients known to cause pigmentation issues and/or to disrupt hormonal balance. Dr. Gujjar can advise you regarding safe sunscreen products for your skin.
CUSTOMIZED SKIN CARE REGIMEN
Scented soaps and certain topical skin products are thought to contribute to the formation and worsening of melasma. Harsh cleansers and irritating skin products may cause melanocytes to produce additional pigment, which can cause melasma patches to darken. It can be difficult to discern what skin care products are suitable for your skin, but a board-certified dermatologist like Dr. Gujjar can help. Dr. Gujjar is passionate about helping patients access high-functioning skincare products crafted from top-quality ingredients. For years, patients have relied on his input for the ideal cleansers, moisturizers, anti-aging, wrinkle-reducing, and irritation-relief products for their skin. He has assisted many melasma patients in managing chronic hyperpigmentation issues with a targeted skin care treatment consisting of advanced skincare products with science-backed ingredients.
AM I A CANDIDATE FOR MELASMA TREATMENT?
Realistic expectations are essential for candidacy. Melasma is a challenging skin condition to treat, and what works for one patient may not work for another. You may need to try more than one treatment approach and/or undergo a combination of minimally invasive procedures in order to get the results you want.
Some cases of melasma are temporary and resolve without the need for treatment once the causal factor, such as taking a particular medication, is eliminated. Dr. Gujjar will ask you several important questions to determine whether you have temporary or chronic melasma. These inquiries will cover details like how and when the hyperpigmentation appeared, medicines you are taking, and relevant questions about your lifestyle.
WHAT TO EXPECT AFTER A MELASMA TREATMENT
- The recovery period after a melasma treatment varies based on the procedure(s) performed, though minimal downtime is typically required. Recovery from microneedling usually takes two days or less.
- No significant recovery is associated with red LED light therapy treatments
When do i see Results for Melasma Treatment?
Noticeable improvements may be seen within a few weeks, with optimal results becoming more apparent over time as the skin undergoes renewal.
Post-Treatment Care & Instructions for Melasma Treatment
- Use sunscreen daily to protect the skin from UV rays.
- Adopt a gentle skincare routine to avoid irritation.
- Refrain from using harsh or abrasive skincare products.
- Maintain skin hydration by drinking ample water.
- Apply cool compresses for any post-treatment redness or discomfort.
- Minimize direct sun exposure, especially during peak hours.
- Adhere to prescribed medications or topical treatments.
- Schedule follow-up appointments to monitor progress and discuss additional care if needed.
IS MELASMA A SIGN OF A DANGEROUS HEALTH ISSUE?
HOW MUCH DOES MELASMA TREATMENT COST?
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TESTIMONIAL
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Because luxury aesthetics is not about volume… it’s about proportion.
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