A member asked:

Are there different kinds of melasma? are there sub-categories of melasma or is it all considered the same no matter what?

2 doctors weighed in across 2 answers

All melasma: Melasma is the inclusive diagnosis, but the areas of the face and body which are affected may be different between people.

Answered 3/18/2013

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Dr. Anifat Balogun answered

Specializes in ENT and Head and Neck Surgery

Melasma types: Melasma is sometimes classified into 3 types. Epidermal (superficial), dermal (deep) and mixed. Epidermal melanoma responds readily to treatment, whereas dermal melanoma responds poorly. Mixed melanoma responds partially to treatment. Melasma is very challenging to treat. Combination treatment is often needed for best improvement. Daily sunscreen is a must. Maintenance treatment is needed for most.

Answered 12/9/2013

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