What is melasma?

Increased pigment: The is an increase in pigment in different layers of the skin. It can be superficilal, deep , or a combination. It occurs associated with pregnancy amd in certain ethnic groups such as hispanics, people of mediterranean descent. Common areas are on the upper lip, cheeks, and forehead. Various bleaching creams containing hydroquinone, kojic acid, testimon, or coffeberry can lighten the melasma.

Pigment change: Melasma is a pigment change that is affects many layers of the skin and usually is related to hormonal imbalances. It can occur in all ethnic groups, it is treated with skin lightners such as hydroquinone 4%, vitamin c/kojic acid, retin-a, lasers and peels like the melange peel. Avoiding the sun, using SPF can help. Adding vitamin d helps since you limit your sun exposure.

Melasma: Melasma is an increase in pigmentation in the skin of the more sun-exposed areas. The most common location is the face. The problem can be stimulated by pregnancy and oral contraceptives.