Top
40
Doctor insights on: Melasma In Kids

Share
1

1
I have asymptomatic flat, solid, LB patches on my vulva—most close around the vaginal opening—that resemble melasma. Is this normal? No kids, 25 Yo.

I have asymptomatic flat, solid, LB patches on my vulva—most close around the vaginal opening—that resemble melasma. Is this normal? No kids, 25 Yo.

Probably benign: If the patches are not raised and asymptomatic, they may be benign discolorations. Pl see the attached links for significant vulvar lesions needing medical evaluation. If still doubtful, get it checked with your PMD. Feel better! ...Read more

Dr. Emily Altman
128 Doctors shared insights

Mask Of Pregnancy (Definition)

Mask of Pregnancy, or Melasma, is a dark skin discoloration that appears on sun-exposed ...Read more


2

2
What is melasma?

What is 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. ...Read more

3

3
What causes melasma?

What causes melasma?

The: The exact cause of melasma is still unknown, however researchers theorize that melasma occurs as a result of the color-making skin cells (melanocytes) producing too much color or melanin resulting in patchy discoloration. There are also genetic and other predispositions that are the cause. Common triggers of melasma include extended sun exposure, estrogen supplements, birth control pills, and pregnancy. ...Read more

4

4
How can I treat melasma?

How can I treat melasma?

Bleaching agents: Avoidance of sun is utmost importance and sunscreen as the sun worsens melasma. Bleaching creams, retin-a, combinations of them, chemical peels and laser are all possible treatment. ...Read more

5

5
Why do women get melasma?

Why do women get melasma?

Great question: A tough but good question. It is thought to be caused by the stimulation of melanocytes or pigment-producing cells estrogen and progesterone. This can cause those cells to produce more melanin pigment when the skin is exposed to sun. Pregnancy can trigger this as can the use of birth control pills. It is a frustrating condition to have and to try and treat as there are no guaranteed treatments. ...Read more

6

6
What does melasma look like?

What does melasma look like?

Lacy pigmentation: Melanoma is most often seen on the cheeks, forehead and around the mouth. It is a lacy patchy brown pigment that gets dark in the sun. ...Read more

7

7
Does melasma go away on its own?

Does melasma go away on its own?

May lighten some: Melasma is a discoloration of the skin that comes from a combination of hormonal fluctuations and sun exposure. It is extremely frustrating because it can be faded with fading creams, sun screen, sun shielding, and chemical peels, but it will recur with minimal sun exposure. It sometimes lightens without treatment over time if it occurs during pregnancy. ...Read more

8

8
What are the symptoms of melasma?

What are the symptoms of melasma?

None: Melasma is a darkening of the skin that occurs on the cheek bones, nose, forehead. It is not associated with any pain, itching or swelling. It can be distressing because it appears unsightly. It is can be caused by sun damage, hormones in birth control pills and hormone replacement therapy. It can become worse in pregnancy. Tretinoin, skin peels or laser treatments may help improve appearance. ...Read more

Dr. Joshua Fox Dr. Fox
15 doctors agreed:
9

9
How is the diagnosis of melasma made?

Dr. Joshua Fox Dr. Fox
15 doctors agreed:

Melasma: Melasma is diagnosed through its visual signs & personal history. A dermatologist may look at your skin under a device called wood's light. In some cases, rarely melasma may look like another skin condition, in which case the dermatologist may perform a biopsy and send it to a lab for diagnostic evaluation. ...Read more

10

10
What is the best way to treat melasma?

What is the best way to treat melasma?

Combination: This is difficult to totally eradicate but a combination of microdermabrasion followed by laser with home treatment with bleaching agents offers a good option to sognificantly decrease melasma. Another option is the medium strength vi peel which can improve melasma within one week. ...Read more

11

11
What other conditions may be mistaken for melasma?

Please see: Please see your dermatologist for evaluation and to discuss treatment options. There are several. ...Read more

12

12
What is melasma, and can men get it as well as women?

What is melasma, and can men get it as well as women?

Yes: Yes both can get melasma although it is usually much more common in women than men. Especially in cases of pregnancy for women. Often it is seen as a darkening of pigment with patterns on face and body with varying severity. It is thought to be a significant reaction to hormonal changes in the body. ...Read more

13

13
Started spirolonactone 2 weeks ago and think that my melasma is worsening. Is this possible?

NO: Melasma not due to spirnolactone. Why taking it? Dose? Other meds? Birth control? Menstrual and pregnancy history? The answer is in the details. You can treat melasma if you wish. ...Read more

14

14
Where does melasma most commonly develop? What areas of the body does melasma most often develop? .

Where does melasma most commonly develop? What areas of the body does melasma most often develop? .

Face: Almost all of the time it is on the face. I've seen 1 patient who had it on their arms. ...Read more

15

15
Where does melasma most commonly develop? What areas of the body does melasma most often develop? . .

Where does melasma most commonly develop? What areas of the body does melasma most often develop? . .

Melasma: Melasma commonly develops on cheeks, forehead, nasal bridge, chin and upper lip. Forearms and neck may also be, infrequently, affected. Women are most commonly affected, frequently during pregnancy, hence the name "mask of pregnancy".
Sun protection is key to control. Combination treatment works best to minimize pigmentation changes. ...Read more

16

16
Are there different kinds of melasma? Are there sub-categories of melasma or is it all considered the same no matter what? .

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

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. ...Read more

17

17
Are there different kinds of melasma? Are there sub-categories of melasma or is it all considered the same no matter what? .

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

19

19
Should I go into the sun if I have melasma? If I have melasma already should I try and stay out of the sun or does it matter? .

Melasma: The first 3 treatments for melanoma are: sun avoidance, sun protection, sunblock. Even if you pay lots of money for cosmetic treatments to lighten or remove melasma and then return to unprotected sun, it will come back and you will have wasted money. Buy a big hat and wear it--you'll look great! ...Read more

21

21
Is there a treatment for melasma?

Peels, laser: Bleaching creams are helpful, but a combination treatment may be needed combining laser with a q switched yag and bleaching cream. A newer non irritating bleaching products obtains coffeberry extract revaleskin for people sensitive to hydroquinone. ...Read more

22

22
What is the guaranteed treatment of melasma??

What is the guaranteed treatment of melasma??

A difficult problem: Melasma is one of the more difficult skin conditions to treat. There are skin lighteners, lasers and other topical treatments which can help lighten the skin overtime. However, effects of hormones and ultraviolet light are constantly working against you to lay pigment down in the skin. Whatever method you use, make sure you were wearing the highest SPF sunscreen every day. ...Read more

23

23
Does epiduo help melasma?

Not really: Epiduo is a combination of benzoyl peroxide and adapalene. While it is an excellent choice for acne, and the Adapalene may slightly help to lighten discolored skin, it is not a treatment for melasma. Melasma is a patchy discoloration in the skin that results from hormonal fluctuations and sun exposure. It is best treated with fading creams, chemical peels, sunscreen, and sun avoidance. ...Read more

24

24
How can u prevent melasma?

How can u prevent melasma?

No: Melasma can be caused by birth control pills, pregnancy or be idiopathic (cause unknown). It more common in hispanics and asians. Avoidance of sun helps. ...Read more

25

25
Cure for melasma that is permanent?

Cure for melasma that is permanent?

Melasma cure?: Melasma is very challenging to treat and there is no cure. The goal is pigment control. Combination therapy is the typical strategy. Peels, topicals and laser treatments may be used to reduce pigment deposits. Daily spf use cannot be overstated. Consult with a facial cosmetic surgeon or dermatologist that specializes in treatment of melasma and other pigment disorders for a regimen that's best. ...Read more

26

26
What is a good sunblock for melasma?

Zinc or titanium: We can't recommend specific products on HealthTap. However, the best sunscreen for melasma is something with zinc or titanium oxide, the more, the better. These are physical blockers that will not break down when exposed to sunlight. Other types of sunblock can break down in sunlight, leaving you without protection. ...Read more

28

28
What are some cures for melasma? Besides rentins and hydro creams?

Melasma: In conjunction with home cream applications, in-office treatments include chemical peels (chemical exfoliation), microdermabrasion (mechanical exfoliation), and laser therapy. These additional treatments may be useful for some cases of melasma. ...Read more

29

29
How to get rid of melasma?

Hydroquinone: Hydroquinone over-the-counter remedies are available, but you must be patient and stay out of the sun. A dermatologist can offer stronger treatments. Be sure that this is what you want to do rather than something you think you should do or need to do -- it's your choice. ...Read more

30

30
Is melasma related to lupus?

Melasma: Melasma is very different than lupus. No, . ...Read more

31

31
Does betnovate n works on melasma?

No, it does not: Please do not use it. It can ruin your facial skin and cause rosacea, acne, skin thinning, dilated blood vessels and stretch marks. Some changes can be permanent. ...Read more

32

32
Any luck getting rid of melasma easily?

Any luck getting rid of melasma easily?

Unfortuneately not: There is no easy way to get rid of melasma. The goal is control. Combination therapy is typical. Peels, topicals and laser treatments may be used. Daily spf use cannot be overstated. Consult with a cosmetic surgeon or dermatologist that specializes in melasma and other pigment disorders. ...Read more

33

33
Looking for melasma treatment I can buy cheap?

Melasma: The most common melasma therapies include 2% hydroquinone (hq) creams like the over-the-counter products esoterica and porcelana and prescription 4% creams like obagi clear, glyquin, tri-luma, and solaquin. Products with hq concentrations above 2% generally require a prescription. Clinical studies show that creams containing 2% hq can be very effective in lightening the skin and less irritating th. ...Read more

34

34
Can spironolactone cause melasma or make it worse?

Can spironolactone cause melasma or make it worse?

Not known: Melasma can worsen due to estrogen, progesterone, sun exposure, etc. Spironolactone can lower testosterone, so in theory it could increase estrogen slightly, but have never seen it described as causing or worsening melasma. ...Read more

35

35
Eli would like to know best treatment for melasma?

Eli would like to know best treatment for melasma?

Discuss with your: Dermatlogist. Commonly used meds include hydroquinone, topical steroids, and retinoic acid. Avoidance of hormone pills and excessive sun exposure would prevent it from getting worse. Check some chinese stores for sebo de macho. Best of luck! ...Read more

36

36
How do you treat melasma without surgery or laser?

Difficult: Melasma is impossible to cure but it my be controlled. Stay out of sun. Always have a physical sun block on at all times when outdoors. Hydroquinine at least 4% for short peroids of time and exfoliation.
These are nnsurgical means ...Read more

37

37
I am suffering from melasma kindly tell me its treatment?

I am suffering from melasma kindly tell me its treatment?

Dark spot on face: Retin-a may help as would hydroquinone, but first see a dermatologist to make sure it is not anything serious. ...Read more

38

38
Hi how can be melasma spots on a face be treated Thanks?

Hi how can be melasma spots on a face be treated Thanks?

Melasma?: Melasma or changes in facial coloring is related to hormonal changes. Since you are post-menopausal age, are you taking hormone or estrogen replacement therapy? Are the changes recent or long term? Talk with your GYN or dermatologist about options such as creams or laser therapy. If taking hormonal therapy, the changes may be chronic as long as you take estrogen/progesterone. ...Read more

39

39
What is the difference between melasma and hyperpigmentation?

What is the difference between melasma and hyperpigmentation?

Hyperpigmentation: Is increased skin pigmentation due to increase melanin production by the melanocytes. It can be due to external factors (sun exposure, meds side effect etc. Or medical conditions such as adrenal or kidney problems etc. Melasma is one cause of increase pigmentation. Http://www. Medicinenet. Com/script/main/mobileart. Asp? Articlekey=114398&page=1 http://www. Rightdiagnosis. Com/sym/hyperpigmentation.Htm. ...Read more

40

40
Can you tell me how to treat melasma without surgery or lasar?

Can you tell me how to treat melasma without surgery or lasar?

Treating melasma: Combining in-office treatments with a targeted home care regimen is a great strategy to treat melasma. Not including laser procedures, treatments like augmented peels, infusion medical microneedling or a combination, can be very beneficial to treat and improve the hyperpigmentation of melasma. ...Read more

Children's Health (Definition)

Children's health refers broadly to the health maintenance and prevention ...Read more