Melasma

Melasma is a skin discoloration found on sun-exposed areas of the face. Melasma is a very common skin disorder. Though it can affect anyone, young women with darker skin tones are at greatest risk. Melasma is often associated with the female hormones, estrogen and progesterone. It is especially common in pregnant women, women who are taking oral contraceptives ("the pill"), and women taking hormone replacement therapy during menopause. Sun exposure is also a strong risk factor for melasma. It is particularly common in tropical climates.

Creams containing tretinoin, hydroquinone, kojic acid, and azelaic acid have been shown to improve the appearance of melasma. Occasionally, your doctor may recommend chemical peels or topical steroid creams. In severe cases, laser treatments can be used to remove the dark pigment. Avoiding the sun and using sunscreen are key to preventing melasma. Call Dr. Brodsky if you have persistent darkening of your face.