Common Mistakes and Misconception about Melasma
Melasma is a refractory, chronic, and frustrating condition to deal with. I will tell you how you can manage melasma and make it better. I’m sure you’ll find a lot of tips in this content that can help you deal with melasma. So let’s get started.
First, you need to understand that there is no cure for melasma. We can control it. A lot of patients go to dermatologists hoping there’s one magical cream that can get rid of melasma or something they can use for maybe one or two months, and the melasma will go away forever. As someone who suffers from melasma, I’m telling you that you need to have a very vigilant skincare routine on a daily basis and take care of your melasma every single day. Addressing certain factors every single day ensures it doesn’t come back. It cannot be cured. We can only control it. However, we can control it to such an extent that it is not very visible. We can improve your melasma by 80% to even 90%, depending on the type of melasma, but you must be very diligent with your skin treatment and regular with your skincare routine to keep melasma. Otherwise, it’s just going to come back no matter what you do.
Understanding that melasma could persist for a lifetime is very important so that you can take certain steps and make changes in your lifestyle. You need to do these steps to prevent the recurrence of melasma. There is nothing that can completely stop melasma from coming back, but certain measures can keep it under control so that it is not very visible.
Understanding the Importance of Sunscreen in Melasma
Sunscreen is the most important aspect of any melasma treatment. Whatever your doctor has prescribed, I’m sure sunscreen must have been included. I’m not just talking about applying sunscreen when you’re outdoors—you must apply sunscreen even when you’re indoors. Even if you are out in the sun for just 5 or 10 minutes and feel it’s morning sun and might not exacerbate your melasma, You have to use sunscreen no matter what, 12 months a year, if you want to tackle melasma.
Remember that melasma tends to exacerbate exposure to blue light. So, using a tinted sunscreen can help, especially if you have refractory or resistant melasma that is not responding to treatment. Remember, there is no one “best” sunscreen for melasma treatment. Whatever sunscreen you like and feel suits your skin is the best for you. Regular use is more important than the type of sunscreen. However, if you have melasma, look for SPF 50, PA+++, and a tint. It should preferably have some physical filters, like zinc oxide.
If you have sensitive skin and feel that walking out in the sun irritates your skin or causes redness, it’s better to use a plain mineral sunscreen with only zinc oxide or titanium dioxide. If your skin can tolerate it, you can use a hybrid sunscreen. Look for zinc oxide in your sunscreen, as it can help reduce the recurrence of melasma.
Another common mistake or misconception is relying on over-the-counter products or cosmetic ingredients, thinking they will help reduce melasma. No—you need prescription-based creams, especially in the initial stages or if you have severe melasma. Certain prescription-based creams, which I won’t name here to avoid misuse, must be prescribed and used under the supervision of a dermatologist. These creams must be used correctly for a specific period; otherwise, they can cause rebound darkening and worsen the condition.
If you have melasma, consult a dermatologist. I’m not saying you need to visit them every week, but once you have a regular routine in place, you can visit them once every six months if your melasma is under control. That one consultation to understand your skin type and establish a basic skincare routine is very important. There are also certain creams that can help manage melasma, especially for events or sudden darkening, and your dermatologist can guide you.