What is Melasma ?

Melasma is a grayish-brown pigmentation, commonly found on the cheeks, nose, and eyebrows. It is more prevalent in females, though it can also be seen in males, with approximately 80% of cases affecting women. It is also referred to as chloasma or the “mask of pregnancy” if it occurs post-pregnancy.

Melasma is an acquired hyperpigmentation disorder of the skin, most commonly seen in women of childbearing age. It’s called the “mask of pregnancy” because it frequently appears in pregnant patients or those using oral contraceptives. Melasma is exacerbated by UV radiation, but visible light—from screens and electronic devices—can also contribute to hyperpigmentation.

Melasma is a chronic condition, meaning there is no cure, but many treatment options are available to help control hyperpigmentation. The first thing I tell my patients is that we need to reduce the skin’s exposure to UV radiation and environmental factors that worsen hyperpigmentation. Sunscreen is a must; it should be worn daily, even if you’re not going outside.

Dermatologists also discuss prescription and non-prescription products with their patients. There are several prescription treatments, such as hydroquinone or combinations of hydroquinone with other ingredients like corticosteroids or tretinoin. Dermatologists also use chemical peels and microneedling in the office, which can yield excellent results for managing melasma.

If you have melasma, it’s crucial to find a board-certified dermatologist who can help you create a personalized treatment plan. Melasma won’t just disappear after a single chemical peel. A skilled dermatologist can guide you through various treatment options and, once you’ve achieved clearer skin, help you maintain those results.