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Melasma Treatment in Indore

Dr. Bansal's Hair & Skin Clinic Indore

Melasma Treatment

Melasma is an epidermal pigmentation disorder that is known to be an inherited pigmentary disorder with patches that are symmetrical and brown to grey in nature, and mostly appear in the parts of the skin on the face that are exposed to sunlight. It mostly occurs among women, particularly in their reproductive years, although men are also affected. It is more common among people of darker skin types and in places where there is a lot of sun exposure. Melasma itself is harmless and not contagious, yet it can be a great cosmetic worry and lead to emotional distress.

The most widespread affected parts are the cheeks, forehead, nose, upper lip, and chin. In other instances, melasma can also develop around the neck and forearms. The pigmentation patterns have been generally categorized as centrally based on the forehead, cheeks, nose, and upper lip, malar based on the cheeks and nose, and mandibular based on the jawline. The patches are mostly flat, well-delimited, and do not result in itchy, painful, or scaling.

Melasma is not completely understood in terms of its etiology; however, it is thought that this is due to excessive production of melanin being produced by hyperplastic melanocytes. Its formation is caused by a variety of factors, and they include overexposure to the sun, hormonal factors (pregnancy, oral contraceptives, and hormone replacement therapy), inherent predisposition, thyroid alterations, some cosmetics, and drugs. The significant role is played by ultraviolet (UV) radiation, which provokes melanocytes and increases pigmentation.

Melasma diagnosis is mainly based on clinical diagnosis, which is made based on its appearance and location. The depth of pigmentation can be assessed by a lamp examination of Wood and be used to inform treatment decisions. The histopathological examination is not often necessary.

The treatment of melasma is aimed at containing pigmentation and preventing its development. The basis of treatment is sun protection, which involves constant application of broad-spectrum sunscreens, protective clothing, and staying out of the peak hours of the sun. Topical depigmenting hydrogen peroxide (hydroquinone, azelaic acid, kojic acid, and retinoids) is frequently employed. Combination therapies usually yield improved results. In intractable cases, chemical peels, laser therapy, or any other light-based therapy can be considered under the supervision of specialists.

Melasma is a chronic and recurring disease that needs a long-term and patient approach. Conclusion:

Despite the fact that melasma does not have a health risk factor, it may have a serious effect on self-esteem and quality of life. Pigmentation can be successfully managed through regular sun protection, proper medication, and lifestyle change, and the affected persons can be seen to improve and have increased confidence.