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Typically affecting women more than men, melasma is a common skin condition characterised by dark patches or discoloration on the face. While it is not a serious medical condition, it can cause distress and affect one’s self-esteem.

Symptoms

· Symmetrical brown or grey-brown patches on the face, particularly on the cheeks, forehead, nose and upper lip.

· Patches are usually well-defined and may vary in size and shape.

· Skin discoloration does not cause any physical discomfort or itching.

Causes

· Sun exposure: UV rays from the sun can trigger melasma or worsen existing patches

· Hormonal changes: Melasma is often associated with hormonal fluctuations during pregnancy or while taking hormonal contraceptives

· Genetics: A family history of melasma increases the likelihood of developing the condition

· Ethnicity: Individuals with darker skin tones, especially those of Hispanic, Asian or African descent have a higher risk of melasma

Treatment

· Sun protection: Regular and consistent use of broad-spectrum sunscreen with a high SPF, along with protective clothing and wide-brimmed hats can help prevent melasma from worsening.

· Topical creams: Prescription creams containing ingredients like hydroquinone, tretinoin, corticosteroids or azelaic acid may be recommended to lighten the patches and even out the skin tone.

· Chemical peels: Mild chemical peels using substances like glycolic acid or trichloroacetic acid can help exfoliate the skin and reduce the appearance of melasma.

· Laser therapy: Certain laser treatments, such as intense pulsed light (IPL) or fractional laser therapy, can target and break up the excess pigmentation in the affected areas.

· Cosmetics: The use of makeup or camouflage creams can provide temporary coverage and help individuals feel more confident while undergoing treatment.

It is important to consult a dermatologist or a healthcare professional for an accurate diagnosis and personalised treatment plan for melasma.

Contact me and together we can determine the best treatment plan for your melasma.

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