What Is Melasma?
Melasma, also called chloasma, occurs when irregular patches of dark skin arise on the face or forearms. These tan or brownish spots generally occur symmetrically around the forehead, cheeks, nose, or upper lip. The appearance of melasma distinguishes itself from other conditions that lead to darkening of the skin. Melasma is a common condition and is found more often in females. It can be caused by sun damage or by hormonal fluctuations, such as with pregnancy and menopause. Those with darker skin types are more prone to melasma than those with lighter complexions. Dr. Oben Blair Ojong is a skilled dermatologist and Mohs surgeon who treats melasma regularly at Rêve Dermatology and Aesthetics in The Woodlands, TX where we offer numerous treatments that can lessen the visibility of this cosmetic condition.
How Is Melasma Treated?
There are several possibilities for the treatment of melasma. First, various topical ointments, gels, or lotions can be given to help expedite skin lightening. Second, there are skin care procedures, such as Dermapen®, microdermabrasion, chemical peels, or fractional lasers. Another option is intense pulsed light therapy or IPL. Unlike lasers that use intense, concentrated light, IPL is focused BroadBand Light™, meaning the recovery period is brief. Results usually last when the patient implements superb sun protection and maintenance.
How Is Melasma Diagnosed?
Melasma is typically diagnosed through a visual skin examination by a dermatologist at Rêve Dermatology and Aesthetics. In some cases, a Wood’s lamp or dermatoscope may be used to assess pigmentation depth and determine the extent of discoloration. If needed, additional testing may help rule out other skin conditions. A thorough consultation, including a review of medical history and sun exposure habits, helps ensure an accurate diagnosis and personalized treatment plan.
What Are the Symptoms of Melasma?
Melasma is characterized by patchy dark brown or grayish discoloration or hyperpigmentation, mainly on the face. These patches can gradually develop over time and can be triggered by hormonal changes in the body. Three kinds of common facial patterns are recognized in people with melasma:
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Centrofacial (center of your face) hyperpigmentation around the forehead, cheeks, upper lip, nose, and chin
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Malar (cheekbones) melasma patterns around the top of the cheeks
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Mandibular (jawbone) hyperpigmentation parallel with the jawline
Rêve Dermatology and Aesthetics Reviews
Dr Ojong and the team at Rêve Dermatology and Aesthetics are very professional, kind and compassionate, I love been always greeted with a smile, in a space that is calm and welcoming. I trust that I am in safe hands at Rêve Dermatology Aesthetics and highly recommend the practice.
Extremely good. Very nice facility, friendly staff. Arrived early, saw Dr. Ojong early, everything went very smooth.
Very on time and let me say this - the Receptionist was beautiful, then I get back to the room and the nurse was beautiful....then the Doctor comes in and she was the most beautiful girl of them all!All kidding aside, very punctual and professional....but you might feel a bit ugly when you roll into this world of beautiful women.
I made an appointment with Doctor Reve for a mole check. The entire office staff was friendly and competent. The doctor was attentive to my needs; I will return for an annual check up next year!
Pretty office front desk was very nice and Ma was great but the doctor had me wait an hour after my appointment time definitely was not happy about that . She didn’t bother saying sorry for the wait.
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Total Reviews
4.9
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What Are the Causes of Melasma?
The exact cause of melasma is still unknown, but it is believed to be influenced by various factors. These include hormonal changes, genetic predisposition, certain medications like anti-seizure drugs, and other treatments that increase the skin's sensitivity to ultraviolet (UV) light. Among these, excessive sun exposure is considered the leading trigger, especially for those with a genetic tendency toward the condition. Research shows that melasma often becomes more pronounced during summer months when sunlight is strongest, while it tends to fade or lighten during the winter.
Melasma FAQ
Can melasma affect individuals with darker skin tones?
Yes, melasma can affect individuals with all skin tones, but it is more common in people with medium to darker skin tones. The increased melanin production in these skin types makes them more susceptible to hyperpigmentation. However, the condition's appearance and severity can vary widely among individuals. Those with darker skin should take special care to use broad-spectrum sunscreen and protective measures to minimize the risk of worsening the condition.
Does melasma require lifelong management?
While melasma can be managed effectively, it often requires ongoing care to prevent recurrence. Sun exposure, hormonal changes, and other triggers can cause the pigmentation to return even after successful treatment. Therefore, a consistent skin care routine, including sun protection and possibly maintenance treatments, is essential to keep melasma under control. Patients should be prepared for a long-term commitment to their skin care regimen.
How does melasma differ from other forms of hyperpigmentation?
Melasma is distinct from other forms of hyperpigmentation because it is often symmetrical and has specific triggers, such as sun exposure and hormonal changes. Unlike post-inflammatory hyperpigmentation (PIH), which occurs after skin injury or inflammation, melasma is typically a chronic condition that can persist for years. Its response to treatment also differs, as melasma may require more targeted therapies to manage effectively.
Get A Professional Diagnosis
If you are affected by melasma and are tired of attempting to cover it with makeup, or if you spend extra money on store-bought treatments that do not offer you the outcome that you would like, we encourage you to call Rêve Dermatology and Aesthetics to schedule an appointment. Melasma needs a personalized diagnosis so the ideal treatment can be provided. If the incorrect therapy is implemented, the skin might become worse. Dr. Ojong can correctly diagnose and address melasma to provide you with a fantastic result.