Melasma is a skin condition characterized by dark patches that typically appear on the face. While the exact cause is still under investigation, certain triggers are well-documented. Although melasma is often asymptomatic, the visible contrast between the hyperpigmented areas and surrounding skin can make it a concerning issue for many. For those seeking treatment, visiting our North Richland Hills office can provide access to effective, personalized care options.
Melasma is more prevalent among women, especially those aged 20-40, and tends to occur more often in individuals with darker skin tones. Although a genetic link is suspected, the specific gene responsible remains unidentified.
Common triggers include:
Melasma can persist for years or, in some cases, resolve quickly once the underlying trigger is removed.
Topical treatments include regimens with hydroquinone (a traditional “bleaching” agent, though long-term use may paradoxically darken the skin), dicarboxylic acids like azelaic and kojic acid, mild corticosteroids, and tretinoin.
Procedural options, such as microneedling, chemical peels, and laser treatments, are also available; however, caution is advised with chemical peels and lasers, as overly aggressive treatments can result in post-inflammatory hyperpigmentation due to potential skin damage.
Avoiding triggers is essential for managing melasma. This includes minimizing sun exposure, using mineral-based sunscreens (which protect against UV and visible light), and coordinating with healthcare providers to manage any medications or thyroid conditions that may contribute to melasma.
