What Causes Melasma and Hyperpigmentation?

Melasma is a benign skin condition characterized by excessive pigment deposition in the skin. Hyperpigmentation is generally diffuse in the area of the upper cheeks, forehead, and jawline. The top 4 causes of melasma are as follows: Hormones (Estrogen, Progesterone) Genetics Sun Exposure Inflammation of the skin Treatment is based on reducing the production of pigment in the melanocytes. Although there are several alternative natural treatments, the most effective are the... more

Melasma is also known as the "mask of pregnancy." Its causes, as mentioned include: 1. Hormones including estrogen and fluctuations in hormone levels) 2. Genetics 3. Sun Exposure 4. Inflammation or irritation 5. Heat (this is one factor that I threw in because it seems that individuals in warm environments, for example cooks seem to be more prone to developing melasma, though it may be related to #4). The first two factors I listed are difficult to address (though certain... more

Melasma can be treated the most effectively with the following: Hydroquinone Chemical peels IPL Fractionated Laser As the other physicians have mentioned, however care and consideration must be used for patients with darker skin types as hypopigmentation may occur, creating a whole separate problem. Consult a board certified dermatologist or plastic surgeon. Good luck!

Melasma is a splotchy light or dark brown discoloration that occurs on the face and neck—most commonly on the cheeks, forehead, upper lip and chin. It tends to occur in women who are pregnant or taking oral contraceptive pills and who live in sunny areas. However, it may occur in the absence of these factors, and it is sometimes seen in men. People with darker skin tone (those of Latin, Asian, Indian, Middle Eastern, Mediterranean, and North African descent) are more likely to... more