Could Melasma Be Stress-Related?

Hello, please see below for treatment options. Melasma is a condition which requires multiple steps and treatments to effectively improve the condition consistently over time.  In our office, here are steps which are effective:
-Pico lasers- The best type of laser for improving the condition.  Please note it takes multiple steps to improve melasma safely
-Nd:YAG Nano lasers with toning- Here a laser is used for deeply resistant melasma to break up particles without generating excessive heat
-Melanage peels- A variety of peels can work and melanage is one of the best for melasma
-Skin topicals- A variety of products including use of lighteners (we prefer natural lighteners such as arubtase found in our product Luminoso) as well as sunscreens can help improve the condition
-Lifestyle choices-Avoiding the sun, hormonal changes (we have a hormone expert in Dr. Chughtai in our office) can all impact melasma.
While melasma is common, patients must understand a multi pronged approach is often the best strategy and controlling this condition.
Best, 
Anil Shah MD

Melasma does have a stress component, as stress can affect cortisol and hormonal patterns in the body.  Sun exposure and hormones play an important role as well.  I use a Melaquin Skin Brightening protocol for the treatment of melasma, in addition to chemical peels and lasers in my Los Angeles office.

Hi London.  It is known that changes in hormonal levels can affect the appearance of Melasma.  There is also some research to indicate that Melasma and be linked to stress with the "release of MSH by the hypothalmus".  

Besides hormonal changes, other triggers that can make Melasma worse are extreme heat and humidity and sun exposure.