Melasma, a common skin condition that causes dark patches on the skin.
What is melasma?
Melasma is a skin condition that causes dark patches to appear on the face, most commonly on the forehead, cheeks, upper lip, and chin.
It is a common condition, particularly among women, and is often triggered by hormonal changes, such as those that occur during pregnancy or when taking certain medications.
Melasma is not harmful, but it can be a source of cosmetic concern for many people.

Symptoms of melasma
The main symptom of melasma is the appearance of dark, discolored melasma patches on the skin.
These patches may be symmetrical, appearing on both sides of the face, and are often more noticeable in areas exposed to the sun.
In some cases, the patches may be raised or have a rough texture, but this is not always the case.
Causes of melasma
Melasma is often triggered by hormonal changes, such as those that occur during pregnancy or when taking certain medications.
It is also more common in people with darker skin tones, as the condition is often related to an excess production of pigment in the skin.
High Sun exposure is another major contributing factor to melasma, as it can increase the production of pigment and worsen the appearance of the patches.
Risk factors for melasma
There are several factors that may increase the risk of developing melasma, including:
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Being female: Melasma is much more common in women than in men.
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Having a family history of melasma: If someone in your family has had melasma, you may be more likely to develop the condition.
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Being pregnant: Pregnant women, hormonal changes during pregnancy can trigger the development of melasma.
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Taking certain medications: Certain medications, such as birth control pills and hormone replacement therapy, can increase the risk of developing melasma.
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Having a darker skin tone: Melasma is more common in people with darker skin tones.
Diagnosing melasma
Dr. Abraham Cazares can diagnose melasma by examining the affected skin and asking about the patient’s medical history and current medications and offer a suitable treatment for melasma.
Treatment options for melasma
There is no cure for melasma, and treatment options are often aimed at lightening the affected skin and reducing the appearance of the patches. Common treatment options include:
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Topical creams: Topical medications containing ingredients such as hydroquinone, azelaic acid, or tretinoin can help to skin lightening the affected skin and reduce the appearance of the patches.
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Chemical peel: Chemical peels, like kojic acid which use a chemical solution to remove the top layers of skin, can help improve the appearance of melasma.
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Laser therapy: Laser therapy can be used to remove the top layers of skin and stimulate the production of new, healthy skin cells and help treating melasma.
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Sun protection: Wearing sun protection with a high SPF and protective clothing can help prevent the condition from worsening the dark patches.

Preventing melasma
There are several steps you can take to reduce your risk of develop melasma or prevent the condition from worsening:
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Wear sunscreen: Sunscreen with a high SPF and protective clothing can help prevent the condition from worsening.
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Avoid the sun: Avoid spending long periods of time in the sun, particularly during peak hours.
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Wear a hat: A wide-brimmed hat can help protect your face from the sun.
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Use makeup with SPF
Postinflammatory hyperpigmentation vs Melasma
Post-inflammatory hyperpigmentation (PIH) and melasma are two different skin conditions that can cause dark, discolored patches on the skin.
Here are some key differences between the two conditions:
Cause
PIH is a common side effect of skin injury or inflammation, such as acne, burns, or cuts. It occurs when the skin produces excess pigment in response to the injury or inflammation.
Melasma, on the other hand, is often triggered by hormonal changes, such as those that occur during pregnancy or when taking certain medications. Sun exposure is also a major contributing factor to melasma.
Location
PIH typically appears on the skin as a result of an injury or inflammation, and can appear anywhere on the body.
Melasma, on the other hand, is most commonly found on the face, particularly on the forehead, cheeks, upper lip, and chin.
Appearance
PIH typically appears as small, flat patches of discoloration that are the same color as the surrounding skin.
Melasma, on the other hand, typically appears as larger, irregularly shaped patches that are darker than the surrounding skin.
Treatment
Both PIH and melasma can be treated with topical creams, chemical peels, and laser therapy. However, PIH may be more responsive to treatment than melasma, as it is often related to a specific event (such as an injury or inflammation) that has resolved. Melasma, on the other hand, may be more persistent and require ongoing treatment to maintain results.
It is important to consult with Dr. Abraham Cazares if you are concerned about dark, discolored patches on your skin, as the treatment for PIH and melasma may vary.

Final Word from Dr. Abraham Cazares
Dr. Abraham Cazares is a renowned certificated Doctor who is highly skilled in the treatment of melasma, a common skin condition that causes dark, discolored patches on the skin.
Dr. Cazares is an expert in using a range of treatments, including topical creams, chemical peels, and laser therapy, to help lighten the affected skin and reduce the appearance of the patches.
With his extensive knowledge and experience, Dr. Cazares is well-equipped to help patients with melasma achieve the best possible results.
If you are concerned about melasma or any other skin condition, Dr. Abraham Cazares is your doctor to trust.
Frequently asked questions FAQ
How do I get rid of melasma?
There is no cure for melasma, and treatment options are often aimed at lightening the affected skin and reducing the appearance of the patches. Common treatment options include:
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Topical creams: Topical creams containing ingredients such as hydroquinone, azelaic acid, or tretinoin can help lighten the affected skin and reduce the appearance of the patches.
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Chemical peels: Peels, which use a chemical solution to remove the top layers of skin, can help improve the appearance of melasma.
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Laser therapy: Laser therapy can be used to remove the top layers of skin and stimulate the production of new, healthy skin cells.
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Oral treatments: combined with the topical therapy sometimes will be needed oral medications
It is important to note that these treatments may not completely eliminate melasma and may need to be continued over an extended period of time to maintain the results.
It is also important to protect the skin from further sun exposure and use sunscreen regularly to prevent the condition from worsening.
What is the main cause of melasma?
The main cause of melasma is not fully understood, but it is often triggered by hormonal changes, such as those that occur during pregnancy or when taking certain medications.
Sun exposure is another major contributing factor to melasma, as it can increase the production of pigment and worsen the appearance of the patches.
Melasma is also more common in people with darker skin tones, as the condition is often related to an excess production of pigment in the skin.
What are 3 different types of melasma?
There are three main types of melasma:
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Epidermal melasma: This type of melasma affects the top layer of skin (the epidermis) and is characterized by dark, symmetrical patches that are more easily visible in sunlight.
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Dermal melasma: This type of melasma affects the second layer of skin (the dermis) and is characterized by deeper, more diffuse patches that are less responsive to treatment.
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Mixed melasma: This type of melasma is a combination of both described melasmas and is characterized by both shallow and deep patches.
What deficiency causes melasma?
There is no specific deficiency that is known to cause melasma. The condition is often triggered by hormonal changes, such as those that occur during pregnancy or when taking certain medications, and is also more common in people with darker skin tones.
Sun exposure is another major contributing factor to melasma, as it can increase the production of pigment and worsen the appearance of the patches.