Melasma is a common acquired increase of brown pigmentation (melanin) that occurs exclusively in sun-exposed areas. Melasma is after present on the cheeks, upper lips and forehead and sometimes occur on the forearms.Although it can affect anyone, melasma is particularly common in women, especially pregnant women and those who are taking oral or patch contraceptives or hormone replacement therapy (HRT) medications.
Melasma has been very difficult to treat, and even harder to cure. Treatment regimens include the use of a sunscreen with a minimum of SPF 30, kligman’s triple combination, etcbut medication must be taken under the supervision of a dermatologist. For Dermal melasma, which is a very common variety, topical treatments are generally ineffective. Lasers and chemical peels are the unique approach in treating melasma.