Melasma Facts: Causes, Treatment & Heredity

Melasma is a skin condition characterised by dark, irregular patches primarily on the face. It’s slightly more common in women than men, but it can impact men’s skin too. Melasma commonly affects women with darker skin tones, although it can occur in any skin type. 

Factors like sun exposure, hormonal changes (due to pregnancy or birth control pills), and even blue light from electronic devices can trigger or worsen melasma. While it is a non-dangerous condition, melasma can significantly impact one's self-esteem and emotional well-being due to its visible nature. 

This blog aims to explore the intricacies of melasma, shedding light on its causes, diagnosis, and treatment, with a focus on understanding and managing this skin condition.

Understanding Melasma

Melasma, often referred to as 'chloasma' or the 'mask of pregnancy,' is a common pigmentary disorder. It manifests as symmetrical, blotchy, brownish pigmentation on sun-exposed areas, primarily the face.

Typical affected areas include the cheeks, forehead, upper lip, nose, and chin. While it is more prevalent in women, particularly during their reproductive years, it can also affect men.

Causes and Risk Factors

The exact cause of melasma is complex and multifactorial. Key factors include:

  • Genetic predisposition: Often runs in families, indicating a hereditary component.
  • Sun exposure: Ultraviolet (UV) light stimulates melanocytes (pigment-producing cells), which is why areas exposed to the sun are more commonly affected. This is is why melasma is fairly common in Australia - our UV rays are just so strong here!
  • Hormonal influences: Pregnancy, birth control pills, and hormone replacement therapy can trigger melasma due to hormonal changes.
  • Skin type: Individuals with darker skin types are more prone to melasma due to higher melanin content.
  • Environmental factors: Exposure to blue light from screens and certain skincare products can exacerbate the condition.

Common Misconceptions

There are several misconceptions about melasma. It's important to clarify that melasma:

  • Is not contagious or cancerous.
  • Is not solely a condition of pregnancy; it can affect women at various life stages and men as well.
  • Can't be entirely prevented, but risks can be minimised through protective measures.

Understanding these aspects is crucial in demystifying melasma and guiding effective management and treatment. 

Identifying Melasma

Melasma's most distinguishing feature is the appearance of darkened patches on the skin. These patches are usually brown or tan and appear predominantly on the face. They are often symmetrical and can vary in size. Unlike other skin conditions, melasma patches are typically flat and have no texture change to the skin.

Diagnosis Process

Diagnosing melasma primarily involves a visual examination by a skincare professional, such as a beauty therapist, aesthetics nurse, or dermatologist. 

They will look for the characteristic patterns and locations of pigmentation typical of melasma. A key aspect of identifying melasma is differentiating melasma from other skin conditions like sunspots or post-inflammatory hyperpigmentation.

In some cases, a skin professional might use a Wood's lamp, which emits black light, to examine the depth of the pigmentation in the skin layers. This helps in determining the type of melasma (epidermal, dermal, or mixed) and guides the treatment plan. 

The Importance of Professional Consultation

While melasma is not harmful, it's essential to get a professional diagnosis to ensure appropriate treatment. Self-diagnosis and treatment can lead to inappropriate skin care regimens, potentially worsening the condition or causing skin irritation.

It’s critical to avoid at-home treatments such as lemon juice or baking soda, as these ‘home remedies’ are actually completely inappropriate for use on the skin! 

A skin health expert can also provide guidance on managing melasma and preventing exacerbation, crucial for those living in sunny climates like Australia.

Treatment Options for Melasma 

Beauty Affairs MediSpa offers specialised treatments for conditions like melasma, focusing on non-prescriptive approaches that include medical-grade skincare products, professional treatments, and personalised care plans. 

Our top suggestion is booking in for the Beauty Affairs Pigmentation & Age Spot treatment - our expert therapists will choose the best treatment from a variety of modalities to address your pigmentation needs. 

Our medispas are equipped with advanced technologies and expertise to effectively manage melasma.

Medical-Grade Skincare Products

Medispas provide access to high-quality skincare products specifically formulated for issues like hyperpigmentation. 

These products, often containing active ingredients like vitamin C, niacinamide, and alpha hydroxy acids, can help reduce the appearance of melasma by gently exfoliating the skin and promoting an even skin tone.

Clients are advised on the best products for their specific skin type and condition.

Professional Treatments

Beauty Affairs MediSpa offers a range of professional treatments suited for melasma management, including:

  • PHN0cm9uZz5Db3NtZWxhbjwvc3Ryb25nPjogQSBkZXBpZ21lbnRhdGlvbiA8YSBocmVmPSJodHRwczovL3d3dy5iZWF1dHlhZmZhaXJzLmNvbS5hdS9wcm9kdWN0cy9taW5lbnNzZXktbnV0cml0aW91cy1za2luLXRyZWF0bWVudC1tYXNrLTVwY3MiPnRyZWF0bWVudCB0aGF0IGhlbHBzIHJlZHVjZSBza2luIGRpc2NvbG91cmF0aW9uPC9hPsKgYW5kIGh5cGVycGlnbWVudGF0aW9u. It's effective for various types of melasma and provides a non-invasive solution.
  • Chemical Peels: Tailored to the individual's skin type and severity of melasma, chemical peels help in exfoliating the top layers of the skin, promoting the growth of new, healthier skin cells.
  • Laser Treatments: Advanced laser technologies are used to target and lighten hyperpigmented areas. Treatments like fractional lasers can be particularly effective, though they require skilled application and a careful approach to avoid potential side effects.

Emphasising Prevention and Ongoing Management

Medispas also play a crucial role in educating clients about prevention and ongoing management of melasma:

  • Sun Protection Advice: Clients are advised on the importance of using broad-spectrum sunscreens and incorporating sun-protective behaviours into their daily routine. Wearing sunscreen every day can make a huge difference!
  • Lifestyle Guidance: Factors like diet, skincare routine, and environmental considerations are discussed to help manage melasma.

Key Points

In conclusion, melasma, while a common and often persistent skin condition, can be effectively managed with the right combination of treatments and preventive measures. Medispas offer a valuable resource in this journey, providing professional treatments like Cosmelan, chemical peels, and laser therapy, coupled with medical-grade skincare products and personalised care plans.

The key to successfully managing melasma lies in a holistic approach – one that combines professional treatments with diligent sun protection with a strong enough SPF rating, a gentle skincare routine, and lifestyle adjustments. Education and ongoing support from skincare professionals are also crucial in empowering individuals to take control of their skin health.

While there is no one-size-fits-all solution for melasma, the advancements in treatment options and the expertise available at Beauty Affairs MediSpa offer hope and effective pathways for those seeking to improve their skin's appearance and health. Remember, consistent care and preventive measures are your best allies in the fight against melasma.




Alexis Adrienne

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