– Melasma is very common with the Asian skin. It is multifactorial, with a strong genetic and hormonal component.
– It is worsened with sun exposure, OCPs and pregnancy.
– It tends to be distributed either over the cheeks or a central distribution from the forehead down to the chin.
How can we treat it?
– There are many treatment regimens for melasma.– Melasma is a condition that can be controlled and not cured. – It is a spectrum, and there is no one size fits all regime.– A carefully personalised programme works best as every melasma is different.– Personally, I would suggest an advanced treatment which consists of priming the skin with lightening agents for a month, +/- oral medication followed by careful chemical peels and lasers.1. Use good sunscreen, apply it 15min before going out. And reapply it every 2 hours.2. Use gentle lightening agents3. Laser light +/- Cosmelan