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Melasma is a skin condition that appears as brown or gray-brown patches on the face, especially the cheeks, upper lip, nose, forehead, and chin.
Melasma affects mostly women, as only 10% of those affected are men. Women with dark skin, especially Hispanics or Asians, tend to be affected by melasma more commonly.
The precise cause is unknown. Experts believe the discoloration is cause by normal changes in hormones that occur when a woman begins taking birth control pills or hormone replacement therapy, or during pregnancy. People with a family history of melasma are more likely to develop it. Sun exposure usually darkens the brown patches.
There are many effective treatments for melasma. The use of daily sunscreens and sun protection is critical. Even minor amounts of unprotected sun exposure can undo months of progress. A variety of “bleaching creams” are also available that contain hydroquinone. These creams do not “bleach” the skin. Instead, they decrease the activity of pigment producing cells. Other treatments include the Obagi Nu-Derm system, chemical peels and the Fraxel laser.
For more information, please visit the American Academy of Dermatology website or Triluma.