Melasma Treatment In Indore

Melasma is a common skin condition characterized by brown or grayish-brown patches of skin, usually on the face.

It occurs because of an overproduction of melanin, the pigment that gives the skin its color.

Melasma is more common in:

Women, especially in pregnancy (“mask of pregnancy”)

Individuals with darker skin tones

Those constantly exposed to the sun

It is not contagious and does not cause any health problems; however, it can affect appearance and self-confidence.

Symptoms / Description

Dark, irregular patches of pigmentation, often on:

• Cheeks

• Forehead

• Nose bridge

• Upper lip

• Chin

The patches are symmetric, appearing on both sides of the face.

Often worse with sun exposure, pregnancy, or the use of hormonal contraceptives.

Treatment of Melasma

Melasma tends to fade with time, but treatment lightens darkened patches of skin and helps prevent recurrence.

Management usually needs combined therapy and sun protection to be successful.

1. Sun Protection (The Most Important Step)

Use broad-spectrum sunscreen with SPF 30 or above daily, even indoors.

Reapply every 2–3 hours when outdoors.

Wear wide-brimmed hats and avoid direct sunlight, especially between 10 a.m. and 4 p.m.

2. Topical (Skin-Applied) Treatments

These are the mainstay of melasma treatment:

Hydroquinone (2–4%) is the most commonly used agent for skin lightening.

Tretinoin (Retinoic acid) - increases skin turnover, helps to remove pigmented cells.

Corticosteroid creams decrease inflammation and improve lightening.

Often used together in a triple combination cream.

Hydroquinone + Tretinoin + Mild steroid (e.g., fluocinolone).

Other topical agents that help:

• Azelaic acid

• Kojic acid

• Vitamin C serums

• Niacinamide

3. Oral Medications

Tranexamic acid-on medical discretion-only helps decrease melanin production and is effective in resistant cases.

Antioxidant supplements: vitamin C, E, and glutathione improve skin conditions.

4. Procedural Treatments

For resistant or severe melasma, dermatologists may recommend:

Chemical peels-e.g., glycolic acid, salicylic acid-are used to remove upper layers of the skin and reduce pigmentation.

Microdermabrasion – it gently exfoliates the top layer of your skin.

Laser treatment or intense pulsed light (IPL) is targeted at deeper pigmentation, but applied with caution since it might occasionally aggravate melasma.

Prevention and Self-Care

Limit sun exposure and use sunscreen at all times.

Avoid or stop hormone medicines, such as birth control pills, that may be contributing to melasma; discuss this with your doctor first.

Use gentle skin care products; avoid vigorous scrubs or irritants.

Eat healthy, antioxidant-rich food like fruits and vegetables.

Manage stress — the hormonal changes accompanying stress can aggravate pigmentation.

Follow up regularly with the dermatologist for maintenance therapy.

⚠️ Important Notes: Melasma is a chronic condition and may return even after successful treatment. The key to preventing recurrence is consistent sun protection. The results take weeks to months, so patience is required with regular treatment.