Melasma is a skin condition that affects mainly women and tends to be prevalent in people with dark skin tones. Melasma is a series of irregularly shaped, dark patches of color that appear on the face. The condition is often associated with pregnancy. According to the American Academy of Dermatology, the cause of the pigment formation is unknown; however, genetics may play a role. Chemical peels can be one effective way to reduce the discoloration. This treatment uses a chemical solution to burn off the top few layers from the skin surface. Since melasma is not usually deep seated, the peel may remove at least a portion of the coloring associated with the condition. Once complete, some extra care may improve the melasma and reduce further incident.
Step 1
Follow the aftercare instructions provided by the dermatologist to allow your skin to heal from the chemical peel. A chemical peel might leave skin red and irritated. Your doctor will give your instructions on the best methods to care for the affected skin. Healing should be complete before taking steps to improve left over melasma spots.
Step 2
Apply a sunscreen to exposed skin whenever you go outdoors. The American Academy of Dermatology recommends those diagnosed with melasma wear sunscreen whenever they go outdoors. New skin growth will be sensitive to the sun, especially after a chemical peel. Use a product with at least SPF of 30 every time you leave the house -- even on cloudy days.
Step 3
Use a whitening cream once the skin heals. Select an over-the-counter product that contains hydroquinone. The American Academy of Dermatology advises you to see a doctor if the cream causes any irritation or further darkening of the area. If the store-bought cream is not effective, ask your dermatologist about a prescription cream with a higher concentration of hydroquinone.
Step 4
Talk to your doctor about discontinuing birth control pills if taking them. Another factor in melasma might be oral birth control. It is possible that the melasma will fade once you stop taking the pills.
Tips and Warnings
- Discuss the use of any creams for skin lightening with your doctor before application. Hydroquinone is not the only medication available to fade dark spots. Your dermatologist may want to give you a prescription containing azelaic acid or kojic acid instead. Talk about ways to reduce further incidents of melasma with him first, so you understand your options.
- A raised area with irregular edges may not be melasma, but melanoma, a serious form of skin cancer. Melanomas will have dark pigmentation, an irregular symmetry and possibly evolve from an existing mole.
Things You'll Need
- Sun block SPF 30 or higher
- Skin whitening cream
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