Melasma, also known as chloasma, refers to patches of darkened skin that show up on the face or forearms. These tan, brownish, or gray areas often occur evenly or symmetrically around the brow, cheeks, nose, or upper lip. Melasma is a not at all uncommon but is found more frequently in women. It may be due to sun damage or hormonal fluctuations, such as with menopause and pregnancy. Individuals with darker skin types are far more inclined to melasma compared to those who have lighter complexions, though exposure to sunlight is known to exacerbate it. Tracy Evans, M.D. is a board-certified dermatologist who regularly treats melasma at her practice, Pacific Skin and Cosmetic Dermatology Corte Madera. She and her team of dermatological professionals can provide several remedies to help lessen the appearance of your melasma.
"Amazing practice, Dr. Evan's and her staff are knowledgeable and professional, and I really appreciated her attention to detail, a very positive experience overall."- D.W. / Google / Nov 01, 2019
"Super efficient, super friendly, totally professional."- N.W. / Google / Nov 01, 2019
"I made the switch from another dermatologist to Tracy Evans’s office and I couldn’t be happier about the decision. The staff is friendly and professional. I left my appt. feeling confident about the care i was receiving and had a proactive plan for ongoing preventative maintenance."- C.B. / Google / Sep 10, 2019
"I've always been treated with kindness and respect by everyone. Dr. Evans is a wonderful doctor. Patient, trustworthy, and kind."- B.B. / Google / Jul 27, 2019
"I've been a patient for several years, and undergone several biopsies and skin cancer excisions. The level of care is excellent. The attention to detail is unsurpassed. Their work is always first rate, in a clean, friendly, caring environment. It is clear that Dr. Evans and her excellent staff truly cares about achieving the best possible result with every procedure."- S.E. / Google / Jul 20, 2019
The specific source of melasma has not been unidentified; however, studies have shown that people generally develop melasma in the summertime when the sunlight is the most intense. In winter months, the hyperpigmentation will become less visible or milder. Specialists think that melasma might be caused by various factors, such as medicines that make the skin more susceptible to discoloration following exposure to UV rays, hormone fluctuations, heredity, and anti-seizure drugs. Pregnancy and excess sunlight exposure are perhaps the main causes of melasma, particularly in those with a hereditary predisposition to the condition. Almost half of pregnant women have melasma to some degree.
Melasma is usually easily diagnosed due to its symmetric patterning. Patients typically develop hyperpigmentation on the face, but it can also occur on the neck and forearms. The three most common areas for melasma to occur are:
- Centrofacial – (center of your face) dark patches on the chin, forehead, upper lip, and nose
- Malar – (cheekbones) discoloration along the top of the cheekbones
- Mandibular – (jawbone) hyperpigmentation parallel with the jawline
The effectiveness of melasma treatments varies from patient to patient based on skin type, the darkness of the discoloration, and how long the melasma has been present. Dr. Evans does have her own proprietary melasma treatment that has shown great success that she may feel is the best option for you. She also might prescribe an exfoliating topical ointment, lotion, or gel to help expedite skin lightening. There are skin care treatments, such as chemical peels, microdermabrasion, and fractional lasers, that work to remove layers of discolored skin so new skin can regrow. Another solution is intense pulsed light therapy (IPL). Unlike lasers that utilize intense, concentrated lighting, IPL is focused broadband light that is able to reach multiple layers of pigmentation. With any melasma treatment, a recurrence is possible due to the nature of the condition. However, your results will definitely last longer if you are dedicated to protecting your skin from overexposure to the sun.
Get a Professional Diagnosis
If you are fed up with attempting to conceal your melasma with cosmetics, or if you spend extra money on store-bought remedies that never have good results, we welcome you to contact Pacific Skin and Cosmetic Dermatology Corte Madera to schedule an appointment. Melasma requires a special diagnosis so the appropriate treatment can be provided. Using the wrong facial cream or chemical can actually make the condition worse. Dr. Evans and her team can correctly diagnose and address your melasma to get you back to a more even, clear complexion.