What is Melasma?

Melasma is a condition that occurs most commonly in women that are pregnant or using oral contraceptives. It refers to mottled pigmentation seen most often on the face and neck. It is a form of hyperpigmentation that is worsened by exposure to the sun. Infrequently it occurs in men.

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Causes of Melasma

Melasma is seen most commonly in pregnant women, or women using oral contraceptives. It’s shown to be related to endocrine dysfunction, certain medications, certain nutritional deficiencies, and hepatic (liver) dysfunction.

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The infrequency of Melasma in postmenopausal women on estrogen replacement suggests that estrogen alone is not the cause. Sun exposure appears to be a stimulating factor in predisposed individuals. It is not proven to be hereditary.

Melasma Before and After Pictures

Prevention

The simplest way to protect against the further development of Melasma is to discontinue the use of oral contraceptives and stay out of the sun. If you must be exposed to the sun, make sure to use sunscreen with an SPF factor of at least 15. Use only sunscreen that blocks UVA and UVB rays. 

Common Melasma Questions