
Melasma is a facial condition that causes brown patches of hyperpigmentation on the skin. It usually appears on the cheeks, across the forehead and upper lip, or can appear in single patches. Commonly associated with hormonal factors, it can occur during pregnancy, during hormone replacement therapy. Causes of melasma appear to include a genetic predisposition, sun exposure (anything from decades ago to your most recent sun tanning session), hormonal changes, certain medication and medical conditions such as hypothyroidism. It is much more common in women, but can also appear in men. “Unfortunately, melasma is notoriously difficult to treat, since it is triggered by hormones and by the sun”, says Dr Michelle Lim. FIGHTING MELASMA The first step to treating melasma would be to see your skin doctor and have your hyperpigmentation looked at. Then exacerbating factors such as medication can be looked at, recommends Dr Michelle. She always prescribes a no-sun therapy – i.e. a strict sunscreen regimen. While both chemical and physical/mineral sunscreens are effective for normal skin, Continue Reading