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Treatments for Melasma

September 2, 2019

 

Pigmentations like freckles, solar lentigines, post-inflammatory hyperpigmentation may be mistaken for melasma.

 

Read: The Difference Between Melasma, Freckles, & Age Spots

 

 

Symptoms of Melasma

Melasma is a form of pigmentation commonly seen in women. It often appears as dark, often symmetrical, blotchy patches on the skin. Women with darker complexions and who are pregnant have a higher chance of developing melasma.

 

The photo below shows melasma on the cheeks:

 

 

 

 

Causes of Melasma

  • Sun exposure
  • Hormones – During pregnancy or while taking birth control pills
  • Heat –  It can be generated just by being in hot environments such as a sauna
  • Stress
  • Irritation from skincare products

 

 

 

Treatments for Melasma

  • Get a diagnosis

 

Firstly, get the correct diagnosis. Pigmentations like freckles, solar lentigines, post-inflammatory hyperpigmentation may be mistaken for melasma.  An experienced physician would be able to diagnose melasma from physical examination alone.

 

  • Apply sunblock

 

Apply sunblock diligently is the key! A broad-spectrum sunscreen, one that blocks both UVA and UVB should be used. SPF should be at least 50 and reapplication every 2-3hours is needed.

 

  • Apply topical creams

 

Use proven treatments like topicals containing hydroxyquinone, retinoids and mild corticosteroids. Other agents that can be added include Kojic acid, Azelaic acid, Vitamin C and Arbutin.

 

  • Oral medications

 

Some oral medications help treat melasma.

 

  • Stop the oral contraceptive pills

 

If melasma is brought about by use of oral contraceptive pills, those pills have to be stopped and alternative mode of contraception sought.

 

  • Medical procedures

 

At Healthsprings, our doctors would recommend a combination of treatments like chemical peel, yellow laser, BBL, Fotona 4D Laser to improve the condition.

 

 

 

Consult a doctor before your melasma treatment

Different lasers and settings are used for different types of pigmentation, and the wrong treatment can worsen the initial problem.

Often what works for one person doesn’t work for another, therefore, it is best to speak to an experienced doctor to understand all the potential risks before commencing the treatment for melasma.
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Healthsprings was established in 2000 with its first medical clinic located at Bukit Panjang. In 2001, the company ventured into the medical aesthetic field and has become one of the first Singapore-based clinics to offer Lasers, Peels, Fillers, Botulinum Injections and other aesthetic services. In 2008, Healthsprings Laser and Aesthetic is opened in Orchard Road and has been known to specialise in different aesthetic procedures for the skin, face, body, and hair.

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