Melasma

What are the causes of melasma?

Although the actual cause of melasma is unknown, it occurs as a result of the production of excessive amounts of melanin (the substance that gives color to the skin) by cells called melanocytes, which give color to the skin. Causes of formation;

• familial predisposition
• Sun (Ultraviolet) rays
• Pregnancy
• Use of birth control pills - Melasma is more common in those taking birth control pills and hormone replacement therapy. Hormones make the color cells work more.
• Cosmetic products - Cosmetic products such as some make-up materials, cologne, perfumes, soaps and moisturizers can also cause such staining, especially after exposure to the sun.

In the summer months, exacerbation of melasma is typical. This shows the effect of sun rays in the emergence of the disease. UV rays from the sun can activate pigment-producing cells in the skin. People with dark skin have more active pigment cells than people with fair skin.

How is melasma treated?

Melasma treatment is a long-term process that requires patience for both the patient and the physician. In this process, it should be known that there may be new attacks, especially in the summer months. The location of the stain is important in the treatment of melasma. In fair-skinned people, the treatment can sometimes completely remove the spots, but there is a possibility of recurrence. Dark-skinned people are less likely to be completely cured and spots are more likely to recur. Light-skinned people can see results within weeks, while dark-skinned people may require months of treatment. Sun protection is the basis of treatment. In addition, one or more of the stain creams (hydroquinone, tretinoin and corticosteroid combination, azelaic acid, kojic acid-containing products), chemical peels, laser treatments that are suitable for your skin and spots may be recommended by your doctor. Your dermatologist will recommend the appropriate treatment for you.