Melasma can affect anyone, but it appears most often in women who have darker complexions. It’s been associated with female hormones. Melasma is also a common skin disorder for the following groups:
- women using birth control pills
- pregnant women
- menopausal women using hormone replacement therapy
Melasma’s symmetrical dark patches are brown to gray-brown in color. They can occur on the:
- upper lip
If your melasma is triggered by pregnancy or birth control pills, it’s possible the discolored patches will fade on their own after the pregnancy or if you stop taking the pills.
You might consider treating your melasma at home, though. Here are some common home remedies:
A 2017 study on pregnant women with melasma found using a topical, liposome-encapsulated aloe vera preparation significantly improved their melasma.
This is a fern native to Central and South America. It’s sold under the brand names Kalawalla and Heliocare. It’s also called calaguala and anapsos.
A 2014 review of literature found orally taking Polypodium leucotomos can treat melasma. However, researchers don’t include a recommended dosage.
This antioxidant comprises three amino acids (cysteine, glutamic acid, and glycine). It’s found in most mammals.
The same 2017 review found that, when taken in an oral form, glutathione decreased melanin in people with melasma compared to those who took a placebo. An excess of melanin production can lead to hyperpigmentation.
Protect your skin. Wear sunscreen every day, and reapply every two hours. Consider wearing a wide-brimmed hat when you’re outside.
Your doctor may refer you to a dermatologist. They can confirm a diagnosis and suggest medical treatments to even your skin tone.
One option may be hydroquinone. This topical treats hyperpigmentation. It’s available in over-the-counter or prescription strength as a lotion, gel, cream, or liquid. Other treatments may include:
- triple cream (combination of hydroquinone, tretinoin, and a corticosteroid)
- azelaic acid
- kojic acid
If topicals aren’t working, your dermatologist might recommend a procedure to treat your melasma, such as:
You may have melasma if you have gray-brown patches of skin on your face. Your doctor can confirm a diagnosis and provide treatment.
Be patient during treatment. It often takes months before results are seen. And once your melasma clears, your doctor might recommend maintenance therapy to prevent it from returning.
No matter what treatment is the best option for you, remember prevention is key. Wear sunscreen every day and a wide-brimmed hat whenever you’re outside.