Melasma is a discoloration that appears as dark, irregularly-shaped patches on the face and neck, and less often on the chest and upper extremities. Trigger factors include genetic predisposition, exposure to ultraviolet light, thyroid disease, pregnancy, oral contraceptives, and certain drugs. A prevention strategy includes sun avoidance, a broad spectrum sunscreen, discontinuation of oral contraceptives, avoidance of contact allergens and sensitizers, and minimization of heat and friction in the skin. A study supervised by Dr. Kroumpouzos (a provider of Melasma treatment in Weymouth MA) that was published in journal Acta Dermato-Venereologica showed that an intrauterine levonorgestrel-releasing device may be safer than oral contraceptives when melasma is concerned.
How is Melasma treated?
The current approach to management incorporates a prevention strategy that includes sun avoidance, a broad spectrum sunscreen, and avoidance of trigger factors, such as oral contraceptives. Melasma treatment in Weymouth MA is tailored to the type and extent of melasma as well as skin type of the patient. Dr. Kroumpouzos provides a customized regimen that starts with sun avoidance/broad spectrum sunscreen and topical medications. A triple combination cream containing 0.05% tretinoin, 4.0%, hydroquinone (HQ), and 0.01% fluocinolone acetonide is currently extensively used; however, a plethora of other adjunct topical medications can be used.
Depending on the severity of melasma, additional treatment options such as chemical peels and laser treatments may be considered. At GK Dermatology we offer the most effective and reputable chemical peels for melasma, such as Cosmelan MD and Retinol 6% (often combined with tranexamic acid). Tranexamic acid as oral supplement, or topical solution applied before chemical peels, can be helpful and is one of the great treatment options that Dr. Kroumpouzos offers to his patients.
Before & After Melasma Treatment in Weymouth MA