What is Melasma?
- Melasmas and hyper pigmentation of face is a common condition of facial problem.
- Melasmas is common especially in asian country due to the asian ethnic population such as chinese, malay and indian etc. which their skin are more prone for pigmentation formation.
- Melasmas is commoner in certain asian country as well due to hot and sunny weather all year long.
- Melasmas can be trigger by several factors such as sun exposure, hormonal consumptions, pregnancy and external cosmetic/ chemical products.
- There are generally two forms of melasma, it is either angiogenic melasmas or non-angiogenic melasmas.
- Generally, angiogenic melasmas is more common than non-angiogenic melasmas.
- Conventionally, angiogenic melasma is more difficult to treat and it has a higher rate of relapse or rebounce.
Treatment Options of Melasma
- Topical products such as hydroquinone, retinoid, steroidal , arbutin, kojic acid, niacinamide, lactic acid and alpha hydroxyl acid.
- Peeling therapy
- Dermabrasion therapy
- IPL (Intense Pulse Light) therapy
- Lasers therapy- ablative and non-ablative
- Radiofrequency therapy
- Endolift laser therapy
- Thread therapy
Treatments for Melasma
- Melasmas usually needs multiple sessions of treatment to see improvement
- Usually some maintenance treatments are needed to have a long term melasma improvement
- Combination of treatment options usually will have synergistic effect
- Combination of treatment options will be more cost effective too
- Certain areas of melasma are difficult and poor responsive to treatment such as around the eye, nose, lips and forehead
- Sometime, poor responsive melasma cases will need oral supplement as combination with external treatment to gain more effective result.
- So far, there are still no any single treatment option of melasma which is rather much more effective than the other.
- Most of the treatment options available for melasma treatment are rather complimentary to each other treatment options as to enhance a better outcome.