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The Patient’s Guide™ to Age Spots is the most respected online publication on hyperpigmentation providing information about age and sun spots, skin treatments, and laser medicine. Our mission is to provide you with unbiased, accurate information about age spots and sun damage, as well as potential treatments.
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What is Melasma?

  • What Causes Melasma?
  • Avoiding the Sun
  • Treatments
  • Melasma, or chloasma or the ‘mask of pregnancy’ as it is also called, are tan or brown spots which discolor the skin. It is most commonly found among woman, especially pregnant women or those taking hormone replacement therapy medications.

    Generally the symptoms include dark patches and spots on the cheeks, nose, forehead or upperlip. They may develop and worsen over time. Melasma is a purely cosmetic concern, though any unusual spotting should be diagnosed by a qualified dermatologist to determine if it is skin cancer.

    What Causes Melasma?

    Genetics, hormones such as estrogen and progesterone, and extrinsic factors such as sun exposure are thought to be the cause of Melasma. Hormones stimulate the production of melanocytes, the pigment-producing cells in our skin, as they become exposed by the sun. The increased melanin production causes the spotting we see with Melasma.

    Avoiding the Sun

    As with most skin conditions, the sun doesn’t help melasma. Wearing sunscreen with both UVA and UVB protection will help protect the skin and diminish the factors contributing to a worsening of the condition.

    Treatments

    There are a number of treatments available for melasma. Some include:
    • Laser Treatment to remove the discoloration in the skin
    • Azelaic Acid
    • Tretinoin (not during pregnancy)
    • Topical Creams like Hydroquinone
    • Chemical Peels

    Treatment Options can be viewed here:  How Can I Remove Age Spots?, Laser Treatment for Age Spots, Choosing a Doctor

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    Videos
    Dr. Melanie Grossman of New York discusses Melasma
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    Ask The Doctor
    Q: What is Hypopigmentation?
    Hypopigmentation is the loss of color in the skin due to the... [Read More]
    Q: What is the Dermis?
    The dermis is the layer of the skin underneath the... [Read More]
    Q: What is photo-damage?
    Photo damage or sun damage is the process by which the... [Read More]
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