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October 18, 2021
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All You Need to Know About Melasma- From an Expert Dermatologist

Melasma is a skin disease identified by blue-Gray or brown patches, even it could have appeared in the form of a freckle-like spot. In most cases pregnant women develop Melasma, therefore it is also known as the “Mask of Pregnancy”. It develops due to the over-production of melanin pigments which are responsible for our skin color. Usually, it is harmless and Melasma fades away with time.

What is melasma and how does it look?

Melasma is a skin disease. In most cases, it is light brown or dark brown in shade. uncommonly blue-gray patches also appear on your skin. They can be freckle-like spots or flat patches. The basic affected areas are upper lips, forehead, and cheeks, forearms. Melasma gradually darkens or lightens with time. Generally, Melasma getting worse in summer and fades away in winter.

The less familiar form of melasma is Chloasma. Chloasma is entirely harmless but people get self-conscious when they develop on the body part.

A different form of Melasma

There are usually three types of melasma, they are categorized according to the depth of pigment. A wood lamp that radiates black light is being used to measure the pigment of the Melasma. The common three types include:


Epidermal melasma develops dark-brown in color, it has a well-defined border. It is easily identified under black light, it responds well inappropriate treatment.


Melasma appears bluish in color or can be dark brown in nature. It does not carry a defined border instead of a blurry border. It is difficult to identify under black light. It does not respond to dermatological treatment

Mixed Melasma

Mixed melasma is very common among all. It comes in brown and bluish patches. It shows a combination pattern in black light. It can be treated clinically.

What causes melasma?

There are two root causes of melasma. 1. Exposure of UV radiation, infrared (heat), visible light 2. Hormonal fluctuation

UV and IR radiation coming from the sun and stimulates melasma formation. Other reason of melasma includes:

Contraceptive Therapy and birth control pill

When a woman consumes contraceptive pills that promote melasma because pills contain progesterone and estrogen. The hormonal fluctuation was clinically responsible for melasma.

Antiseizure medications

These kinds of drugs cause melasma. The popular antiseizure medication Clobazam promotes Melasma.


Diethylstilbestrol is a manufactured (man-made) type of the chemical estrogen. It’s not unexpectedly utilized in therapies for prostate disease. Once more, there’s an example between expanded estrogen and melasma.


About 33% to half of the individuals with melasma have announced that another person in the family has it. Most of the indistinguishable twins both have melasma.


This is a condition where the thyroid gland is inactive which means the thyroid does not produce enough thyroid hormones.

LED Screen

LED lights also promote melasma, LED light comes from a cell phone, laptop, TV, and tablets.


It is indistinct why “the spot of pregnancy” happens to pregnant ladies. In any case, specialists guess that the increased concentration of estrogen, progesterone, and the melanocyte-animating chemicals during the third trimester of pregnancy plays a vital role.


Hormonal imbalance including the concentration of progesterone and estrogen works on some people. 

Women who get menopaused are sometimes get affected by elevated concentrations of progesterone. Most old age or mid age people develops melasma due to hormonal changes.

Skincare product and makeup

Chemically enriched skincare products and comedogenic makeup worsen melasma, even they can show phototoxic reaction

Phototoxic drugs ( Medicines that promote sunlight sensitivity), Nonsteroidal anti-inflammatory drugs ( NSAIDs), antibiotics, retinoids, diuretics, antipsychotics, hypoglycaemics, and other drugs responsible for variable melasma.

Tanning beds

The radiated UV lights from the tanning bed stimulate the melasma formation. The UV light comes from Sun, tanning the bed makes your skin condition worse.

The common signs of melasma

1. Brachial: The melasma shows up on your shoulders and upper arms.

2. Centrofacial: The melasma shows up on your temple, cheeks, nose, and upper lip.

3. Lateral cheek design: The melasma shows up on the two cheeks.

4. Malar: The melasma shows up on your cheeks and nose.

5. Mandibular: The melasma shows up on the facial structure.

6. Neck: In individuals age 50 or more seasoned, melasma can show up on all sides of the neck.

Your medical services provider will choose without a doubt on the off chance that you have melasma or one more kind of skin issue.

Is melasma Cancerous?

Melasma is not cancerous, but it can be cancerous unusually. It can be a sign of cancer or turns into cancer. A dermatologist diagnoses the nature of the melasma and treats it adequately. It can be cured by proper diagnosis and treatment.

Is melasma permanent?

Melasma is a chronic skin disorder, they can stay up to three months or more. Melasma can be treated by the best dermatologist in DubaiAn board-certified dermatologist diagnose and treat it from the grassroots level

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