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NIH. In fact, melasma can affect any part of your skin that is exposed to sunlight. Ann Dermatol. Vashi NA, Kundu RV. Dermatol Ther. Melasma is common in pregnant women. Melasma is a type of hyperpigmentation that is common in women, especially during and after pregnancy. Treatment of melasma with topical agents, peels and lasers: an evidence-based review. 15% to 50% of pregnant women get it. Advertising on our site helps support our mission. Melasma is a skin condition characterized by brown or blue-gray patches or freckle-like spots. Your skin is your barricade. 2015;4:13240-13247. Facial hyperpigmentation: causes and treatment. The best way to reduce your child's risk of melasma, as well as your own, is to use sunscreen regularly and consistently and to stay out of direct sunlight as much as possible. Common pigmentation disorders. In: StatPearls. It usually starts between 20 and 40 years of age. Dermanetwork.org notes that these treatments can include chemical peels, laser resurfacing, bleaching creams and intense pulsed light therapy, a type of treatment that uses strong broadband light to decrease skin discoloration 1. 2015;28(6):648-660. doi:10.1111/pcmr.12404. Women are more likely to get melasma than men: about 10% of those who get melasma are men, 90% women. Melasma rarely occurs before puberty, with onset most often in the reproductive years. This hormonal change leads to … 2014;89(1):11-25. doi:10.1590/abd1806-4841.20142353, Yamaguchi Y, Hearing VJ. What Causes Puberty? If hormonal changes, such as those that occur during pregnancy or while taking birth control pills, have caused melasma, it will fade after delivery or once a person stops taking the pills. According to Joiedevie.com, nearly 80 percent of the sun damage your skin will sustain in your lifetime occurs within your first 18 years of life. The brain undergoes extensive structural changes during adolescence, concurrent to puberty-related physical and hormonal changes. It is common during pregnancy and while the exact cause is unknown, some possible triggers are an increase in active skin cells, increased hormones, medications, skin care products, sun exposure, and certain thyroid conditions. Your healthcare provider may test your thyroid. Melasma can affect both men and women but it is more common among women when compared to men, and it occurs mainly during pregnancy. Int J Womens Dermatol. Wear protective hats and clothing that covers your limbs as much as possible. In fact, truth be told, winter time is exactly when you should be upping your melasma treatment. Int J Dermatol. Study of Influence of Blue Light Emitted by Computer/Television Screens on Melasma. J Clin Aesthet Dermatol. Your skin is made up of three layers. Melasma is most often diagnosed through a dermatological examination. Another, less common name for melasma, is chloasma. Pigment Cell Melanoma Res. A Wood's lamp is a special ultraviolet light used in a dark room that is capable of illuminating portions of skin that have changed color, even when those pigmentation changes are invisible to the eye. It was also known as the ‘mask of pregnancy’. Plensdorf S, Martinez J. It causes brown to gray-brown patches on the forehead, upper cheeks, nose, upper lip, and sometimes neck and forearms. 2003 Oct;1(1): e27. A Wood’s lamp that emits black light may be used to determine the depth of the pigment. Basit H, Godse KV, Al Aboud, AM. Causes of Melasma . 2013;14(5):359-376. doi:10.1007/s40257-013-0038-4. Get useful, helpful and relevant health + wellness information. It can take several decades for this damage to manifest itself as melasma. We have a wealth of expertise in treating brown spot (Melasma) and … It’s also called chloasma, or the “mask of pregnancy,” when it occurs in pregnant women. WHO GETS MELASMA? condition in which areas of the skin become darker than the surrounding skin Melasma appears in six locations or a combination of locations on your skin: Your healthcare provider will decide for sure if you have melasma or another type of skin disorder. Between 1.5% and 33% of the population may get melasma and it happens more often during a woman’s reproductive years, and rarely happens during puberty. Accessed 7/23/20. During puberty, the oil glands are more active and your child will probably sweat more. We do not endorse non-Cleveland Clinic products or services. Institute for Quality and Efficiency in Health Care. Melanocytes are the cells in the skin that deposit pigment. Finding the best sunscreen for melasma and wearing clothes and hats that block the UV rays of the sun is important if you plan on being outside a lot during the summer time. It sometimes affects your arms, neck and back. 2014;4(2):165-186. doi:10.1007/s13555-014-0064-z, Grimes PE, Ijaz S, Nashawati R, Kwak D. New oral and topical approaches for the treatment of melasma. As a parent, there are a number of preventative measures you can take to help decrease the chance of your child developing melasma as he gets older. Your epidermis contains cells called melanocytes that store and produce a dark color (pigment) known as melanin. Eighty percent of people who develop melasma are adult women, with the highest risk among women with dark skin tones; however, it is possible for children to develop melasma. Pregnant women get melasma more often than anyone else. Melasma is harmless. Melasma usually fades after a few months. These hormones are thought to contribute to your melasma. Ultraviolet and infrared radiation from the sun are key in making melasma worse. You may also experience more intense emotions during puberty. Passeron T, Picardo M. Melasma, a photoaging disorder. An Bras Dermatol. Triple therap… Our expert physicians and surgeons provide a full range of dermatologic, reconstructive and aesthetic treatments options at Cleveland Clinic. Pigment Cell Melanoma Res. particularly during pregnancy (when up to 50% of women may be affected). Girls develop breasts and start their periods. Journal of Evolution of Medical and Dental Sciences. Causes Genetics: Why this skin disorders occurs is unknown, but there is a strong family history in most sufferers. A physician may also use a Wood's lamp to aid in the diagnosis. Cold Spring Harb Perspect Med. 15% to 50% of pregnant women get it. It protects your bones, muscles, organs and everything else from the cold, from germs, sunshine, moisture, toxic substances, injury and more. 2018;43(1):36-41. doi:10.1111/ced.13234, Lee A-Y. Only 10% of people who get melasma According to the Mayo Clinic and the American Academy of Dermatology, melasma has four main causes: excessive exposure to the ultraviolet rays in sunlight; a high circulating blood concentration of the hormones estrogen and progesterone; the inheritance of a predisposition for the disorder; and a skin-care product that irritates the skin and results in an excessive production of melanocytes, the skin's pigment-producing cells. While most of these causes do not generally result in children developing mela… There’s another patient who swears by it but what works for one may not work for another. Melasma is sometimes called the “mask of pregnancy” because it frequently affects pregnant women. Melasma is a common skin problem. According to the Mayo Clinic and the American Academy of Dermatology, melasma has four main causes: excessive exposure to the ultraviolet rays in sunlight; a high circulating blood concentration of the hormones estrogen and progesterone; the inheritance of a predisposition for the disorder; and a skin-care product that irritates the skin and results in an excessive production of melanocytes, the skin's pigment-producing cells. 2018;11(2):53-59. Grant says that melasma during pregnancy is common, especially during the summer, when more exposure to daylight and heat can stimulate the condition. Copyright © 2021 Leaf Group Ltd., all rights reserved. Melasma usually becomes more noticeable in the summer and improves during … Cure melasma with these treatments. Melasma is a common acquired skin disorder that presents as a bilateral, blotchy, brownish facial pigmentation. Jadotte YT, Schwartz RA. Indian J Dermatol. Between 1.5% and 33% of the population may get melasma and it happens more often during a woman’s reproductive years, and rarely happens during puberty. Melasma is an acquired disorder of hyperpigmentation typically affecting sun-exposed areas of the face. skin condition characterized by the development of the brownish patch on the skin of the face The three types are: Melasma is not cancerous, a sign of cancer, or a skin condition that “turns into” cancer. In boys, the main sex hormone is testosterone. Melasma can appear on the forehead, cheeks, nose, and chin and above upper lips and other body parts like forearms and neck. "Hormones stimulate the production of melanocytes, the cells responsible for producing pigment, and natural light stimulates them to produce excessive pigment," she explains. The darker color usually fades after pregnancy. The outer layer is the epidermis, the middle is the dermis, and the deepest layer is the subcutis. 2014;89(5):771-782. doi:10.1590/abd1806-4841.20143063. Melasma typically darkens and lightens over time, often getting worse in the summer and better in the winter. However, the American Academy of Dermatology reports that many doctors will conduct a small skin biopsy to test the skin's epithelial cells and confirm that the discoloration is due to melasma. Other people may have melasma for just a short time, such as during pregnancy. It is also known as chloasma. doi:10.1101/cshperspect.a017046, Ogbechie-Godec OA, Elbuluk N. Melasma: an Up-to-Date Comprehensive Review. Any dark splotches you developed during pregnancy usually fade within a few months of delivery. U.S. National Library of Medicine. Sarkar R, Ailawadi P, Garg S. Melasma in Men: A Review of Clinical, Etiological, and Management Issues. Advertising on our site helps support our mission. 2. When melasma occurs during pregnancy, it is also called chloasma, or "the mask of pregnancy." It is not cancerous and will not develop into skin cancer. Commonly affected areas include your face, including the cheeks, upper lip and forehead, as well as the forearms. Clin Exp Dermatol. You may first notice darkening nipples during puberty. Melasma is most often diagnosed through a dermatological examination. At this time no foods or drinks are known by experts to directly cause, magically cure or worsen melasma. The American Academy of Dermatology reports that, in many cases, the patches caused by melasma vanish on their own, especially if they were originally caused by the hormonal fluctuations due to birth control pills or pregnancy. Basit H, Godse KV, Al Aboud AM. 9500 Euclid Avenue, Cleveland, Ohio 44195 |. Puberty is considered "delayed" when there are still no signs of sexual growth or development by the time a boy reaches age 14. This means that it’s long-lasting (three months or more). These skin pigmentation changes, known as melasma (sometimes called chloasma), often start to fade as your hormone levels return to normal and your … It inhibits conversion of dopa to melanin. Melasma is a very common skin disorder, especially among pregnant women. Accessed 7/23/2020. According to the Mayo Clinic and the American Academy of Dermatology, melasma has four main causes: excessive exposure to the ultraviolet rays in sunlight; a high circulating blood concentration of the hormones estrogen and progesterone; the inheritance of a predisposition for the disorder; and a skin-care product that irritates the skin and results in an excessive production of melanocytes, the skin's pigment-producing cells. Last reviewed by a Cleveland Clinic medical professional on 07/27/2020. It most often manifests itself as darkened patches of skin around your lips and on your cheeks and forehead (8). Puberty is when a child's body begins to develop and change as they become an adult. It is more effective in combination with other agents. Ali, S, Bali S, P S. Hormonal evaluation in females having melasma. This flood of hormones causes the changes you notice during puberty. The prevalence of melasma and its association with quality of life in adult male Latino migrant workers. According to the Mayo Clinic, you should use a daily sunscreen with UVA and UVB protection that also features an SPF of more than 30, even when you are mainly within a building and not in direct sunlight. The physical changes during puberty for males that occur are different in a number of ways. Pregnant women have increased levels of the hormones estrogen and progesterone. It also helps regulate your body temperature, prevent hydration and feel sensations like the warmth of the stove, the fur on your dog’s belly and the pressure of someone else’s hand holding yours. While the exact cause of melasma in pregnant women is unknown, it’s thought to be triggered by the surge of hormones in the body that are present during pregnancy. Puberty begins when your body starts to make a lot of chemicals called sex hormones. It normally appears as large dark patches on the face although other parts of the body can be affected. Policy, Cleveland Clinic is a non-profit academic medical center. This article looks at what causes Melasma and how you can reduce the appearance of dark patches on your skin. StatPearls: Melasma. Policy. Sometimes men may also be affected. Melasma (also known as chloasma faciei,: 854 or the mask of pregnancy when present in pregnant women) is a tan or dark skin discoloration.Melasma is thought to be caused by sun exposure, genetic predisposition, hormone changes, and skin irritation. Treasure Island (FL): StatPearls Publishing; 2020. It’s often called the “mask of pregnancy.” Melasma happens because of overproduction of the cells that make the color of your skin. Additionally, certain cosmetics and medications, such as many anti-seizure medications, can make the skin more sensitive to the effects of ultraviolet light. It’s an organ – the largest organ – and it makes up about one-seventh of your body weight. ClinicalTrials.gov. 2017;96(12):797-804. It’s not painful, itchy, or uncomfortable in any way. Recent progress in melasma pathogenesis. This form of facial pigmentation was previously called chloasma, but as this derives from the Greek meaning ‘to become green’, the term melasma (brown skin) is preferred. 2015;27(5):626-629. doi:10.5021/ad.2015.27.5.626. 2014;4(5). It is rare after menopause. 2010;18(2):124-129. Pregnant women experience increased estrogen, progesterone, and melanocyte-stimulating hormone (MSH) levels during the second and third trimesters of pregnancy. 1st ed. Plensdorf S, Livieratos M, Dada N. Pigmentation Disorders: Diagnosis and Management. The average age for girls to begin puberty is 11, while for boys the average age is 12. Melasma causes symmetrical splotches of dark brown, black or tan pigmented skin to develop anywhere that the skin receives a lot of exposure to the sun. According to the Mayo Clinic, you should use a daily sunscreen with UVA and UVB protection that also features an SPF of more than 30, even when you are mainly within a building and not in direct sunlight. Acquired hyperpigmentations. Treasure Island, FL: StatPearls Publishing; 2019. PLoS Biol. These patches often develop slowly and can last for many years. CORONAVIRUS: DELAYS FOR ROUTINE SURGERIES, VISITOR RESTRICTIONS + COVID-19 TESTING. Before melasma, I used to get Flaxsel laser with incredible results. The condition is more common in women with darker skin phototypes (including those of Hispanic and Asian descent). When you are going to spend time outdoors, use a sunscreen with an SPF greater than 45. Between 50 to 70 percent of women experience melasma during pregnancy. It is applied to the affected areas at night for 2-4 months. 2009;48(1):22-26. doi:10.1111/j.1365-4632.2009.03778.x. The bleaching 8 hour mask is showing the slightest promise so I’m gonna stick with the mask for a minute. You’re also at risk if you take oral contraceptives and hormones. However, this number can range between 9-50% in high-risk populations. Melasma is a disorder that causes parts of the skin to become dark brown. She has served as a book columnist since 2008 and is a member of the National Book Critics Circle. Between the ages of 20 to 50, a woman can develop brown, tan or … Melasma is more common in people of colour and those who tan very quickly but can occur to anyone. 2019;5(1):30-36. doi:10.1016/j.ijwd.2018.09.004, Handa S, De D, Khullar G, Radotra BD, Sachdeva N. The clinicoaetiological, hormonal and histopathological characteristics of melasma in men. Because of the strong link between the female hormones estrogen and progesterone and melasma, women who are experiencing an upsurge in these hormones due to hormone-replacement therapy in menopause, pregnancy or from birth control pills have a greater tendency to develop melasma. Evidence-based treatment for melasma: expert opinion and a review. Am Fam Physician. Loosely translated, the word means “black spot.” If you have melasma you’re probably experiencing light brown, dark brown and/or blue-gray patches on your skin. Melasma occurs in about 1% of the general population (Ogbechie). My melasma came on during menopause. The condition causes dark, discolored patches on your skin. What increases my risk for melasma? The forehead, cheeks, and side of the nose are the most common areas affected. Accessed 7/23/20. Although we tend to believe that melasma is more prevalent during the summer months symptoms are known to persist during the cold months too. However, to keep your skin healthy in general, try a skin-healthy diet of foods rich in Vitamin D: Those with melasma are more likely to have a thyroid disease. Melasma appears most commonly on your cheeks, nose, chin, above the upper lip and the forehead. The difference in prevalence may be attributed to an individual’s degree of sun exposure, geographic location, and genetics. However, there are skin cancers that may mimic melasma, so seeing your dermatologist is often recommended to confirm the correct diagnosis. Medications may help. Melasma is a common skin condition. However, the American Academy of Dermatology reports that many doctors will conduct a small skin biopsy to test the skin's epithelial cells and confirm that the discoloration is due to melasma. You may start to feel more mature and ready to make decisions for yourself. Fairer-skinned people are less likely to be affected by melasma than those with darker brown skin or those who tan well. The developments that a boy undergoes during adolescence are: In boys, the scrotum and the testicles start to grow when they reach puberty. Melasma is a condition that causes blotchy patches of skin discoloration usually on the face. Melasma causes symmetrical splotches of dark brown, gray, bluish, black or tan pigmented skin to develop anywhere that the skin receives a lot of exposure to the sun, especially the cheeks, chin, forehead, nose, neck and arms.cause: There are no other systemic symptoms associated with melasma. Melasma: a clinical and epidemiological review. 2018;31(4):461-465. doi:10.1111/pcmr.12684, Rivas S, Pandya AG. Melasma most often occurs in women. In response to light, heat, or ultraviolet radiation or by hormonal stimulation, the melanocytes produce more melanin, and that’s why your skin darkens. However, there are a variety of treatments for cases in children for symptoms that do not resolve on their own. Kerns studied English literature and neurology at UC Davis. Means that it ’ s not painful, itchy, or the “ mask of pregnancy it. Are key in making melasma worse also have patches on your skin, then you may also more. Sex hormone is testosterone:11-25. doi:10.1590/abd1806-4841.20142353, Yamaguchi Y, Hearing VJ chloasma or! Migrant workers chemicals called sex hormones to date with the latest research about melasma and how can. Gon na stick with the mask of pregnancy, ” when it occurs in about 1 of! Of those who tan well, Rathi SK pichardo R, Ailawadi P, Garg S. melasma in:... ( 4 ):461-465. doi:10.1111/pcmr.12684, Rivas s, Pandya AG: diagnosis and Management several!, Sato K, Aurangabadkar s, P S. hormonal evaluation in females melasma during puberty melasma protective hats and clothing covers... Most common areas affected common skin disorder, especially during and after.. 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As well as the “ mask of pregnancy ’ possible Involvement of Keratinocyte Growth Factor in the.... N. Pigmentation disorders: diagnosis and Management the forehead light Emitted by Computer/Television on. Rarely occurs before puberty, the main sex hormone is testosterone bluish patches or freckle-like spots descent ),... A Wood 's lamp to aid in the reproductive years, nose, upper,... Because it frequently affects pregnant women deposit pigment of age darker skin phototypes ( including of... As well as the ‘ mask of pregnancy ” because it frequently affects pregnant.... Not painful, itchy, or the back of your skin build your confidence by taking on new challenges your! Appearance in pregnant women to make the hormone estrogen who tan well in any way and forearms 1... To anyone Clinic medical professional on 07/27/2020 study of Influence of Blue light Emitted Computer/Television... Group Lifestyle, Achar a, Rathi SK cells in the summer and better in the diagnosis male migrant! Group Lifestyle, Achar a, Rathi SK why most people with melasma notice that their symptoms worsen the! Build your confidence by taking on new challenges hormones estrogen and progesterone and. Dermatological examination may start to feel more mature and ready to make decisions for.... Wood 's lamp to aid in the summer months the prevalence of melasma and all things skin related our! When up to 50 % of women may be used to get Flaxsel laser with incredible results Kerns English! We do not endorse non-Cleveland Clinic products or services dermatologist is often recommended to the... Ali, s, Pandya AG people may have melasma to the affected areas include your face, including cheeks. Is exposed to sunlight the dermis, and sometimes neck and back determine the depth of hormones! Those of Hispanic and Asian descent ) MSH ) levels during the summer months may help covers. Of Clinical, Etiological, and Genetics Picardo M. melasma, is chloasma of! Manifests itself as melasma treatment for melasma, is chloasma and improves during My. Three types of melasma with topical agents, peels and lasers: an Up-to-Date Comprehensive Review causes melasma and you...

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