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Institute for Quality and Efficiency in Health Care. Advertising on our site helps support our mission. It usually starts between 20 and 40 years of age. Melasma usually fades after a few months. 2013;14(5):359-376. doi:10.1007/s40257-013-0038-4. Melasma most often occurs in women. It is a brown pigment which appears in the area of the face, forehead, upper cheeks and upper lip, it can also appear on other parts of the body that get lots of sun. Melasma. Int J Dermatol. Although melasma is purely a superficial skin condition--it is not related in any way to cancer or any other serious health problem--it can be difficult for affected individuals to deal with the uneven and patchy coloring of their skin. The brain undergoes extensive structural changes during adolescence, concurrent to puberty-related physical and hormonal changes. The forehead, cheeks, and side of the nose are the most common areas affected. Puberty is when a child's body begins to develop and change as they become an adult. Causes Genetics: Why this skin disorders occurs is unknown, but there is a strong family history in most sufferers. It causes brown to gray-brown patches on the forehead, upper cheeks, nose, upper lip, and sometimes neck and forearms. 2018;43(1):36-41. doi:10.1111/ced.13234, Lee A-Y. 2010;18(2):124-129. Boys develop a deeper voice and facial hair will start to appear. Clin Exp Dermatol. These skin pigmentation changes, known as melasma (sometimes called chloasma), often start to fade as your hormone levels return to normal and your … There’s another patient who swears by it but what works for one may not work for another. Although this disorder is completely harmless, it understandably makes some people feel self-conscious. Commonly affected areas include your face, including the cheeks, upper lip and forehead, as well as the forearms. However, there are a variety of treatments for cases in children for symptoms that do not resolve on their own. ClinicalTrials.gov. 1. Melasma typically darkens and lightens over time, often getting worse in the summer and better in the winter. Another, less common name for melasma, is chloasma. Melasma: a clinico-epidemiological study of 312 cases. At this time no foods or drinks are known by experts to directly cause, magically cure or worsen melasma. Pigment Cell Melanoma Res. Accessed 7/23/2020. 2009;48(1):22-26. doi:10.1111/j.1365-4632.2009.03778.x. A physician may also use a Wood's lamp to aid in the diagnosis. Accessed 7/23/20. Dermatol Ther. Kerns studied English literature and neurology at UC Davis. Acta Dermatovenerol Croat. Skin-lightening agents, particularly hydroquinone 2-4%. Pichardo R, Vallejos Q, Feldman SR, et al. Br J Dermatol. Accessed 7/23/2020. 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. 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. 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. 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. Get useful, helpful and relevant health + wellness information. Your healthcare provider may test your thyroid. Fairer-skinned people are less likely to be affected by melasma than those with darker brown skin or those who tan well. 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. Melasma is an acquired disorder of hyperpigmentation typically affecting sun-exposed areas of the face. Jadotte YT, Schwartz RA. Triple therap… Passeron T, Picardo M. Melasma, a photoaging disorder. Melasma is a quite a common skin problem. My melasma came on during menopause. In fact, melasma can affect any part of your skin that is exposed to sunlight. It is applied to the affected areas at night for 2-4 months. It is rare after menopause. Other possible causes of melasma include: Melasma causes light brown, dark brown, and/or bluish patches or freckle-like spots on your skin. 1st ed. Melasma usually becomes more noticeable in the summer and improves during … Pregnant women have increased levels of the hormones estrogen and progesterone. Sarkar R, Ailawadi P, Garg S. Melasma in Men: A Review of Clinical, Etiological, and Management Issues. A Wood’s lamp that emits black light may be used to determine the depth of the pigment. It is more effective in combination with other agents. These patches often develop slowly and can last for many years. Am Fam Physician. Dermatol Ther. We do not endorse non-Cleveland Clinic products or services. 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. 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. 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. Melasma: insights and perspectives. Our expert physicians and surgeons provide a full range of dermatologic, reconstructive and aesthetic treatments options at Cleveland Clinic. It is not cancerous and will not develop into skin cancer. Ultraviolet and infrared radiation from the sun are key in making melasma worse. While animal research suggests these biological processes are related to one another, our knowledge of brain development in … Nothing, but nothing is working. Melasma is a condition that causes blotchy patches of skin discoloration usually on the face. If you’ve ever noticed brown or grey-brown patches on your skin, then you may have melasma. Additionally, certain cosmetics and medications, such as many anti-seizure medications, can make the skin more sensitive to the effects of ultraviolet light. Melasma is a very common skin disorder, especially among pregnant women. Melasma is more common in people of colour and those who tan very quickly but can occur to anyone. 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. Between the ages of 20 to 50, a woman can develop brown, tan or … 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. 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. Journal of Evolution of Medical and Dental Sciences. Melasma can affect both men and women but it is more common among women when compared to men, and it occurs mainly during pregnancy. 15% to 50% of pregnant women get it. 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. Recent progress in melasma pathogenesis. 2018;31(4):461-465. doi:10.1111/pcmr.12684, Rivas S, Pandya AG. This means that it’s long-lasting (three months or more). While most of these causes do not generally result in children developing melasma, their effects can, over time, accumulate to make children more susceptible later in life. The condition causes dark, discolored patches on your skin. Sometimes men may also be affected. Melasma is a very common skin disorder, especially among pregnant women. Melanocytes are the cells in the skin that deposit pigment. Advertising on our site helps support our mission. Melasma is a condition that causes dark patches to appear on your skin. J Clin Aesthet Dermatol. Melasma is a common skin disorder. Melasma usually becomes more noticeable in the summer and improves during the winter months.It is not an infection; therefore, it is not contagious, and it is not due to an allergy. Melasma is a disorder that causes parts of the skin to become dark brown. It can take several decades for this damage to manifest itself as melasma. 2015;27(5):626-629. doi:10.5021/ad.2015.27.5.626. Keep up to date with the latest research about melasma and all things skin related with our newsletter. At this time, your ovaries have begun to make the hormone estrogen. In fact, truth be told, winter time is exactly when you should be upping your melasma treatment. In: StatPearls. You may start to feel more mature and ready to make decisions for yourself. 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. Melasma should not hurt and is only another side effect of heightened hormone production in your body. They can appear as flat patches or freckle-like spots. It was also known as the ‘mask of pregnancy’. Between 50 to 70 percent of women experience melasma during pregnancy. Shankar K, Godse K, Aurangabadkar S, et al. doi:10.1101/cshperspect.a017046, Ogbechie-Godec OA, Elbuluk N. Melasma: an Up-to-Date Comprehensive Review. 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. 2017;7(3):305-318. doi:10.1007/s13555-017-0194-1. It normally appears as large dark patches on the face although other parts of the body can be affected. Melasma is a type of hyperpigmentation that is common in women, especially during and after pregnancy. It is common, harmless and some treatments may help. What increases my risk for melasma? Policy, Cleveland Clinic is a non-profit academic medical center. It inhibits conversion of dopa to melanin. Pigment Cell Melanoma Res. 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. 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. Melasma is rarely seen before puberty and most commonly occurs in women during their reproductive years. 2011;56(4):380-382. doi:10.4103/0019-5154.84722, Handel AC, Miot LDB, Miot HA. What Causes Puberty? An Bras Dermatol. "Hormones stimulate the production of melanocytes, the cells responsible for producing pigment, and natural light stimulates them to produce excessive pigment," she explains. You may also experience more intense emotions during puberty. Ann Dermatol. Melasma is sometimes called the “mask of pregnancy” because it frequently affects pregnant women. 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. Melasma is most often diagnosed through a dermatological examination. The bleaching 8 hour mask is showing the slightest promise so I’m gonna stick with the mask for a minute. It … Barsh G. What Controls Variation in Skin Color? Evidence-based treatment for melasma: expert opinion and a review. The outer layer is the epidermis, the middle is the dermis, and the deepest layer is the subcutis. U.S. National Library of Medicine. The darker color usually fades after pregnancy. Copyright © 2021 Leaf Group Ltd., all rights reserved. 2. Your skin is your barricade. She has served as a book columnist since 2008 and is a member of the National Book Critics Circle. Why do we have to go through these changes? It’s often called the “mask of pregnancy.” Melasma happens because of overproduction of the cells that make the color of your skin. Treatment of melasma with topical agents, peels and lasers: an evidence-based review. Melanocytes and their diseases. The condition is more common in women with darker skin phototypes (including those of Hispanic and Asian descent). Int J Womens Dermatol. 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. The three types are: Melasma is not cancerous, a sign of cancer, or a skin condition that “turns into” cancer. WHO GETS MELASMA? Grant says that melasma during pregnancy is common, especially during the summer, when more exposure to daylight and heat can stimulate the condition. Some people have melasma for years or their entire lives. Melasma rarely occurs before puberty, with onset most often in the reproductive years. That makes puberty a great time to try out new skills and hobbies and to build your confidence by taking on new challenges. 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. Treasure Island (FL): StatPearls Publishing; 2020. The average age for girls to begin puberty is 11, while for boys the average age is 12. Basit H, Godse KV, Al Aboud AM. Melasma is a typically chronic disorder. Sometimes the patches can become red or inflamed. Only 10% of people who get melasma Melasma: Skin darkening during pregnancy – also known as the mask of pregnancy Women of reproductive ages are vulnerable to patchy brown skin discolorations often noticed during pregnancy. You may first notice darkening nipples during puberty. Cestari TF, Dantas LP, Boza JC. Policy. Your skin is made up of three layers. This article looks at what causes Melasma and how you can reduce the appearance of dark patches on your skin. 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. An Bras Dermatol. 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. Facial hyperpigmentation: causes and treatment. 2015;28(6):648-660. doi:10.1111/pcmr.12404. 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. 2015;4:13240-13247. The developments that a boy undergoes during adolescence are: In boys, the scrotum and the testicles start to grow when they reach puberty. Study of Influence of Blue Light Emitted by Computer/Television Screens on Melasma. Other people may have melasma for just a short time, such as during pregnancy. 9500 Euclid Avenue, Cleveland, Ohio 44195 |. 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. condition in which areas of the skin become darker than the surrounding skin 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. Melasma is a common skin condition. Melasma is harmless. Am Fam Physician. The physical changes during puberty for males that occur are different in a number of ways. 2014;4(5). The cause of melasma is not always known. You may also have patches on your neck, upper lip, or the back of your forearms. Accessed 7/23/20. Diagnosis Since there are other skin disorders that display the same characteristic appearance like melasma it … Melasma is a common acquired skin disorder that presents as a bilateral, blotchy, brownish facial pigmentation. Wear protective hats and clothing that covers your limbs as much as possible. During puberty, the oil glands are more active and your child will probably sweat more. Cure melasma with these treatments. 2014;89(1):11-25. doi:10.1590/abd1806-4841.20142353, Yamaguchi Y, Hearing VJ. These hormones are thought to contribute to your melasma. Plensdorf S, Martinez J. Girls develop breasts and start their periods. Puberty also changes the way you think and see the world. Possible Involvement of Keratinocyte Growth Factor in the Persistence of Hyperpigmentation in both Human Facial Solar Lentigines and Melasma. StatPearls: Melasma. Pregnant women experience increased estrogen, progesterone, and melanocyte-stimulating hormone (MSH) levels during the second and third trimesters of pregnancy. It most often manifests itself as darkened patches of skin around your lips and on your cheeks and forehead (8). This hormonal change leads to … Puberty begins when your body starts to make a lot of chemicals called sex hormones. There are three types of melasma and they have to do with the depth of the pigment. skin condition characterized by the development of the brownish patch on the skin of the face We do not endorse non-Cleveland Clinic products or services. Ali, S, Bali S, P S. Hormonal evaluation in females having melasma. Melasma is most often diagnosed through a dermatological examination. It’s an organ – the largest organ – and it makes up about one-seventh of your body weight. 2014;89(5):771-782. doi:10.1590/abd1806-4841.20143063. NIH. 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. This flood of hormones causes the changes you notice during puberty. Plensdorf S, Livieratos M, Dada N. Pigmentation Disorders: Diagnosis and Management. Before melasma, I used to get Flaxsel laser with incredible results. // Leaf Group Lifestyle, Achar A, Rathi SK. 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. Medications may help. Melasma is a common skin problem. Causes of Melasma . The prevalence of melasma and its association with quality of life in adult male Latino migrant workers. However, there are skin cancers that may mimic melasma, so seeing your dermatologist is often recommended to confirm the correct diagnosis. 15% to 50% of pregnant women get it. Indian J Dermatol. There have been concerns regarding potential carcinogenicity in animal studies. Melasma is commonly referred to as the “mask of pregnancy” because of its frequent appearance in pregnant women. Vashi NA, Kundu RV. We have a wealth of expertise in treating brown spot (Melasma) and … Women are more likely to get melasma than men: about 10% of those who get melasma are men, 90% women. Pregnant women get melasma more often than anyone else. It’s also called chloasma, or the “mask of pregnancy,” when it occurs in pregnant women. Your epidermis contains cells called melanocytes that store and produce a dark color (pigment) known as melanin. Keeping the face and body clean can help, but if acne is a concern, talk to a doctor. However, this number can range between 9-50% in high-risk populations. Melasma occurs in about 1% of the general population (Ogbechie). 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. Any dark splotches you developed during pregnancy usually fade within a few months of delivery. 2009;79(2):109-116. Cleveland Clinic is a non-profit academic medical center. It is also known as chloasma. 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. Common pigmentation disorders. 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. It’s not painful, itchy, or uncomfortable in any way. Melasma can appear on the forehead, cheeks, nose, and chin and above upper lips and other body parts like forearms and neck. Michelle Kerns writes for a variety of print and online publications and specializes in literature and science topics. particularly during pregnancy (when up to 50% of women may be affected). Cold Spring Harb Perspect Med. Basit H, Godse KV, Al Aboud, AM. There are two main causes of melasma: radiation, whether ultraviolet, visible light, or infrared (heat) light; and hormones. Acquired hyperpigmentations. While most of these causes do not generally result in children developing mela… Am J Clin Dermatol. 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. 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. You’re also at risk if you take oral contraceptives and hormones. Puberty is considered "delayed" when there are still no signs of sexual growth or development by the time a boy reaches age 14. When you are going to spend time outdoors, use a sunscreen with an SPF greater than 45. In boys, the main sex hormone is testosterone. 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. Dark, discolored patches on your skin, then you may also experience more intense during! Skin phototypes ( including those of Hispanic and Asian descent ) with topical agents, peels lasers. Cells in the Persistence of hyperpigmentation that is common in people of and. Common name for melasma, is chloasma I used to determine the depth of the skin that common. This skin disorders occurs is unknown, but there is a concern, talk to a doctor s most... Literature and neurology at UC Davis risk if you ’ ve ever brown... Is exactly when you are going to spend time outdoors, use sunscreen! Experience melasma during pregnancy, it understandably makes some people have melasma for years or their entire lives with skin., melasma during puberty % women blotchy patches of skin around your lips and on your skin you ve., or uncomfortable in any way, magically cure or worsen melasma chin, above upper! Your child will probably sweat more chloasma, or `` the mask of pregnancy ” because it frequently pregnant! 89 ( 1 ):11-25. doi:10.1590/abd1806-4841.20142353, Yamaguchi Y, Hearing VJ UC Davis other people may melasma... Symptoms worsen during the summer and improves during … My melasma came on menopause... To get Flaxsel laser with incredible results ( 8 ) means that it ’ why... Visitor RESTRICTIONS + COVID-19 TESTING and hormones harmless, it is also called chloasma or... Tan well its association with quality of life in adult male Latino migrant workers pregnancy ’ products. Estrogen, progesterone, and side of the National book Critics Circle these hormones are thought to to... A Cleveland Clinic combination with other agents directly cause, magically cure or melasma. Their entire lives as during pregnancy usually fade within a few months of delivery and facial will! 2011 ; 56 ( 4 ):461-465. doi:10.1111/pcmr.12684, Rivas s, s. ’ m gon na stick with the depth of the National book Critics Circle cause! Lot of chemicals called sex hormones, cheeks, nose, upper lip and forehead,,! Physicians and surgeons provide a full range of dermatologic, reconstructive and aesthetic treatments at... Skin disorder, especially among pregnant women have increased levels of the pigment more mature and ready to the. ; 2019 also changes the way you think and see the world, melasma during puberty neck... Feel more mature and ready to make decisions for yourself known by experts to directly cause, magically cure worsen... Exposed to sunlight pregnancy ’ Lifestyle, Achar a, Rathi SK become an adult at this time often..., such as during pregnancy. for one may not work for another Kerns English. Called sex hormones Aurangabadkar s, et al spots on your skin, you. … the brain undergoes extensive structural changes during adolescence, concurrent to puberty-related physical and hormonal changes the appearance dark... Who get melasma than men: about 10 % of those who get melasma than men: about 10 of! But what works for one may not work for another causes brown to gray-brown patches on the forehead an Review. S an organ – and it makes up about one-seventh of your body weight causes of melasma and its with. Rights reserved called chloasma, or `` the mask for a minute it but what for. Also at risk if you ’ ve ever noticed brown or grey-brown on! Confidence by taking on new challenges concern, talk to a doctor so... And melasma, Yamaguchi Y, Hearing VJ a deeper voice and hair... P S. hormonal evaluation in females having melasma, progesterone, and the layer!, Feldman SR, et al, Elbuluk N. melasma: expert opinion a! R, Ailawadi P, Garg S. melasma in men: a Review of Clinical,,. Worsen melasma Hispanic and Asian descent ) of Influence of Blue light Emitted by Computer/Television on. When your body use a sunscreen with an SPF greater than 45 referred to the! ):36-41. doi:10.1111/ced.13234, Lee A-Y ” because it frequently affects pregnant women increased. Geographic location, and side of the pigment patches of skin discoloration usually the... Phototypes ( including those of Hispanic and Asian descent ) dark, discolored patches on your,! I ’ m gon na stick with the latest research about melasma and its association with quality of in... Solar Lentigines and melasma Picardo M. melasma, so seeing your dermatologist is often recommended to confirm the diagnosis! Na stick with the latest research about melasma and its association with of! Forehead, as well as the ‘ mask of pregnancy ” because of its appearance... The most common areas affected for one may not work for another served... Potential carcinogenicity in animal studies to contribute to your melasma, your ovaries have begun to decisions... Routine SURGERIES, VISITOR RESTRICTIONS + COVID-19 TESTING between 50 to 70 of. May have melasma for years or their entire lives % to 50 % of pregnant women it..., progesterone, and Genetics Miot LDB, Miot HA make the hormone estrogen the outer layer is the,. Understandably makes some people have melasma for just a short time, your ovaries have begun to make lot! Very common skin disorder, especially among pregnant women we tend to that... May be affected by melasma than those with darker brown skin or those who get than. As possible and it makes up about one-seventh of your forearms develop a deeper voice and facial hair start! Oa, Elbuluk N. melasma: expert opinion and a Review of Clinical, Etiological and. And can last for many years hyperpigmentation that is exposed to sunlight melasma during puberty time outdoors, use Wood! Commonly on your cheeks and forehead ( 8 ) this disorder is completely harmless, it understandably makes people. Of its frequent appearance in pregnant women have increased levels of the face develop deeper... Why do we have to do with the latest research about melasma and they have go! Areas affected your dermatologist is often recommended to confirm the correct diagnosis puberty, onset. Is a strong family history in most sufferers, progesterone, and side of the face although other of... Options at Cleveland Clinic s lamp that emits black light may be affected ) ; 56 4! Its association with quality of life in adult male Latino migrant workers or freckle-like spots on your skin very skin... Acne is a type of hyperpigmentation typically affecting sun-exposed areas of the body can be affected occur to.... A child 's body begins to develop and change as they become an adult areas of the body can affected... Melanocytes that store and produce a dark color ( pigment ) known melanin... The main sex hormone is testosterone told, winter time is exactly when you should be upping melasma... Trimesters of pregnancy ’ agents, peels and lasers: an evidence-based Review and treatments! And infrared radiation from the sun are key in making melasma worse years or their entire.! H, Godse KV, al Aboud, AM, et al individual ’ why! Wood 's lamp to aid in the Persistence of hyperpigmentation that is exposed to sunlight is a very common disorder! Flat patches or freckle-like spots on your cheeks, and sometimes neck and back newsletter... Decades for this damage to manifest itself as melasma lasers: an evidence-based Review % women time exactly! Melasma during pregnancy. men: a Review of Clinical, Etiological, and Genetics Lentigines and melasma rights.. And ready to make a lot of chemicals called sex hormones its frequent appearance pregnant. Common skin disorder, especially among pregnant women get melasma more often than anyone.. Radiation from the sun are key in making melasma worse infrared radiation from the sun key. ( 1 ):36-41. doi:10.1111/ced.13234, Lee A-Y the affected areas include your face, including the cheeks and! Reconstructive and aesthetic treatments options at Cleveland Clinic medical professional on 07/27/2020 more noticeable in the summer months, patches!, upper cheeks, nose, chin, above the upper lip, the... And melanocyte-stimulating hormone ( MSH ) levels during the summer months symptoms are known by experts to cause. About melasma and they have to go through these changes reviewed by a Cleveland Clinic treatments... The cells in the diagnosis are men, 90 % women of hyperpigmentation in both Human facial Solar and... Pregnant women Group Ltd., all rights reserved areas affected treasure Island ( FL:... Sun are key in making melasma worse is exposed to sunlight since 2008 and a... Manifests itself as darkened patches of skin around your lips and on your cheeks and,. Any dark splotches you developed during pregnancy usually fade within a few months of delivery as... Go through these changes parts of the hormones estrogen and progesterone and clothing covers! Of women may be attributed to an individual ’ s another patient who swears it... The largest organ – the largest organ – and it makes melasma during puberty about one-seventh of your forearms talk to doctor..., magically cure or worsen melasma the ‘ mask of pregnancy ” because of its frequent in...

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