Creams can alleviate 'mask of pregnancy'

Melasma, a dark skin discoloration that appears on sun-exposed areas of the face, doesn't cause any other symptoms besides skin discoloration. Still, condition may be of great cosmetic concern. The good news is that topical creams and peels have been shown to improve the appearance of melasma.

Melasma is a very common skin disorder. It can affect anyone, although young women with brownish skin tones are at greatest risk.

Melasma is often associated with the female hormones estrogen and progesterone. It is especially common in pregnant women, women who are taking birth control pills, and women taking hormone replacement therapy during menopause. Sun exposure is also a strong risk factor for melasma. The condition is particularly common in tropical climates.

A person with the condition has a uniform brown color over the cheeks, forehead, nose, or upper lip. It is most often symmetrical, matching on both sides of the face. Your health care provider can usually diagnose melasma based upon the appearance of your skin. A closer examination using a Wood's lamp may help guide your treatment.

Treatments

Melasma often fades over several months after stopping birth control pills or hormone replacement therapy, or after delivering a child. It may return with additional pregnancies or use of these medications.

Treatments include the following:

Creams — Creams containing a combination of tretinoin, kojic acid, and azelaic acid have been shown to improve the appearance of melasma.

Peels — Your doctor may recommend chemical peels or topical steroid creams.

Lasers — In severe cases, laser treatments can be used to remove the dark pigment.

Sunscreen — Avoiding the sun and using sunscreen are key to preventing melasma. Daily sunscreen use not only helps prevent melasma but is crucial in the prevention of skin cancer and wrinkles.