Melasma Treatment

What Is the Best Melasma Treatment?

Options for melasma treatment include prescription drugs such as topical hydroquinone and over-the-counter brightening or exfoliating skincare treatments.

But it’s important to understand that melasma, which appears as uneven or dark patches on the face and other parts of the skin, is not dangerous. Until it impacts you, there is no medical need to treat it.

The procedure of treating your melasma may be challenging and time-consuming. Usually, the best method to control the condition is to avoid triggers.

This article discusses home melasma therapy, prescription medicines, and other options for lowering melasma hyperpigmentation.

Prevent Triggers

Eliminating the things that trigger melasma is the best way to prevent it. This might involve using sunscreen and/or stopping the use of certain drugs or cosmetics.  Melasma can be caused by numerous factors, such as:

Sunshine Exposure

Keeping your skin from the sun is essential. Sun exposure is a major risk factor for melasma development.

Regardless of whatever treatment you choose, unless you protect your skin from the sun, your melasma will not improve much.

If you don’t already wear daily sunscreen, now is the time to start. Every day, use sunscreen with an SPF of 30 or more.  Ideally, you ought to apply sunscreen each day of the year, even on gloomy, rainy, or cold days, and even if you don’t spend much time outdoors. Even a small amount of sun exposure might darken your melasma.

On days when you intend to be outside for an extended period, reapply sunscreen often. Consider wearing a hat and staying as much as possible in the shade.

Even when the therapy has been successful and the melasma has vanished, you must continue to wear strict sun protection. Melasma can return entirely after just a few days in the sun.

Sunscreen should be incorporated into your daily skincare routine to help your skin adapt to other forms of therapy. It also guards against skin cancer and photoaging.

Birth control

When you start or stop taking hormonal birth control drugs, melasma can appear because of hormone-related issues. Some people get melasma after beginning or ending hormone replacement medication.

Products that cause skin irritation.

Skincare items that irritate the skin might worsen your melasma Avoid using scented soaps or other fragranced products. Retinoids and other skincare procedures that increase UV sensitivity may exacerbate your melasma.

Additional Aspects:

Giving birth: Pregnancy is a common time to employ melasma therapy. Your body produces more progesterone and estrogen when you are pregnant. Some people are believed to develop melasma after being exposed to these hormones.

Medication: Certain drugs, including blood pressure and antibiotics, might cause melasma therapy because they increase your skin’s sensitivity to sunlight.

Stress: Stress may contribute to melasma; however, current research is limited. According to some scientists, melasma and the stress hormone cortisol are related.

Thyroid disorders: Illnesses that affect the thyroid cause its hormones to become out of balance. If this is the cause of your melasma, after your thyroid problem is under control, it might go away.

Risk factors include:

Certain people may be susceptible to developing melasma. This includes:

  • Females aged 20 to 40. Men can also experience melasma side effects, despite the fact that women experience it more frequently.
  • People with medium to dark skin tones. People with darker complexions are more likely to seek melasma therapy since their skin naturally generates more pigment.
  • People with a family history of melasma. Melasma treatment is possibly linked to a hereditary condition in some people.

Over-the-Counter Treatments

Over-the-counter skincare and cosmeceuticals with brightening or exfoliating components may be helpful if you have light melasma. You can wait if you include these in your regular skincare regimen. Treatment for melasma takes a long time to work; you might not see improvements for months.

Some useful elements to look out for are:

  • Niacinamide from kojic
  • Extract Of Licorice
  • Vitamin C
  • Mandelic Acid
  • Glycolic Acid

Do Home Remedies Help?

Home remedies are generally ineffective for treating melasma. Alternative treatments, such as turmeric and aloe vera, have shown some promise in treating melasma. However, there is no evidence to prescribe aloe or turmeric, as melasma therapies and conventional remedies are faster and more effective.

Other home cures may worsen melasma. On your skin, avoid using raw onions, ginger, lemon juice, or vinegar derived from apple cider. These extremely acidic chemicals may cause skin irritation, which would make the areas you want to lighten appear even darker. Lemon is also a photosensitizer, which makes your skin more susceptible to sun damage.


Your dermatologist can also do in-office melasma treatments. These are great alternatives if topical treatments do not work for you, your melasma is mild to severe, or you just want to start therapy.

Most professional melasma treatments are better used in tandem than in isolation.

The biggest worry regarding professional pigmentation treatments is the potential for hyperpigmentation as a result of the procedures. A catch-22 results from the fact that these treatments are also likely to cause hyperpigmentation in complexes prone to melasma.

If any of the following therapies are a good fit for you, a dermatologist will let you know:

  • Microdermabrasion
  • Chemical peels
  • Light and laser treatments

Therapy Tips for Pregnancy

For melasma-afflicted pregnant ladies, there is good news. This kind of melasma often fades within a year or two of giving birth. If it does not disappear, it at least drastically fades.

Before starting therapy, your doctor will likely urge you to wait and see if you are pregnant. Many of the medications used to treat melasma are dangerous to use while pregnant. After giving birth, wait a few months. If the pain hasn’t gone down by then, you could want to go to treatment. Until then, wear sunscreen during your pregnancy and beyond to avoid melasma growth.

Does melasma therapy work?

Treatment for melasma may be complicated. Hyperpigmentation fades gradually and may not disappear. Finding a treatment that works for you may take some trial and error, and pigmentation can recur after treatment.

In other cases, it is more reasonable to try lightening and reducing the discolorations rather than eliminating them. Consistent, long-term therapy for melasma can significantly improve outcomes.

Even without therapy, melasma can disappear with time, especially if you avoid triggers like sunshine. The condition may also resolve on its own or react favorably to treatment. Melasma is not necessarily persistent.


Dark spots that appear on the skin are a symptom of melasma. It is suspected to be caused by hormones, sun exposure, irritating skin products, and some medications. An inherited component may also exist.

Melasma is difficult to treat and may take a long time to resolve completely. Certain drugs and therapies can help fade melasma, and in other cases, it may eventually disappear on its own.


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