Melasma or cloasma(when it comes
during pregnancy) is a brownish pigmentation below eyes and both side of nose. It
may cover cheeks and forehead too. This is very common problem especially in Indian
subcontinent. Hormones and sun light is main culprit for this condition. It is
more common in females but males also get this and could be concern of cosmetics.
Females age of 35-45 year and pregnant are more prone to get this. It is very
recurrent condition and tends to come again and again even after treatment. Treatment
guidelines are sunscreen and antimelanin creams. Sunscreens should be used 3 or
4 times in day ideal is every 4 hour. Antimelanin creams like hydroquinone,
kojic acid etc should be applied in the night once every day. Peels are also
good option for treatment. Glycolic acid , yellow peel and combinations peel
are used to treat it. There are advance procedure also like q-switch NDYag
laser and co2 fractional laser. Avoid sun exposure is must to prevent its
recurrence .Melasma is three type which are deep, superficial and mixed.
