Melasma Treatment
at Mosaic Dermatology in West Fargo
Melasma is a common skin condition that appears as blotchy or freckle-like brown patches, most commonly on the cheeks, forehead, nose, chin, upper lip, and occasionally on the arms and neck. At Mosaic Dermatology, we specialize in the diagnosis and personalized treatment of melasma, providing solutions tailored to each patient’s skin type and lifestyle.
What is Melasma?
Melasma occurs when melanocytes, the pigment-producing cells in the skin, produce too much melanin. This results in darkened patches that can be symmetrical and more noticeable after sun exposure. While melasma is not harmful, it can impact confidence and quality of life, especially when it affects the face.
Causes and Risk Factors for Melasma
Melasma is often triggered by sun exposure and hormonal changes, with common contributing factors including:
- Sun Exposure: Ultraviolet (UV) light stimulates melanocytes, leading to darker pigmentation.
- Hormonal Changes: Pregnancy (often referred to as the “mask of pregnancy”), oral contraceptives, and hormone replacement therapy.
- Genetics: A family history of melasma increases the likelihood of developing it.
- Skin Type: More common in individuals with darker skin tones.
- Certain Medications: Drugs that increase sun sensitivity can contribute to melasma.
- Cosmetic Products: Some skin care products can irritate the skin and make melasma worse.
Symptoms of Melasma
Melasma typically presents with:
- Brown or gray-brown patches on sun-exposed areas.
- Symmetrical patterns on both sides of the face.
- Flat, discolored areas without texture changes.
- Freckle-like spots that darken with sun exposure.
Melasma Treatment Options
At Mosaic Dermatology, we provide tailored treatment options based on the severity and triggers of melasma:
Topical Treatments
- Hydroquinone: A skin-lightening agent applied directly to melasma patches.
- Tretinoin and Corticosteroids: Often used in combination with hydroquinone for enhanced results.
- Azelaic Acid or Kojic Acid: For patients seeking non-hydroquinone alternatives.
In-Office Procedures
- Chemical Peels: To exfoliate the skin and reduce pigmentation.
- Laser and Light Treatments: Target melanin but must be used cautiously to avoid worsening pigmentation.
- Microneedling: Can help in some cases to improve skin tone and texture.
Lifestyle and Preventative Measures
- Daily use of broad-spectrum sunscreen (SPF 30+), even on cloudy days.
- Wearing wide-brimmed hats and protective clothing when outdoors.
- Using gentle skincare products to avoid irritation.
- Avoiding direct sun exposure during peak hours (10 AM–4 PM).
Managing and Preventing Melasma
While melasma can be persistent and recurrent, management strategies include:
- Consistent sun protection as UV exposure is the leading trigger.
- Adherence to prescribed topical treatments and skincare routines.
- Regular dermatology visits to monitor progress and adjust treatments.
When to See a Dermatologist
Seek professional care if:
- New dark patches appear on your face or body.
- Existing melasma worsens despite home treatments.
- Emotional or social distress is caused by pigmentation changes.
- Over-the-counter products fail to show improvement after consistent use.
Expert Melasma Care in West Fargo
At Mosaic Dermatology, we are committed to providing expert care for melasma, including customized treatment plans, advanced procedures, and ongoing support. Schedule an appointment today to discuss how we can help you achieve clearer, more even-toned skin and restore your confidence.