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Melasma
Melasma occurs when the pigment producing cells of the skin, called melanocytes, begin to produce too much pigment. This leads to the development of large tan to brown patches on the skin. It may appear on the cheeks, cheek bones, chin, nose, forehead, above the eyebrows, and/or the upper lip. Occasionally in patients with significant UV exposure, melasma will appear on the forearms and neck. Melasma occurs in all skin tones, but is more common in patients with darker skin tones.
Sun exposure and increased amounts of female hormones can worsen melasma. Heat, severe skin dryness, some cosmetics, and inflammation are other precipitating factors.
The Syneron-Candela laser systems has shown the best results with melasma over a wide range of skin types and colors. The Syneron-Candela systems are FDA approved for treatment of melasma.
