Melasma, Pigmentation on facial skin, most commonly occur on the face of female and in Dark Skin Races. Treatment for melasma, Sun protection, avoid waxing, Tretinoin, Hydroquinone, Corticosteroid, Azeloic Acid, Glycolic Acid, Chemical Peels, Microdermabrasion, Laser Intensed Pulse Light,

1. MELASMAAND ITS
TREATMENT

2. • Melasma is a skin
pigmentation disease
which causes grey-
brown patches to
appear on the skin,
mostly the face and
other body parts
directly exposed to
the sun.

3. • However, it is not associated with any
internal diseases or organ malfunction
• Cheeks
• Forehead
• Lips
• Bridge of nose
• Forearm
• Shoulder
• Neck

4. • GENDER PREDILICTION – Females > Males
• RACE PREDILICTION – Dark skin > Fair skin
• GEOGRAPHIC PREVALENCE - Latin- America,
Asia, Middle East and Northern Africa

5. Causes of Melasma

6. Hormonal changes
Thyroid diseases
Pregnancy
Hormone therapy
Birth control pills.
Stress induced
Post – menopausal

7. Sun exposure – UV rays affect melanocytes (cell
responsible for pigmentation) to produce more cell

8. WOOD LAMP EXAMINATION
• Also known as “Black light” test. It involves using a
handheld device (wood lamp) that uses
transillumination (light) to detect skin infections
and skin irregularities.
• In a dark room, the light is held over a particular. If
there are any changes in the pigmentation of skin,
or the presence of bacterial / fungal infection, will
cause the affected area of the skin to change color
under the light.

9. It can help diagnosing:
• Melasma
• Bacterial / Fungal skin
infection
• Tinea capitis
• Vitiligo
• Skin irregularities

10. TREATMENT
FOR
MELASMA

11. • Sun protection – use broad
spectrum sunscreen every day and
reapply it every 2 hours.
Whenever possible, seek shade
and wear protective clothing.
• Avoid waxing: Waxing can worsen
melasma. Ask a dermatologist /
facial aesthetic surgeon about
laser hair removal.

12. • Avoid scented cosmetics / products that irritate
your skin.
• If oral contraceptives / birth control pills are the
reason, stop them.

13. MEDICAL TREATMENT
• Hydroquinone: Is applied to
the skin once daily and
works by lightening the skin.
It comes as a cream, lotion,
gel, or liquid.
• Tretinoin – It contains
retinoids , apply it on skin
once daily, usually during
bedtime.

14. • Corticosteroids – usually used in combination
products (Hydroquinone, Tretinoin, and a
Corticosteroid) available in 1 cream.
• Azelaic acid or Kojic acid – only prescribed by a
certified facial aesthetic surgeon /
dermatologist to help lighten melasma.
• Glycolic acid – it has skin lightening properties
and can directly reduce melanin pigments on
the skin.

15. CHEMICAL PEELS
• Reinforced collagen
production decreases
dark and uneven patches
and the effects of sun
exposure is also
minimized.

16. MICRODERMABARASION
• Sandblasting the skin with aluminum oxide micro
crystals that peel off a fine layer of the skin.

17. LASER / INTENSED PULSED
LIGHT
• The laser light gets absorbed by the skin and
it then heats and eliminates discolorations.

18. • Look for a board-certified Facial Aesthetic
Surgeon / dermatologist to discuss available
treatments for melasma. It may take a few
months of treatment to see improvement. It
is important to follow the clinicians advice.
• Dr Sachdeva’s Facial Aesthetic Institute
provides you with good outcome. Melasma
can be stubborn, though. We ensure that you
get the most benefit from treatment.

19. @dentalcoursesdelhi
drrajatsachdeva
drrajatsachdeva
drrajatsachdeva@surgicalmasterrajat
www.facialaestheticsdelhi.com

20. To book an appmt. contact
Dr.Rajat Sachdeva
Dr Sachdeva’s Dental
Aesthetic & Implant
Institute
I 101, Ashok Vihar Phase 1,
Delhi- 110052
Contact us at
Phone : +919818894041
01142464041