Melasma: A Challenging Condition to Manage

Melasma is a notoriously difficult condition to treat, characterized by gradual pigment development and equally gradual resolution. Even with treatment, resistant cases and recurrences are common, particularly without strict adherence to sun avoidance. All wavelengths of sunlight, including visible light, can trigger melasma, making comprehensive photoprotection a cornerstone of management.

Key Points in Melasma Management:

1. Sun Avoidance and Protection

• Sunlight is a primary trigger for melasma, requiring meticulous sun avoidance.

• Daily use of a broad-spectrum sunscreen (SPF 50+), including protection against visible light (e.g., tinted sunscreens with iron oxide), is crucial.

• Protective measures like wide-brimmed hats and UV-blocking clothing can further reduce exposure.

2. Topical Treatments

• Hydroquinone (HQ):

  • A gold-standard treatment for melasma, often used in concentrations of 2%-4%.

  • Typically combined with tretinoin and a corticosteroid in formulations like the modified Kligman formula for enhanced efficacy.

• Tretinoin:

  • Stimulates epidermal turnover, aiding in pigment resolution.

• Azelaic Acid:

  • A safer alternative for sensitive skin types, offering depigmenting and anti-inflammatory benefits.

• Tranexamic Acid (Topical and Oral):

  • Emerging as an effective option for refractory melasma.

3. Hormonal Considerations

• Limiting exposure to exogenous oestrogens (e.g., oral contraceptives or hormone replacement therapy) is essential for patients whose melasma is hormone-related.

4. Chemical Peels and Laser Treatments

• Chemical Peels:

  • Mild agents like glycolic acid or salicylic acid can improve epidermal melasma, but caution is needed to avoid irritation.

• Laser Therapy:

  • Options like fractional lasers or Q-switched Nd

    lasers may be effective in carefully selected patients.

  • Outcomes vary: one-third of cases improve, one-third remain stable, and one-third experience worsening pigmentation.

• Patients should be informed of the potential risks and need for multiple sessions.

5. Lifestyle and Maintenance

• Encourage a gentle skincare routine with mild cleansers and moisturizers to avoid irritation.

• Emphasize maintenance therapy, even after initial improvement, to prevent relapse.

Why Choose Felly Medical Aesthetics in Kent?

At Felly Medical Aesthetics, Kent, we offer personalized and tailored treatments for melasma designed to address your unique skin type and pigmentation concerns. Our comprehensive approach includes:

• Advanced Skin Assessments to identify the underlying causes and triggers.

• Customized Treatment Plans combining topical therapies, chemical peels, and other advanced techniques.

• Expert Guidance on Sun Protection to help prevent recurrences.

• Access to state-of-the-art technologies for more resistant cases.

Book your consultation today at Felly Medical Aesthetics for a bespoke melasma treatment plan tailored to your needs. Reclaim your confidence and let us help you achieve smoother, more radiant skin. Call us now at 07961 604966 or visit Felly Medical Aesthetics.