Conditions that affect aesthetic appearance of a patient, particularly in the facial region, can be a challenge for dermatologist and cosmetologist to manage. Melasma is one such condition that is very difficult to treat and manage. This article details the available treatment modalities for melasma. Melasma is an acquired hypermelanosis of sun-exposed areas like cheeks, the upper lip, the chin, nose bridge and the forehead. It is presented as symmetrically distributed hyperpigmented macules, which can be confluent or punctate.
Melasma can be difficult to treat. The pigment of melasma develops gradually, and resolution is also gradual. Resistant cases or recurrences of melasma occur often and are certain if strict avoidance of sunlight is not rigidly heeded. All wavelengths of sunlight, including the visible spectrum, are capable of inducing melasma. The best treatment remains a…