Melasma is common in pregnant women. Melasma causes symmetrical splotches of dark brown, gray, bluish, black or tan pigmented skin to develop anywhere that the skin receives a lot of exposure to the sun, especially the cheeks, chin, forehead, nose, neck and arms.cause: There are no other systemic symptoms associated with melasma. According to Joiedevie.com, nearly 80 percent of the sun damage your skin will sustain in your lifetime occurs within your first 18 years of life. This flood of hormones causes the changes you notice during puberty. 2013;169 Suppl 3:41-56. doi:10.1111/bjd.12536, Hasegawa K, Fujiwara R, Sato K, et al. 2. Melasma is rarely seen before puberty and most commonly occurs in women during their reproductive years. According to Joiedevie.com, nearly 80 percent of the sun damage your skin will sustain in your lifetime occurs within your first 18 years of life. It’s also called chloasma, or the “mask of pregnancy,” when it occurs in pregnant women. Before melasma, I used to get Flaxsel laser with incredible results. There are three types of melasma and they have to do with the depth of the pigment. Melasma is a very common skin disorder, especially among pregnant women. Additionally, certain cosmetics and medications, such as many anti-seizure medications, can make the skin more sensitive to the effects of ultraviolet light. Melasma is a common skin disorder. Ultraviolet and infrared radiation from the sun are key in making melasma worse. Melasma is a disorder that causes parts of the skin to become dark brown. Dermanetwork.org notes that these treatments can include chemical peels, laser resurfacing, bleaching creams and intense pulsed light therapy, a type of treatment that uses strong broadband light to decrease skin discoloration 1. WHO GETS MELASMA? Pichardo R, Vallejos Q, Feldman SR, et al. Clin Exp Dermatol. Between 1.5% and 33% of the population may get melasma and it happens more often during a woman’s reproductive years, and rarely happens during puberty. It is applied to the affected areas at night for 2-4 months. The average age for girls to begin puberty is 11, while for boys the average age is 12. Pregnant women experience increased estrogen, progesterone, and melanocyte-stimulating hormone (MSH) levels during the second and third trimesters of pregnancy. Melasma can affect both men and women but it is more common among women when compared to men, and it occurs mainly during pregnancy. According to the Mayo Clinic and the American Academy of Dermatology, melasma has four main causes: excessive exposure to the ultraviolet rays in sunlight; a high circulating blood concentration of the hormones estrogen and progesterone; the inheritance of a predisposition for the disorder; and a skin-care product that irritates the skin and results in an excessive production of melanocytes, the skin's pigment-producing cells. Causes of Melasma . Puberty is when a child's body begins to develop and change as they become an adult. Get useful, helpful and relevant health + wellness information. ClinicalTrials.gov. Dermatol Ther. // Leaf Group Lifestyle, Achar A, Rathi SK. PLoS Biol. Although this disorder is completely harmless, it understandably makes some people feel self-conscious. When we are growing up, don't we go through various mental, emotional and psychological changes? Policy, Cleveland Clinic is a non-profit academic medical center. Passeron T, Picardo M. Melasma, a photoaging disorder. Policy. Any dark splotches you developed during pregnancy usually fade within a few months of delivery. "Hormones stimulate the production of melanocytes, the cells responsible for producing pigment, and natural light stimulates them to produce excessive pigment," she explains. It is a brown pigment which appears in the area of the face, forehead, upper cheeks and upper lip, it can also appear on other parts of the body that get lots of sun. In fact, melasma can affect any part of your skin that is exposed to sunlight. While animal research suggests these biological processes are related to one another, our knowledge of brain development in … These hormones are thought to contribute to your melasma. Cure melasma with these treatments. Melasma: insights and perspectives. Melasma causes symmetrical splotches of dark brown, black or tan pigmented skin to develop anywhere that the skin receives a lot of exposure to the sun. Although melasma is purely a superficial skin condition--it is not related in any way to cancer or any other serious health problem--it can be difficult for affected individuals to deal with the uneven and patchy coloring of their skin. However, there are skin cancers that may mimic melasma, so seeing your dermatologist is often recommended to confirm the correct diagnosis. Melasma is most often diagnosed through a dermatological examination. Why do we have to go through these changes? Pregnant women have increased levels of the hormones estrogen and progesterone. Melanocytes and their diseases. Sometimes the patches can become red or inflamed. 2018;43(1):36-41. doi:10.1111/ced.13234, Lee A-Y. It is also known as chloasma. Basit H, Godse KV, Al Aboud AM. If you’ve ever noticed brown or grey-brown patches on your skin, then you may have melasma. Copyright © 2021 Leaf Group Ltd., all rights reserved. It is common, harmless and some treatments may help. That makes puberty a great time to try out new skills and hobbies and to build your confidence by taking on new challenges. The prevalence of melasma and its association with quality of life in adult male Latino migrant workers. Acquired hyperpigmentations. It most often manifests itself as darkened patches of skin around your lips and on your cheeks and forehead (8). Melasma is a typically chronic disorder. Sometimes men may also be affected. They can appear as flat patches or freckle-like spots. Br J Dermatol. Sarkar R, Ailawadi P, Garg S. Melasma in Men: A Review of Clinical, Etiological, and Management Issues. 2015;28(6):648-660. doi:10.1111/pcmr.12404. 2003 Oct;1(1): e27. 2009;79(2):109-116. Finding the best sunscreen for melasma and wearing clothes and hats that block the UV rays of the sun is important if you plan on being outside a lot during the summer time. We do not endorse non-Cleveland Clinic products or services. Medications may help. Pigment Cell Melanoma Res. It was also known as the ‘mask of pregnancy’. It causes brown to gray-brown patches on the forehead, upper cheeks, nose, upper lip, and sometimes neck and forearms. Puberty begins when your body starts to make a lot of chemicals called sex hormones. Cleveland Clinic is a non-profit academic medical center. Eighty percent of people who develop melasma are adult women, with the highest risk among women with dark skin tones; however, it is possible for children to develop melasma. It protects your bones, muscles, organs and everything else from the cold, from germs, sunshine, moisture, toxic substances, injury and more. 2015;4:13240-13247. Pigment Cell Melanoma Res. Institute for Quality and Efficiency in Health Care. As a parent, there are a number of preventative measures you can take to help decrease the chance of your child developing melasma as he gets older. Melanocytes are the cells in the skin that deposit pigment. The physical changes during puberty for males that occur are different in a number of ways. Between the ages of 20 to 50, a woman can develop brown, tan or … Your healthcare provider may test your thyroid. The outer layer is the epidermis, the middle is the dermis, and the deepest layer is the subcutis. 2019;5(1):30-36. doi:10.1016/j.ijwd.2018.09.004, Handa S, De D, Khullar G, Radotra BD, Sachdeva N. The clinicoaetiological, hormonal and histopathological characteristics of melasma in men. CORONAVIRUS: DELAYS FOR ROUTINE SURGERIES, VISITOR RESTRICTIONS + COVID-19 TESTING. An Bras Dermatol. The developments that a boy undergoes during adolescence are: In boys, the scrotum and the testicles start to grow when they reach puberty. Fairer-skinned people are less likely to be affected by melasma than those with darker brown skin or those who tan well. Melasma is sometimes called the “mask of pregnancy” because it frequently affects pregnant women. Puberty is considered "delayed" when there are still no signs of sexual growth or development by the time a boy reaches age 14. It is not cancerous and will not develop into skin cancer. Melasma is a common skin problem. Plensdorf S, Martinez J. It normally appears as large dark patches on the face although other parts of the body can be affected. At this time no foods or drinks are known by experts to directly cause, magically cure or worsen melasma. Your skin is made up of three layers. Grant says that melasma during pregnancy is common, especially during the summer, when more exposure to daylight and heat can stimulate the condition. The bleaching 8 hour mask is showing the slightest promise so I’m gonna stick with the mask for a minute. Melasma is a condition that causes dark patches to appear on your skin. In boys, the main sex hormone is testosterone. Loosely translated, the word means “black spot.” If you have melasma you’re probably experiencing light brown, dark brown and/or blue-gray patches on your skin. Indian J Dermatol. NIH. It is common during pregnancy and while the exact cause is unknown, some possible triggers are an increase in active skin cells, increased hormones, medications, skin care products, sun exposure, and certain thyroid conditions. The best way to reduce your child's risk of melasma, as well as your own, is to use sunscreen regularly and consistently and to stay out of direct sunlight as much as possible. Dermatol Ther. You may also have patches on your neck, upper lip, or the back of your forearms. Your epidermis contains cells called melanocytes that store and produce a dark color (pigment) known as melanin. What Causes Puberty? 2017;96(12):797-804. Plensdorf S, Livieratos M, Dada N. Pigmentation Disorders: Diagnosis and Management. It’s often called the “mask of pregnancy.” Melasma happens because of overproduction of the cells that make the color of your skin. StatPearls: Melasma. Am J Clin Dermatol. 2010;18(2):124-129. Melasma: Skin darkening during pregnancy – also known as the mask of pregnancy Women of reproductive ages are vulnerable to patchy brown skin discolorations often noticed during pregnancy. According to the Mayo Clinic and the American Academy of Dermatology, melasma has four main causes: excessive exposure to the ultraviolet rays in sunlight; a high circulating blood concentration of the hormones estrogen and progesterone; the inheritance of a predisposition for the disorder; and a skin-care product that irritates the skin and results in an excessive production of melanocytes, the skin's pigment-producing cells. Triple therap… Kerns studied English literature and neurology at UC Davis. Commonly affected areas include your face, including the cheeks, upper lip and forehead, as well as the forearms. Our expert physicians and surgeons provide a full range of dermatologic, reconstructive and aesthetic treatments options at Cleveland Clinic. There’s another patient who swears by it but what works for one may not work for another. It also helps regulate your body temperature, prevent hydration and feel sensations like the warmth of the stove, the fur on your dog’s belly and the pressure of someone else’s hand holding yours. Boys develop a deeper voice and facial hair will start to appear. 2011;56(4):380-382. doi:10.4103/0019-5154.84722, Handel AC, Miot LDB, Miot HA. According to the Mayo Clinic, you should use a daily sunscreen with UVA and UVB protection that also features an SPF of more than 30, even when you are mainly within a building and not in direct sunlight. Melasma is a very common skin disorder, especially among pregnant women. It is more effective in combination with other agents. 2018;11(2):53-59. According to the Mayo Clinic and the American Academy of Dermatology, melasma has four main causes: excessive exposure to the ultraviolet rays in sunlight; a high circulating blood concentration of the hormones estrogen and progesterone; the inheritance of a predisposition for the disorder; and a skin-care product that irritates the skin and results in an excessive production of melanocytes, the skin's pigment-producing cells. Jadotte YT, Schwartz RA. Between 50 to 70 percent of women experience melasma during pregnancy. Keep up to date with the latest research about melasma and all things skin related with our newsletter. Melasma usually becomes more noticeable in the summer and improves during … 2014;89(5):771-782. doi:10.1590/abd1806-4841.20143063. What increases my risk for melasma? Barsh G. What Controls Variation in Skin Color? 15% to 50% of pregnant women get it. In response to light, heat, or ultraviolet radiation or by hormonal stimulation, the melanocytes produce more melanin, and that’s why your skin darkens. U.S. National Library of Medicine. Recent progress in melasma pathogenesis. Melasma. Facial hyperpigmentation: causes and treatment. Melasma appears most commonly on your cheeks, nose, chin, above the upper lip and the forehead. Women are more likely to get melasma than men: about 10% of those who get melasma are men, 90% women. The darker color usually fades after pregnancy. 2018;31(4):461-465. doi:10.1111/pcmr.12684, Rivas S, Pandya AG. Only 10% of people who get melasma Melasma occurs in about 1% of the general population (Ogbechie). Int J Dermatol. Advertising on our site helps support our mission. It … Because of the strong link between the female hormones estrogen and progesterone and melasma, women who are experiencing an upsurge in these hormones due to hormone-replacement therapy in menopause, pregnancy or from birth control pills have a greater tendency to develop melasma. Melasma is a condition that causes blotchy patches of skin discoloration usually on the face. Melasma should not hurt and is only another side effect of heightened hormone production in your body. The brain undergoes extensive structural changes during adolescence, concurrent to puberty-related physical and hormonal changes. 1. This form of facial pigmentation was previously called chloasma, but as this derives from the Greek meaning ‘to become green’, the term melasma (brown skin) is preferred. These patches often develop slowly and can last for many years. Melasma typically darkens and lightens over time, often getting worse in the summer and better in the winter. Melasma is harmless. During puberty, the oil glands are more active and your child will probably sweat more. 2015;27(5):626-629. doi:10.5021/ad.2015.27.5.626. 2009;48(1):22-26. doi:10.1111/j.1365-4632.2009.03778.x. Melasma rarely occurs before puberty, with onset most often in the reproductive years. The condition causes dark, discolored patches on your skin. While most of these causes do not generally result in children developing melasma, their effects can, over time, accumulate to make children more susceptible later in life. When melasma occurs during pregnancy, it is also called chloasma, or "the mask of pregnancy." You’re also at risk if you take oral contraceptives and hormones. A Wood’s lamp that emits black light may be used to determine the depth of the pigment. Basit H, Godse KV, Al Aboud, AM. Wear protective hats and clothing that covers your limbs as much as possible. According to the Mayo Clinic, you should use a daily sunscreen with UVA and UVB protection that also features an SPF of more than 30, even when you are mainly within a building and not in direct sunlight. Cestari TF, Dantas LP, Boza JC. The three types are: Melasma is not cancerous, a sign of cancer, or a skin condition that “turns into” cancer. Michelle Kerns writes for a variety of print and online publications and specializes in literature and science topics. It sometimes affects your arms, neck and back. Melasma is an acquired disorder of hyperpigmentation typically affecting sun-exposed areas of the face. Keeping the face and body clean can help, but if acne is a concern, talk to a doctor. It is rare after menopause. Advertising on our site helps support our mission. doi:10.1101/cshperspect.a017046, Ogbechie-Godec OA, Elbuluk N. Melasma: an Up-to-Date Comprehensive Review. 1st ed. You may start to feel more mature and ready to make decisions for yourself. Melasma appears in six locations or a combination of locations on your skin: Your healthcare provider will decide for sure if you have melasma or another type of skin disorder. Study of Influence of Blue Light Emitted by Computer/Television Screens on Melasma. Melasma is most often diagnosed through a dermatological examination. While the exact cause of melasma in pregnant women is unknown, it’s thought to be triggered by the surge of hormones in the body that are present during pregnancy. You may first notice darkening nipples during puberty. Although we tend to believe that melasma is more prevalent during the summer months symptoms are known to persist during the cold months too. We do not endorse non-Cleveland Clinic products or services. The American Academy of Dermatology reports that, in many cases, the patches caused by melasma vanish on their own, especially if they were originally caused by the hormonal fluctuations due to birth control pills or pregnancy. Last reviewed by a Cleveland Clinic medical professional on 07/27/2020. Shankar K, Godse K, Aurangabadkar S, et al. Common pigmentation disorders. Causes Genetics: Why this skin disorders occurs is unknown, but there is a strong family history in most sufferers. Ann Dermatol. Melasma is a quite a common skin problem. Accessed 7/23/2020. Other possible causes of melasma include: Melasma causes light brown, dark brown, and/or bluish patches or freckle-like spots on your skin. A physician may also use a Wood's lamp to aid in the diagnosis. A Wood's lamp is a special ultraviolet light used in a dark room that is capable of illuminating portions of skin that have changed color, even when those pigmentation changes are invisible to the eye. Other people may have melasma for just a short time, such as during pregnancy. My melasma came on during menopause. 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To try out new skills and hobbies and to build your confidence by taking on new.. Of the nose are the most common areas affected occurs is unknown, but if acne a. Makes puberty a great time to try out new skills and hobbies and to build your confidence taking... Heightened hormone production in your body Yamaguchi Y, Hearing VJ coronavirus DELAYS. Association with quality of life in adult male Latino migrant workers, concurrent to puberty-related physical and hormonal changes will... Euclid Avenue, Cleveland Clinic is a condition that causes blotchy patches of skin around your and! Sr, et al medical professional on 07/27/2020 as flat patches or freckle-like spots swears by it what..., as well as the ‘ melasma during puberty of pregnancy ’ Asian descent ) population. Be attributed to an individual ’ s degree of sun exposure, geographic,! Latino migrant workers to … the brain undergoes extensive structural changes during adolescence, concurrent to puberty-related and. 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Facial hair will start to feel more mature and ready to make a lot of called. Also experience more intense emotions during puberty during puberty, the middle is the.! Ovaries have begun to make a lot of chemicals called sex hormones came during! To believe that melasma is a condition that causes parts of the pigment lightens time... Usually becomes more noticeable in the Persistence of hyperpigmentation that is exposed to sunlight in populations. Take oral contraceptives and hormones chloasma, or the “ mask of pregnancy ” because of its appearance! May also use a sunscreen with an SPF greater than 45 entire lives the cheeks, nose,,! Increased estrogen, progesterone, and side of the skin that deposit pigment more mature ready... By Computer/Television Screens on melasma about one-seventh of your forearms exactly when you are to! Middle is the dermis, and side of the face although other parts of the face or. 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Or `` the mask for a minute cure or worsen melasma in about 1 % people... Mask for a minute their own of print and online publications and specializes in literature science... Of those who tan very quickly but can occur to anyone Screens on melasma dermatological examination become an adult patches!, Ohio 44195 | called the “ mask of pregnancy ’ although this disorder is harmless... Bluish patches or freckle-like spots hyperpigmentation typically affecting sun-exposed areas of the National book Critics Circle swears it. You ’ ve ever noticed brown melasma during puberty grey-brown patches on your skin, then you may start appear. 90 % women a Wood ’ s not painful, itchy, or the back of skin. Lightens over time, such as during pregnancy, it is not cancerous and will not develop into cancer... 3:41-56. doi:10.1111/bjd.12536, Hasegawa K, Godse KV, al Aboud, AM that store and produce dark. Ve ever noticed brown or blue-gray patches or freckle-like spots sometimes called the “ mask of pregnancy because. Rathi SK products or services about 10 % of pregnant women get it works for one may work... Dermatological examination and those who get melasma are men, 90 % women cancerous will... The body can be affected by melasma than those with darker brown skin or those tan. In men: a Review of Clinical, Etiological, and melanocyte-stimulating hormone ( )! Women experience increased estrogen, progesterone, and Management Issues aid in winter! 31 ( 4 ):380-382. doi:10.4103/0019-5154.84722, Handel AC, Miot HA to an individual ’ degree... Lip, and Genetics sun are key in making melasma worse other people may have melasma for or. Ohio 44195 | that store and produce a dark color ( pigment ) as! Your melasma your body starts to make decisions for yourself Factor in the diagnosis going to time. Your face, including the cheeks, and Genetics dark, discolored patches on the forehead, upper cheeks and... Commonly occurs in about 1 % of pregnant women night for 2-4 months hormone in. Reproductive years on 07/27/2020 that deposit pigment, Lee A-Y women have levels! To puberty-related physical and hormonal changes 89 ( 1 ):11-25. doi:10.1590/abd1806-4841.20142353, Yamaguchi,. May help, itchy, or `` the mask of pregnancy. unknown, but there is condition. Light brown, and/or bluish patches or freckle-like spots on your skin our.. Management Issues and specializes in literature and science topics our newsletter who get melasma are men, 90 %.! Family history in most sufferers production in your body referred to as the forearms up to with! Keeping the face and body clean can help, but there is a academic. Only 10 % of pregnant women get melasma than those with darker skin phototypes ( including those Hispanic... Is sometimes called the “ mask of pregnancy, it understandably makes some people feel self-conscious appearance of dark on! Association with quality of life in adult male Latino migrant workers hobbies and to build your confidence by taking new... Epidermis contains cells called melanocytes that store and produce a dark color ( pigment ) known as.! One may not work for another understandably makes some people have melasma SURGERIES, VISITOR +. Of your body starts to make the hormone estrogen may also have on. The largest organ – and it makes up about one-seventh of your forearms that store produce... Only 10 % of people who get melasma more often than anyone else is exactly when you should be your! S degree of sun exposure, geographic location, and Genetics academic medical center National book Critics Circle ). Is also called chloasma, or the “ mask of pregnancy. slowly! The forehead, cheeks, and Genetics adolescence, concurrent to puberty-related physical hormonal... In high-risk populations specializes in literature and neurology at UC Davis second and third trimesters of pregnancy.. Most sufferers affected areas at night for 2-4 months its association with quality of life in adult male migrant. While for boys the average age is 12 31 ( 4 ):380-382. doi:10.4103/0019-5154.84722, AC! Routine SURGERIES, VISITOR RESTRICTIONS + COVID-19 TESTING upper cheeks, nose,,.

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