Oh melasma it is a brown spot that preferentially affects the face of young women. There is much news about this dyschromia, such as not being just a spot, but a process that makes the skin dark and aged. Shall we stay inside them?
Melasma skin has many changes similar to those seen in photoaged skin. Some layers of the skin break down, with degeneration of the membrane that separates the epidermis from the dermis. Collagen and elastin fibers are altered and less with loss of function. The vessels are dilated and constricted, leaving the area red. Melasma has significant vascular changes with varying degrees of inflammation. Treating only with whitening is pointless, but we also need to reverse aging and inflammation.
The discovery that visible light is what causes skin spots is another big news on the subject. Visible light is part of solar radiation (40%) and there is no specific sunscreen that protects against this light. That’s why sunscreen for melasma should be colored because the pigment will protect against that radiation.
Today, there are several whitening agents for melasma treatment that contain new and effective active ingredients such as cysteamine, thiamidol, metformin, methimazole, melatonin, etc. These new bleaches can be used in combination. They are less irritating than hydroquinone.
Another innovation in melasma treatment is that a With cysteamine, the product has been enriched with new actives, enhancing its whitening effect. Another current and contemporary issue is the need to see the patient in a comprehensive and integrative way. General exams are needed that evaluate your metabolism, hormone levels, in addition to those that are important to check your overall health.
It has many treatment options such as peeling, laser, microneedling and more. Novel treatments for melasma include biostimulation with calcium hydroxyapatite and polyic acid, PDO threads, hybrid hyaluronic acid, and also platelet-rich plasma (PRP). All of these treatments aim to improve skin quality by reversing the rate of premature aging. These are treatments that stimulate collagen and elastin fibers as well as regulate inflammation. near the sun (photography).
Insulin resistance, high blood pressure, thyroid disease, polycystic ovaries, endometriosis, among others, must treat these co-morbidities before they can heal from melasma. Inflammatory foods such as carbohydrates, gluten, and dairy products worsen melasma and should be reduced.
The secret to success in treating melasma today is a thorough evaluation and treatments combined with excellent skin care.