Skin Pigmentations Dermatology Delray Beach FL


Brown or gray-brown patches that appear on the face – especially on the cheeks, forehead, chin, and above the upper lip – indicate what is known as melasma.

Melasma, or chloasma, is a common skin pigmentary disorder. It is believed that the hyperpigmentation that occurs with melasma is a heightened sensitivity to the female hormone estrogen, which may explain why the vast majority of people who develop melasma are women. And women with darker skin tones are more likely to develop melasma. It is sometimes called the “mask of pregnancy” when it occurs in pregnant women.

Hormonal shifts that can precede the appearance of melasma include:

  • Pregnancy
  • The use of oral contraceptives
  • Hormone replacement therapy such as that used to treat the symptoms of menopause
  • Fertility treatments

Men can get melasma, too, although in those cases, the condition appears to be related to excessive sun exposure.

Melasma is typically identifiable by its appearance: blotchy dark patches of hyperpigmentation on the face that are symmetrical (appearing on both sides of the face).

There is no cure for melasma, but there are therapies that can help improve the appearance of the skin for patients with melasma.

Skin-lightening creams, laser treatments, and chemical peels are some of the options available. Multiple treatments may be necessary to obtain the desired results. However, if the underlying hormonal influence remains, the melasma may recur. You will want to see a dermatologist to identify the best treatment option based on your goals, including prescription-strength therapies.

Discover your Melasma Treatment Options with Atlantic Derm

Discover your treatment options for those stubborn brown patches on the face (melasma) by calling Atlantic Derm at (561) 802-SKIN (7546) to make an appointment to see dermatologist and family medicine physician Dr. Yvette Tivoli, or you can use our convenient online appointment request form.

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