Understanding different forms of pigmentation: Melasma (facial pigmentation)

Artisan Melasma Diagram

What is Melasma?

Melasma is a common skin condition characterised by patchy brown or greyish pigmentation of the skin, commonly seen on the cheeks, nose, chin, forehead, and upper lip. While it can be caused by UV exposure, Melasma is more commonly triggered by hormonal changes such as during pregnancy and when commencing the oral contraceptive pill.

 

How is Melasma different from other forms of pigmentation?

Pigmentation in general is caused by overstimulation of the skin’s melanocyte cells responsible for producing the pigment called melanin that gives skin its genetically predetermined colour. This overstimulation causes an excess in pigmentation (hyperpigmentation) that may lead to dark and patchy spots on the skin’s surface.

Unlike pigmentation from sun exposure or skin trauma, which is caused by inflammation, Melasma more commonly occurs due to changes in oestrogen and progesterone levels which overstimulates melanin, producing excess pigmentation. It typically occurs in women, however men can be affected. It is also more common in darker skin types.

 

How do I know if I have Melasma?

The best way to determine if you have Melasma is to have a comprehensive skin assessment with a dermal therapist, cosmetic nurse or medical practitioner.

 

How can I treat Melasma?

Melasma can be more challenging to manage than other forms of pigmentation and aggressive or unsuitable treatments may worsen the condition. Management usually involves a combination of strict sun protection, medical-grade skincare prescribed by your clinician and in some cases in-clinic procedures. These may include non-ablative laser therapies, medical-grade peels or skin needling.

Results and suitability vary for each person and not all treatments are appropriate for every patient. All treatments carry potential risks and side effects, which will be discussed during your consultation.

At Artisan Aesthetic Clinics, a comprehensive consultation and skin analysis form the first step in tailoring an individualised plan for you.