is there a “cure ” for the melasma , a skin condition which is common during pregnancy?
It is not a permanent condition and should correct itself over time. The discoloration usually disappears spontaneously over a period of several months after giving birth or stopping the oral contraceptives or hormone replacement therapy. Treatments to hasten the fading of the discolored patches include: * Topical depigmenting agents, such as hydroquinone (HQ) either in over-the-counter (2%) or prescription (4%) strength. HQ is a chemical that inhibits tyrosinase, an enzyme involved in the production of melanin. * Tretinoin, an acid that increases skin cell (keratinocyte) turnover. This treatment cannot be used during pregnancy. * Azelaic acid (20%), thought to decrease the activity of melanocytes. * Facial peel with alpha hydroxyacids or chemical peels with glycolic acid. * Laser treatment. A Wood’s lamp test should be used to determine whether the melasma is epidermal or dermal. If the melasma is dermal, laser (or “IPL”) will acually DARKEN and worsen the appearance of the spots. Der
