Melasma is a very common patchy brown, tan, or blue-gray facial skin discoloration, almost entirely seen in women in the reproductive years. It typically appears on the upper cheeks, upper lip, forehead and chin of women 20-50 years of age. Although possible, it is uncommon in males. Over 90% of those with melisma are women. it is thought to be primarily related to external sun exposure and internal hormonal changes as seen in pregnancy. Most people with melisma have a history of daily or intermittent sun exposure, although heat is also suspected to be an underlying factor.
Pigmentation and Melasma, used to be such a hard condition to treat that even dermatologists used to be apprehensive of facing the patients. With the advent of modern technology and option of using and choosing among different lasers, there is definitely one for every skin type and pigment type. We can now give refractory pigment quiet ND:YAG Q-Switched Laser. Even though the pigment may not go away forever but maintenance treatments should be able to keep it at bay.