Melasma
Melasma manifests as a variable darkening of the skin, usually favoring the central face. It is more common in darker skinned women, although men and people with lighter skin may also be affected. The cause of melasma in unknown, but seems to be related to hormonal factors as well as sun exposure. Indeed, many women notice its onset during pregnancy or after starting birth control pills. Both of these factors can alter hormonal levels.
All treatments must incorporate strict sun avoidance and sun protection with high SPF sunscreens and wide-brimmed hats.
Possible treatments:
topical agents
Aurora® (Intense Pulsed Light + Radiofrequency - ELOS)
Aesthera® (revolutionary Photopneumatic therapy)
microdermabrasion (revolutionary Photopneumatic therapy)
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Pimecrolimus cream (Elidel) was found to be effective in Perioral Dermatitis, an annoying condition of mostly young and middle aged women.
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