Melasma

Melasma is a form of hyperpigmentation characterised by symmetrical brown or gray-brown patches, most commonly on the face. It is hormonally driven and notoriously difficult to treat due to its chronic and relapsing nature.

Causes

- Hormonal Changes: Pregnancy (“mask of pregnancy”), oral contraceptives, hormone replacement therapy. 

- UV Exposure: Exacerbates pigment production. 

- Genetics: Strong familial tendency. 

- Skin Type: More common in Fitzpatrick skin types III–V. 

DMK & Aspect Dr Recommendations 

- **DMK:** *Melanoplex Crème* (targets melanin pathways), *Melanotech Drops* (regulates pigment production), *Direct Delivery Vitamin C* (antioxidant, pigment control). 

- **Aspect Dr:** *Complete Pigment Plus Serum* (tranexamic acid, niacinamide