Melasma- etiology

1. Genetic (predominates in Skintypes III-VI)
2. Hormonal
      Oral Contraceptives
      HRT
      Women’s wellness supplements that have DHEA and other ‘hormone behaving ingredients’

Treatment of Melasma

   ☐ SPF/ UV avoidance
   ☐ Hormonal evaluation
   ☐ Hydroquinone as monotherapy but also in combination with other topicals
   ☐ Chemical peeling
   ☐ Microdermabrasion

Melasma Treatment method: Microdermabrasion and triple-agent bleaching agent

BEFORE - Melasma Treatment method Photo provided courtesy of Dr. Wendy E. Roberts (Bio)		AFTER - Melasma Treatment method Photo provided courtesy of Dr. Wendy E. Roberts (Bio)