Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
194 Doctors are Online

Melasma on forehead, cheeks, nose & upper lip, burning sensation under those skin area. Using sunscreen. How dark can they get & could it reverse?

User rating for this question
Very Good
Answered by

Dermatologist
Practicing since : 2003
Answered : 304 Questions
Question
MelasmaI have melasma on my forehead, cheeks, nose and upper lip. It is getting darker being that my job requires me to be outside. I use the recommended sunscreen and wear hats constantly. My questions are how dark can this get and could it reverse? And why do I get a burning sensation under my skin where the melasma is?
Posted Sun, 24 Jun 2012 in Pigmentation Problems
 
 
Answered by Dr. Rohit Batra 2 hours later
Hi,
Thanks for writing in.
Melasma is the pigmentation of the skin on face normally seen in females after pregnancy , taking OCP's or some times only due to sun exposure .
In Males though rare, it is more resistant to treatment.
It occurs due to over activity of the melanosomes in the skin leading to excessive production of melanin leading to hyperpigmentation.
Due to increases sensitivity to sun and at times due to irritation of the topical creams used to treat melasma, irritation and redness might occur.
Sun avoidance is one of the most important factor which prevents melasma. Melasma is reversible but comes back with sun exposure.

Regards

Dr.Rohit Batra
Above answer was peer-reviewed by
 
Follow-up: Melasma on forehead, cheeks, nose & upper lip, burning sensation under those skin area. Using sunscreen. How dark can they get & could it reverse? 11 days later
Why do I get a burning sensation under mu skin where the melasma is?
Follow-up: Melasma on forehead, cheeks, nose & upper lip, burning sensation under those skin area. Using sunscreen. How dark can they get & could it reverse? 0 minute later
Does retin A really work for melasma
Follow-up: Melasma on forehead, cheeks, nose & upper lip, burning sensation under those skin area. Using sunscreen. How dark can they get & could it reverse? 0 minute later
Why should my sunscreen contain zinc in it
 
 
Answered by Dr. Rohit Batra 21 hours later
Hi and thanks again,

I shall address all your queries individually,

1. Burning sensation over the melasma area may be due to the use of topical medication like retin or it can be due to photosensitivity.

2. Retin A is a useful medication for melasma. It works by increasing the turnover rate of skin over the affected area. It is more effective when combined with topical steroid and hydroquinone.

3. Sunscreen has two types of ingredients -organic and inorganic.
Zinc and Titanium oxide are inorganic sunscreens. Zinc is very effective sunscreen ingredient and offers good sun protection. In view of this, sunscreen lotions with zinc are more effective than non zinc containing sunscreens.

Hope this answers your query. Let me know if you have any other queries.
If all your queries are answered, please close this discussion.

Regards

Dr. Rohit Batra
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Drug/Medication

The user accepted the expert's answer

Ask a Dermatologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor