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Have malsma on face post menopause. Using cosmo peels. Anything else?

Helllo doctor. I have malsma on my face. post menapause. been there for a while now. I visited a local known clinic and they recommended 5 to 6 cosmo peels. I have done 4 so far. I can see just a little bit of difference. Been reading up and think 4 cosmo peels at 15 to 18 day interval should be enough. Perhaps I should not go through the rest. I have wheatish to fair Indian complexion and am 50 years of age. Your adivse will be much appreciated. thanks. Sofee
Asked On : Tue, 24 Jul 2012
Answers:  1 Views:  92
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Diseases and Conditions
Dermatologist 's  Response
Thanks for asking question,

Melasma (also known as chloasma) is a skin condition in which brown patches occur primarily on the cheekbones, forehead and upper lip. It also may develop on the nose chin, lower cheeks and sides of the neck. The dark patches usually have distinct edges. Melasma is seen most frequently in young women taking birth control pills and also occurs commonly during pregnancy. It may develop in association with menopause, hormonal imbalance and ovarian disorders. Melasma may also be triggered by a medication called Dilantin (phenytoin). In many cases, it occurs without any of these predisposing factors 
The tendency to develop melasma is genetically predetermined A factor that does seem to be essential to the development of melasma is sunlight. Both ultraviolet A (UVA) and ultraviolet B (UVB) are believed to contribute.

Melasma can be managed by followings

1   hydro quinine creams, kojic acid cream, azelaic acid cream .or
2 chemical peels (glycolic/salicylic) or
3  Nd:YAG laser or Intense Pulsed light system can be used.

Consult with some dermatologist for more detail.or let me know.

Dr Sher Bhutto
Answered: Tue, 24 Jul 2012
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