hi welcome to HCM.Melasma
is a common acquired increase of pigmentation that occurs exclusively in sun-exposed areas. Brownish in color, it is exacerbated by sun exposure, pregnancy
, oral contraceptives, and certain anti-epilepsy
drugs.Successful treatment of melasma involves the triad of sunblocks, bleach and time,Sunscreen, however, is the most important factor. Without daily use of opaque sunscreen,treatment will fail (a broad-spectrum formulation with an SPF over 30 plus cover up is adequate)Bleaching preparations include 2 or 4% hydroquinone-containing creams or gels and 3% hydroquinone solution.Normally up to 2 months are required to begin to initiate response and up to 6 months to complete the process.