Although this disorder is completely harmless, it understandably makes some people feel self-conscious. As a result, the blood volume in the body increases by up to 50%, and the heart rate may rise by 10 to 15 beats per minute. See your dermatologist in that instance. The three types are: Melasma is not cancerous, a sign of cancer, or a skin condition that turns into cancer. Melasma is especially common in darker-skinned women or those of Asian and African descent, who have more pigment in their skin than fair-skinned people. It usually starts between 20 and 40 years of age. Overall, between 50 and 70 percent of people will develop some form of melasma during pregnancy. Sun exposure triggers melanin production, and pregnancy makes the skin more sensitive and more prone to melanin production. 6.5 CeraVe Vitamin C Serum. Melasma. You can learn more about how we ensure our content is accurate and current by reading our. Trivedi MK, Yang FC, Cho BK. Yes. If someone in your family has had melasma, youre more vulnerable to the condition. Laser is a great option, he shares. Occasionally, you might get it on the chest or arms, but that's unusual. Melasma. Pregnancy comes with a host of emotions and physical changes. Melasma is thought to be primarily related to; external sun exposure, external hormones like birth control pills, and internal hormonal changes during pregnancy. You may notice dark patches or splotches on your forehead, cheeks, chin, or around your mouth. Bonus: You can. Will I still have melasma after my pregnancy? It usually develops in one or more of these areas: Melasma can also develop on your arms or neck, though it's less common. Another exfoliation option would be to have a laser skin resurfacing treatment. Elizabeth Geddes-Bruce, MD is a board certified dermatologist and dermatologic surgeon specializing in the practice of both cosmetic and medical dermatology. Depending on the person, melasma may go away on its own, it may be permanent, or it may respond to treatment. 2021. If your skin is still blotchy a few months after giving birth and it's bothering you, talk to your healthcare provider or a dermatologist about treatment options for melasma. In addition to topical treatments and oral medication, Dr. Belkin recommends going that route, with a couple of caveats. The most effective way to treat pregnancy melasma is to see your dermatologist as soon as you start to see its hallmark patchwork appear. General Health. Spots of melasma can sometimes be mistaken for freckles but they are not the same skin condition. The best way to treat melasma is with a bleaching regimen such as hydroquinone. Thats why most people with melasma notice that their symptoms worsen during the summer months. Between 1.5% and 33% of the population may get melasma and it happens more often during a womans reproductive years, and rarely happens during puberty. Treasure Island (FL): StatPearls Publishing; 2020. Related: Skin color needs to be factored in when discussing skin diseases. And some treatment methods may not be safe or effective to use when pregnant. Although its a benign condition that doesnt cause any pain or discomfort, its appearance can negatively impact your confidence and self-esteem. Learn more aboutour editorial and medical review policies. Shell also sometimes prescribe oral medication to slow down the rate of re-pigmentation and rebounding. It sometimes affects your arms, neck and back. Chemical peels address discoloration by exfoliating the top layers of skin, allowing newer and more evenly toned skin cells to rise to the surface. Pregnancy, hormonal fluctuations, sun exposure, medication side effects, genetics, age, inflammation, and skin injuries can all lead to different types of skin discoloration. Estrogen coupled with blood vessel growth, sun exposure, genetics, and hormones deposit pigment in the skin. It fades slowly, so it could take a few months. Pregnancy. Melasma is hard to treat. Melasma is also sometimes referred to as the mask of pregnancy because the splotches typically show up around your upper lip, nose, cheekbones, and forehead in the shape of a mask. The same increased production of melanin that causes the facial splotches of melasma also causes the linea nigra, or dark line that you may notice running down your belly. I look for symmetry, since it would be unusual to have melasma only or much worse on one side of the face.. 2003 Oct;1(1): e27. Theyll use a Woods lamp (a black light) to see changes in the color of your skin. 15% to 50% of pregnant women get it. This discoloration is usually symmetrical and is most common on the cheeks and nose, but its also found on the forehead and upper lip. You can live melasma-free with the right combination of treatments. Institute for Quality and Efficiency in Health Care. What to Expect supports Group Black and its mission to increase greater diversity in media voices and media ownership. During pregnancy, melasma usually appears on the face as patchy or spotted areas of skin that are tan, brown, or sometimes blue-gray. Use sunscreen Using sunscreen is one of the best ways to ward off the harmful effects of sun exposure. While pregnancy is a primary cause of melasma, eating a well-balanced diet and getting plenty of sleep can prevent hormonal imbalances or vitamin deficiencies that arent pregnancy-related. How to understand chronic pain; Tools. How can I prevent melasma from getting worse during pregnancy? Melasma may start at any point in your pregnancy, though it most commonly begins in the second or third trimester. PLoS Biol. The most important one is something you should be doing every day, year-round, anywaywearing a broad-spectrum sunscreen, and reapplying it every two hours or after swimming or sweating. Other people may have melasma for just a short time, such as during pregnancy. Ultraviolet and infrared radiation from the sun are key in making melasma worse. Applying this powerful antioxidant to your skin can help brighten melasma while providing other anti-aging benefits, like increased collegen production. When Might Melasma Develop During Pregnancy? Privacy Policy Treatments include topical medications like: Your doctor may also recommend certain acids that lighten the skin, alone or in combination. During pregnancy, melasma usually appears on the face as patchy or spotted areas of skin that are tan, brown, or sometimes blue-gray. 2020;1(2):65-67. doi:10.5606/jebms.2020.75614. National Institutes of Health, National Library of Medicine. They can appear as flat patches or freckle-like spots. What makes breast cancer come back? Melasma can develop at any time during your pregnancy, however. Estimates vary, but up to 70% of pregnant people develop melasma. It often presents as a darkening in skin color around the mid or upper forehead, lateral cheeks, and upper lip. She works full-time as a senior content manager at a multinational digital agency. Can I Use Vitamin C in Skincare While Pregnant? Her favorite pastimes include experimenting with new foods, libations, and restaurants, as well as traveling the world with her two college-age children, husband, extended family, and friends. First, apply the concealer to the patchy spots. Mix a solution of a half of fresh lemon juice and half of cucumber juice or water to lighten top . Are you interested in prescriptions that may improve your melasma? If you have dark skin, seek a provider who is experienced in laser treatment for people of color. Melasma on breast | HealthTap Online Doctor But, keep in mind, once you experience this patchwork discoloration, youre more susceptible to it recurring if you become pregnant again. This means that its long-lasting (three months or more). This pregnancy-friendly spin on traditional chili is packed with the nutrients your body needs when you're expecting. Around 33% to 50% of people with the condition have a family member with iteven a majority of identical twins share melasma. They include medications, makeup, and cosmetics that irritate your skin or make it more sensitive to sunlight, the blue light emitted from your devices, and underlying thyroid disease. Too much screen time? Regrettably, you cant avoid genetics, or stop the skin condition when youre pregnant. Does pregnancy melanoma go away on its own? Your hair and skin may also go through a transformation for the better or worse. There are three types of melasma, categorized by how deep the darker pigment goes into the skin: During pregnancy, melasma usually appears on the face as patchy or spotted areas of skin that are tan, brown, or sometimes blue-gray. Melasma can sometimes be mistaken for another skin condition. Are any of my current medications causing or worsening my melasma? Last reviewed by a Cleveland Clinic medical professional on 07/27/2020. U.S. Food & Drug Administration. Lasers, which can be irritating especially during pregnancy, are no-nos too. Journal of Experimental and Basic Medical Sciences. If other treatments haven't helped, a dermatologist can lighten dark spots with laser treatments, but that's not the first option. It also helps regulate your body temperature, prevent hydration and feel sensations like the warmth of the stove, the fur on your dogs belly and the pressure of someone elses hand holding yours. Melasma typically darkens and lightens over time, often getting worse in the summer and better in the winter. Examples of tyrosinase inhibitors and other types of helpful agents include: The combination of hydroquinone, tretinoin and a moderate topical steroid has had the best effect on melasma. Dr. Arlo Miller answered Dermatology 17 years experience Avoid: I would not recommend it. Ahead, were discussing everything you need to know about pregnancy melasma, including what it is, what causes it, and how you can both treat and help prevent it. However, it is not likely to go away while youre pregnant or taking hormone contraceptives. We'll tell you if it's safe. As youve likely already inferred from its alternate moniker, becoming pregnant puts you at a higher risk of developing pregnancy melasma. Youre also at risk if you take oral contraceptives and hormones. However, you can take certain precautions to lower your risk of developing it while pregnant or otherwise. Many compacts come in a wide range of colors for all skin tones. All rights reserved. It mimics discoloration of other skin conditions, and should be diagnosed by a board-certified dermatologist MD/DO to prevent misdiagnosis and incorrect treatments.. Typically it takes about three or more months for the melasma to fade. She may suggest using a bleaching cream that contains hydroquinone (and possibly sunscreen), a topical medication that contains tretinoin (Retin-A), or a chemical peel such as azelaic acid. Loosely translated, the word means black spot. If you have melasma youre probably experiencing light brown, dark brown and/or blue-gray patches on your skin. Adding a skin condition like melasma to the mix can be frustrating, especially if it's making you self-conscious about your appearance. American College of Obstetricians and Gynecologists. American Academy of Family Physicians. 1 But certain conditions, like postpartum acne and dry skin, may be caused by the hormonal changes that happen during breastfeeding. Its not painful, itchy, or uncomfortable in any way. Yes, it's common to develop blotchy spots of darker skin when you're pregnant, a condition called melasma or chloasma. ), Visitation, mask requirements and COVID-19 information. By Cat Matta The first thing you need to do to treat your melasma is to make sure that it doesnt get any worse. Melasma can occur at any point in a pregnancy, although it typically develops during the second or third trimester. The spots develop when the hormones trigger cells called melanocytes, which go into overdrive and produce more of a substance called melanin. Women with darker complexions are more likely to have melasma than women with lighter skin. Heres more about this condition, why it crops up in pregnancy, and how you can treat it safely. It often presents as a darkening in skin color around the mid or upper forehead, lateral cheeks, and upper lip, describes Rachel Nazarian, MD, a board-certified dermatologist at the Schweiger Dermatology Group in NYC. Freckles or scars, and dark skin around nipples and genitals may become even darker than usual during pregnancy. Hyperpigmentation results when the skin produces excess melanin. Melasma Treatment: Home Remedies, Prescriptions, & Procedures Your melasma is likely to go away when youre no longer pregnant. Vitamin D helps keep your skin healthy in general. We'll tell you the best pregnancy-safe sunscreens so you and your, When you're expecting, pregnancy-safe skin care can help ensure the health of you and your baby. You might have your thyroid checked because there does seem to be an association between thyroid disease and melasma. A few alternative remedies, like turmeric and aloe vera, have shown at least some success at improving melasma. Bring up any additional symptoms you have with your doctor. During your pregnancy, avoid spending too much time in the sun. It doesn't affect your baby in any way or indicate any other pregnancy complications. Many women notice their hair becomes thicker during pregnancy. Get useful, helpful and relevant health + wellness information. 2020. Are the soaps Im using right now aggravating my melasma (come with a list if you need to)?