Melasma

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Understanding

Pigment in the epidermal and/or dermal layers Can be related to genetics Typically, hormonal driven Exacerbated by the UVR, heat and visible light No cure only management Triggers Hormones Other skin conditions Eg, inflammation, acne Stress due to the increase cortisol, decreasing the lymphatic drive in the skin. Board spectrum of light Goal Prevent melanogenesis where melanin converts to keratocyte Management not cure Education

What next

Treatments Skin needling Chemical peels Contraindications IPL – due to the rebound weeks latter

Skin care AHA’s Vitamin A Vit B3 (niacinamide) will block the melanin transfer Vit C mild tyrosinase inhibitor Pigment plus (tranexamic acid, niacinamide, Kakadu plum – antioxidizing effect)

What is a tyrosinase inhibitor? Inhibits the enzyme tyrosinase from stimulating the myelocyte therefore preventing the production of melanin. Hydroquinone Kojic acid Azelaic acid Tranexamic acid L – ascorbic acid and all C derivatives Arbutin (bearberry)

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