Melasma During Pregnancy: Causes, Prevention and Treatment When melasma occurs during pregnancy, it is also called chloasma, or "the mask of pregnancy."Pregnant women experience increased estrogen, progesterone, and melanocyte-stimulating hormone (MSH) levels during the second and third trimesters of pregnancy. 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. Use the treatment and management advice from your dermatologist or another healthcare provider. It is very common in pregnant people and tends to appear during the second or third trimester. 6.2 Eucerin Anti-Pigment Reducer Night Cream. Your doctor may refer you to a dermatologist for more information. What's more, skin that's already more pigmented such as your nipples, freckles, scars, and the skin of your genitals may become even darker during pregnancy. Treasure Island (FL): StatPearls Publishing; 2020. However, there are skin cancers that may mimic melasma, so seeing your dermatologist is often recommended to confirm the correct diagnosis. As mentioned, pregnancy melasma is a skin condition thats pervasive among pregnant people. Other home remedies may actually make melasma worse. It's typically diagnosed after an individual develops multiple pregnancies at once. But, melasma patches are almost always larger than what we call age spots, sun spots, or liver spots. Melasma is only a pigmentary concern, and does not affect the health of the mother or baby. But, keep in mind, once you experience this patchwork discoloration, youre more susceptible to it recurring if you become pregnant again. Were explaining why this occurs, below. For some women, contraceptives containing estrogen (such as the Pill, the patch, and the vaginal ring) can also contribute to melasma. U.S. Food & Drug Administration. (2020). beneath the breasts during late pregnancy. After all, as it progresses, it gets more difficult to treat. Your melasma is likely to go away when youre no longer pregnant. At this time no foods or drinks are known by experts to directly cause, magically cure or worsen melasma. What Helps With Melasma During Pregnancy? Accessed 7/23/20. Spots of melasma can sometimes be mistaken for freckles but they are not the same skin condition. Primary symptoms include darkening patches of skin on the face, especially around the forehead, cheekbones, nose and upper lip. Melasma can be managed, but often not entirely cured, in the sense that in someone who is predisposed, it can always come back. Discover what they are here. Journal of Experimental and Basic Medical Sciences. These steps may prevent your melasma from getting worse. Common Skin Conditions During Pregnancy | AAFP Your skin is made up of three layers. Melasma is a very common skin disorder, especially among pregnant women. Your hair and skin may also go through a transformation for the better or worse. Products that irritate the skin can make melasma worse. Pregnant women have increased levels of the hormones estrogen and progesterone. If you are exposed to the sun, be sure to wear sunscreen with iron oxides and a SPF of 30-50 applied every two hours, as well as a wide-brimmed hat. Pregnancy melasma is a pretty straightforward skin condition. Dr. Geddes-Bruce is fellowship-trained in cosmetic dermatology and laser surgery. When this increases the amount of melanin produced also increases creating patches of darkened skin. Our. Read on to learn about what causes melasma during pregnancy and how to treat it. When you are outside, reapply sunscreen once every two hours. Shipping, Melasma During Pregnancy: Causes, Prevention and Treatment, Non-pregnancy related hormonal imbalances. The intensity of pregnancy melasma can fluctuate throughout the year, darkening in the summer and lightening up in the winter. Vitamin D helps keep your skin healthy in general. Stay out of the sun when the rays are strongest from 10 a.m. to 2 p.m. And make a fashion statement by sporting glam sunglasses and a wide-brimmed hat when you leave the house. Hormone treatments, specifically ones that involve estrogen. There are preventative measures you can take. Your healthcare provider might test your vitamin D levels to make sure that youre getting enough of it from high vitamin D foods such as meat, cereals, oily fish and eggs. In pregnancy, it's often referred to as chloasma, or the "mask of pregnancy.". Melanin is the natural substance that gives color to hair, skin, and eyes. Fluctuations in certain hormones can cause melasma, which is why it commonly occurs during pregnancy. 2005-2023Everyday Health, Inc., a Ziff Davis company. Only a dermatologist will be able to tell you for sure if you have pregnancy melasma. To tell the difference between skin conditions, your healthcare provider may perform a biopsy, which is where a small piece of your skin is removed and examined. In pregnant people, melasma often goes away on its own within a few months after giving birth. It doesnt affect your baby in any way or indicate any other pregnancy complications. If other treatments haven't helped, a dermatologist can lighten dark spots with laser treatments, but that's not the first option. And, if youre pregnant, its appearance may improve on its own around three months after your baby arrives and your surge in pregnancy hormones stabilizes. What to Expect follows strict reporting guidelines and uses only credible sources, such as peer-reviewed studies, academic research institutions and highly respected health organizations. Make a good concealer your best friend. For more brightening oomph, they may recommend exfoliating treatments, such as microdermabrasion or chemical peels, which slough away dead skin cells to promote skin rejuvenation. Limit sunbathing and try relaxing under a tree or umbrella instead. 6.3 Paula's Choice facial exfoliant. ; Telogen effluvium post-delivery is a compensatory decease in hair growth and shedding of hair. Learn about special offers, current clinical research studies, and more. If you have melasma, your freckles and moles may also look darker, there's probably a dark line down the center of your abdomen (the linea nigra) and your areolas could be a deeper shade. Dr. Belkin says his pregnancy melasma diagnoses center around the timing of its appearance and its placement. Even after melasma is treated and improved, I recommend use of a daily topical cream and oral antioxidants to maintain results long-term, advises Dr. Nazarian. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. If you do opt for treatment for your pregnancy melasma, your healthcare provider will likely prescribe a topical skin-lightening cream, with pregnancy-safe ingredients, like hydroquinone. Certain types of skin discoloration can be a symptom of skin cancer or other medical problems. Sun exposure triggers melanin production, and pregnancy makes the skin more sensitive and more prone to melanin production. How to understand chronic pain; Tools. Melasma. Melasma appears in six locations or a combination of locations on your skin: Your healthcare provider will decide for sure if you have melasma or another type of skin disorder. This skin disorder can affect your social life if youre feeling self-conscious about it. The primary symptom of chloasma is darkening of the skin on the face. Safety of skin care products during pregnancy. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Look for products that contain zinc oxide, titanium dioxide, or other physical blockers (mineral sunscreens) versus those that rely on chemical blockers. However, she particularly enjoys the medical, aesthetic, pharma, mental health, and beauty realms. The darkened spots probably will fade within a year after delivery, and your skin should return to its normal shade, although sometimes the changes never completely disappear. Depending on the person, melasma may go away on its own, it may be permanent, or it may respond to treatment. There are two main causes of melasma: radiation, whether ultraviolet, visible light, or infrared (heat) light; and hormones. 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. Melasma appears slowly over a period of weeks or months. Can Melasma Be Prevented During Pregnancy? Safe melasma treatment DURING pregnancy? - RealSelf.com Undated. The good news: Pregnancy mask is usually temporary and fades after delivery or, in some cases, after you finish breastfeeding. Changes in hormones especially estrogen and progesterone is the main cause of melasma during pregnancy. Pregnancy melasma, and melasma in general, fall into three categories based on how deep into the skin the dark spots are: epidermal, dermal, and mixed. Treatment of Melasma During Pregnancy. Skin conditions commonly confused with melasma include: If you have melasma, the results of the biopsy will typically reveal the following: The severity of your melasma can be measured by using the Melasma Area and Severity Index (MASI). To determine a treatment plan, your healthcare provider will have to first figure out whats possibly causing the melasma. The worse it gets, the harder it will be for treatments to work. The best course of treatment may actually be prevention, with the help of a few lifestyle changes. In the third trimester, the proportion of hair follicles retained in the anagen (growing) phase increases. Too much screen time? A dermatologist can accurately diagnose your condition using a Woods lamp, which helps show whether a skin condition is bacterial, fungal, or otherwise concerning. Melasma can develop at any time during your pregnancy, however. This discoloration is usually symmetrical and is most common on the cheeks and nose, but its also found on the forehead and upper lip. Melasma is a common skin disorder. How to Identify & Treat a Melasma Mustache, What to Know Before Getting Melasma Laser Treatment, Understanding Pityriasis Rosea vs. Guttate Psoriasis, Hyperpigmentation Around the Mouth: Everything to Know, Skin Discoloration: Causes and Treatments, Melasma: a clinical and epidemiological review, A review of laser and light therapy in melasma. Chloasma is a cosmetic concern. These areas may get darker the more youre exposed to the sun or the further along you are in your pregnancy. Trivedi MK, Yang FC, Cho BK. Pain, itchiness, or soreness are not symptoms of melasma. Bolanca I, et al. Sometimes melasma will return and needs further treatment. A few alternative remedies, like turmeric and aloe vera, have shown at least some success at improving melasma. Accessed 7/23/2020. Policy. The side effects of melasma treatments aren't entirely understood, and treatments may not be safe for you to use while you're pregnant. General Health. And make sure youre getting the right treatment by confirming the diagnosis with your healthcare provider. The agents listed above rarely eradicate all of the melasma. There's no proven link between. 2 Your birth control? Regrettably, you cant avoid genetics, or stop the skin condition when youre pregnant. Is it sunlight? This also tends to happen in areas where friction is common, such as your underarms and inner thighs. There are several topical, procedural, and oral therapies to manage melasma during pregnancy. 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. 1st ed. If you have the dermal pigment, it may take longer to fade away than if you have the epidermal pigment. It's common to develop blotchy spots of darker skin when you're pregnant, a condition called melasma or chloasma. Women are more likely to get melasma than men: about 10% of those who get melasma are men, 90% women. Medications that may cause or worsen melasma. They can appear anywhere on the body but are most common on the stomach, hips, breasts, and thighs. All rights reserved. Non-pregnancy related hormonal changes like oral contraceptives may also cause skin hyperpigmentation. There are various lifestyle changes you can try to prevent the condition from progressing during pregnancy. American Academy of Dermatology Association. Melasma After Pregnancy (Causes, Prevention, Treatments) 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. Last reviewed by a Cleveland Clinic medical professional on 07/27/2020. Youre also at risk if you take oral contraceptives and hormones. "Hydroquinone at 2-4% works miracles for women with a pregnancy mask," Dr. Zenovia shares. Melasma: Causes - American Academy of Dermatology Most people with melasma have a history of daily or intermittent sun exposure, although heat is also suspected to be an underlying factor. Melasma. Melasma that is triggered by pregnancy can fade after you have given . I use a variety of modalities to treat this conditionspecific topicals and chemical peels, she shares. The darker color usually fades after pregnancy. Skin Conditions During Pregnancy - ACOG Coll Antropol. 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. It may take several months for your hormones to balance and skin pigmentation to fade. This means that its long-lasting (three months or more). Chemical peels and lasers may cause the surface layers of skin to die, cause post-procedure hyperpigmentation, and cause hypertrophic scars. So easy and delicious. Make sure youre staying hydrated, eating a diet with plenty of fresh fruits and vegetables, and getting enough sleep each night. After pregnancy, you may ask your dermatologist about other treatments if your melasma doesnt fade on its own. https://www.aad.org/public/diseases/a-z/melasma-overview [Accessed September 2020], UpToDate. melasma on breast during pregnancy - grafcolor.pl Melasma is usually flat. In addition to topical treatments and oral medication, Dr. Belkin recommends going that route, with a couple of caveats. Solar elastosis and elastic fiber fragmentation. A dermatologist specializes in skin conditions. What makes breast cancer come back? People taking hormonal birth control - say you start taking the Pill again after you give birth - can also get melasma. In fact, taking these precautions has been shown to lower your chance of getting melasma at any time in your life by 50%, and slashing your risk of pregnancy melasma by a whopping 90%. Very common lumps found among women during pregnancy are clogged milk ducts. ), document.getElementById("ak_js_2").setAttribute("value",(new Date()).getTime()), document.getElementById("ak_js_3").setAttribute("value",(new Date()).getTime()), 2023 Westlake Dermatology & Cosmetic Surgery. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. American Academy of Family Physicians. This pregnancy-friendly spin on traditional chili is packed with the nutrients your body needs when you're expecting. Whatever the case, your melanocyte-stimulating hormones react to these triggers by making an excess of protective pigments (dark patches) on the skin called melanin. Does pregnancy melanoma go away on its own? An increase in estrogen levels can worsen melasma. Face washes, lotions, and serums that irritate your skin may make melasma worse. UV light exposure only makes hyperpigmentation worse by further darkening skin. Learn how we keep our content accurate and up-to-date by reading ourmedical review and editorial policy. Yes, but use cosmetics that include sunscreen and pay attention to any that may aggravate your melasma by irritating your skin. By Nancy LeBrun They can appear as flat patches or freckle-like spots. Pregnancy melasma, also known as a pregnancy mask, is an extremely common condition that causes skin hyperpigmentation (i.e. This frittata is high in protein and rich in essential nutrients your body needs to support a growing baby. Look on the label for words like noncomedogenic, sensitive, fragrance-free, or dermatologist approved if you get overwhelmed in the beauty aisle. Beyond that, the dark patches on the face can be exacerbated by sun exposure, the use of certain skin care products or treatments, and even genetics. When it appears on the upper lip, it's referred to as a, It's important for everyone to use sunscreen there's no exception for pregnancy. We'll tell you what to avoid and some good, Skin tags are common during pregnancy and can be painful. Find advice, support and good company (and some stuff just for fun). the most helpful and trustworthy pregnancy and parenting information. Returns Those with a combination of ingredients that help using different pathways to diminish pigment.. ), Visitation, mask requirements and COVID-19 information. Melasma, which causes patchy areas of discoloration that sometimes resemble freckles, is most likely to appear on the cheeks, but it can also develop elsewhere. Melasma is a super common skin condition characterized by hyperpigmentation on certain areas of the face, explains Dan Belkin, MD, a board-certified dermatologist at the New York Dermatology Group in NYC. It can be frustrating to deal with changes to your skin during pregnancy. Other people may have melasma for just a short time, such as during pregnancy. Melasma is hard to treat. Yes, this also applies to tanning beds or any other environment where you would be exposed to UVA and UVB rays. However, a skin-friendly diet including adequate amounts of vitamin D is likely to help. Wear abroad-spectrum sunscreen with an SPF of 30 or higher on your face all day, every day, even if youre not going outside, since harmful rays can come right through your windows. Originally coined in Latin, it loosely translates into black spot. While melasma doesnt actually cause black spots to appear on the skin, it does create brown or blue-gray discolorations that are grouped together to form larger patches. And dont forget a stylish pair of sunglasses the bigger the better. There are three types of melasma and they have to do with the depth of the pigment. American Osteopathic College of Dermatology. You're also more likely to develop melasma if it runs in your family. Hair changes with pregnancy. Melasma can potentially be prevented by always wearing sunscreen and a hat while in the sun. Melasma is thought to be primarily related to; external sun exposure, external hormones like birth control pills, and internal hormonal changes during pregnancy. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles.
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