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Treasure Island (FL): StatPearls Publishing; 2020. 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%. Exposure to the sun can make melasma worse. 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. So easy and delicious. our editorial and medical review policies, dark line down the center of your abdomen (the linea nigra), Skin Darkening and Discoloration During Pregnancy. National Institutes of Health, National Library of Medicine, National Center for Biotechnology Information. There are also some procedures including chemical peels, microdermabrasion, laser treatments, and other light therapies that may work. Your skin is your barricade. Medications that may cause or worsen melasma. These areas may get darker the more youre exposed to the sun or the further along you are in your pregnancy. 5 How to Prevent Melasma. This doesnt mean you have to stay indoors when the sun is out, though. You can live melasma-free with the right combination of treatments. In rare circumstances, specifically, when its harder to make a clear diagnosis, a small biopsy may be performed to be sure the discoloration isnt indicative of another skin condition, like melanoma, the scientific word for skin cancer. People with more pigment in their skin for example, those of African, North African, Middle Eastern, Latin or Hispanic, Asian, Indian, or Mediterranean descent are more likely to develop chloasma, as they naturally have more active melanin production. 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. 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. Sunlight: When sunlight hits our skin, it triggers the body to produce more melanin. You might have your thyroid checked because there does seem to be an association between thyroid disease and melasma. Melasma during pregnancy is very common. But, keep in mind that it can fade on its own after youre no longer pregnant, and there are other ways to help it along the way. Its an organ the largest organ and it makes up about one-seventh of your body weight. There are various lifestyle changes you can try to prevent the condition from progressing during pregnancy. Melasma sometimes resolves itself one hormonal balance is restored. This may . Melasma is a typically chronic disorder. Its impossible to prevent melasma with certainty, but there are ways to reduce your risk or minimize the appearance of your melasma. If the hormones in your contraception are the cause of your melasma then, yes, it may go away. 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. Use the treatment and management advice from your dermatologist or another healthcare provider. The condition occurs in up to 70 percent of pregnant. 2011;57(6):665-667. A safer choice would be azeleic acid which is completely safe during pregnancy and breastfeeding. Results: The prevalence of melasma was 15.8%[95% confidence interval (CI) 12.3-19.4]. 2005-2023Everyday Health, Inc., a Ziff Davis company. 1 But certain conditions, like postpartum acne and dry skin, may be caused by the hormonal changes that happen during breastfeeding. In addition to her extensive health and wellness writing, Nancy has written about many general interest topics for publications as diverse as Newsweek, Teen Vogue, abcnews.com, and Craftsmanship Quarterly. if not please suggest cream? Melasma is a highly common skin conditionand the majority of cases are among pregnant people. You can also try other camouflaging makeup and skincare products, like concealers, full-coverage foundation, and skin-brightening products. Accessibility 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. 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. Melasma is only a pigmentary concern, and does not affect the health of the mother or baby. A few alternative remedies, like turmeric and aloe vera, have shown at least some success at improving melasma. Cut down on screen time in front of your LED screen television, tablet, mobile phone and computer. The outer layer is the epidermis, the middle is the dermis, and the deepest layer is the subcutis. Lasers, which can be irritating especially during pregnancy, are no-nos too. 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. Although its a benign condition that doesnt cause any pain or discomfort, its appearance can negatively impact your confidence and self-esteem. Commonly affected areas include your face, including the cheeks, upper lip and forehead, as well as the forearms. 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. Read on to learn about what causes melasma during pregnancy and how to treat it. Therefore, wear sunscreen, even on cloudy days. Look for noncomedogenic or hypoallergenic foundations, concealers, powders, and other products. Hyperpigmentation results when the skin produces excess melanin. If the skin changes are bothersome, consider another birth control option. Too much screen time? Privacy Policy 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. Melasma. You may experience cramping, morning sickness, and all sorts of unfamiliar aches and pains. 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. Look for products that contain zinc oxide, titanium dioxide, or other physical blockers (mineral sunscreens) versus those that rely on chemical blockers. Avoid exposure to sunlight without sunscreen. The #1 app for tracking pregnancy and baby growth. Melasma is so frequent in pregnant people that it's sometimes called the "mask of pregnancy." If you opt for a spa treatment during pregnancy, be sure to let your esthetician know that youre pregnant. Learn more about. The worse it gets, the harder it will be for treatments to work. Kalayc M. Pregnancy mask: melasma. Another option for sun cover is clothing with or without UV protection, such as SPF rash guards or sun protective clothing. Speak with your doctor about ways to treat your melasma during pregnancy. Melasma appears slowly, and the spots are usually larger than those from sun damage or age. Pregnancy: An increase in the hormones estrogen and progesterone, which occurs during pregnancy, is thought to trigger melasma. Changes in hormones especially estrogen and progesterone is the main cause of melasma during pregnancy. It largely affects people who were assigned female at birtha whopping 90% of them 1 during their reproductive years, when they're 20 to 40 years old. If youre exercising, try avoiding peak sun hours in your area, generally the middle of the day. The most effective way to treat pregnancy melasma is to see your dermatologist as soon as you start to see its hallmark patchwork appear. Careful sun protection is key. You can help make your sun protection efforts even more effective if you wear protective clothing, such as long-sleeved shirts, pants, a hat, and sunglasses, and limit your time in the sun, especially between its peak hours between 10 a.m. and 2 p.m. (Other hormonal alterations, such as birth control medication and hormonal replacement therapy can also trigger melasma in nonpregnant people.). This pregnancy-friendly spin on traditional chili is packed with the nutrients your body needs when you're expecting. Hyperovulation has few symptoms, if any. Sun exposure plays a role too. 2003 Oct;1(1): e27. Fortunately, chloasma generally fades within a few months after giving birth. While not being harmful to the health of either mother or child, pregnancy melasma can be a source of embarrassment for some expecting mothers. DermNet NZ; Science SourceA pregnancy mask may appear as dark, blotchy, brown, confetti-like patches of skin. Although most skin-lightening ingredients are off-limits during pregnancy, talk to your doctor about whether you can apply topical azelaic acid to your skin for melasma. There's no proven link between. Melasma is more common in people with medium to darker skin and seems to run in families. There are some milder products that may fade the spots safely, but don't take or use anything without consulting with your provider. Around 33% to 50% of people with the condition have a family member with iteven a majority of identical twins share melasma. Melasma may also occur when you either start or stop hormonal contraception, including birth control pills, or when you take hormone replacement therapy, says Dr. Gilchrest. Hydroquinone is a prescription product to lighten skin or reduce skin pigmentation that occurs from melasma and chloasma, which can be brought on by pregnancy. Does pregnancy melanoma go away on its own? What Causes a Melasma Mustache and How to Treat It, Your Guide to a Pregnancy-Safe Skin Care Routine, Why You May Get Skin Tags During Pregnancy, Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, What Are the Symptoms of Hyperovulation?, Pregnancy Friendly Recipe: Creamy White Chicken Chili with Greek Yogurt, What You Should Know About Consuming Turmeric During Pregnancy, Pregnancy-Friendly Recipe: Herby Gruyre Frittata with Asparagus and Sweet Potatoes, The Best Stretch Mark Creams and Belly Oils for Pregnancy in 2023. Pregnancy melasma, also known as a pregnancy mask, is an extremely common condition that causes skin hyperpigmentation (i.e. Healthline Media does not provide medical advice, diagnosis, or treatment. Your birth control? Were explaining why this occurs, below. Its dark brown in color, has well-defined borders, glows under blacklight, and can respond well to treatment. 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. Occasionally, you might get it on the chest or arms, but that's unusual. Yes, it's common to develop blotchy spots of darker skin when you're pregnant, a condition called melasma or chloasma. Melasma can be slow to respond to treatment. 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. See your healthcare provider if you have concerns about another type of skin disorder. The primary symptom of chloasma is darkening of the skin on the face. Sunscreen: How to Help Protect Your Skin from the Sun. And dont forget a stylish pair of sunglasses the bigger the better. Your body goes through tremendous changes during pregnancy. Unfortunately, there is no definitive treatment that will automatically make melasma disappear. It usually goes away after you give birth. 2021. 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. Bolanca I, Bolanca Z, Kuna K, Vukovi A, Tuckar N, Herman R, Grubisi G. Chloasmathe mask of pregnancy. Melanin in the basal and suprabasal keratinocytes. Are any of my current medications causing or worsening my melasma? In the meantime, take good care of your skin and talk to your healthcare provider about possible pregnancy-safe treatments if the spots are really bothering you. If you're breastfeeding or plan to get pregnant again soon, let your provider know and check with her before using any over-the-counter treatments. Regrettably, you cant avoid genetics, or stop the skin condition when youre pregnant. By Cat Matta After all, as it progresses, it gets more difficult to treat. Youll be glowing again before you know it! 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. 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. But, it has to be gentle enough and done by an experienced board-certified dermatologist. This is because lasers can also exacerbate melasma, he explains. Ultraviolet and infrared radiation from the sun are key in making melasma worse. Elizabeth Geddes-Bruce, MD is a board certified dermatologist and dermatologic surgeon specializing in the practice of both cosmetic and medical dermatology. However, it can make people self-conscious about their appearance. 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. It usually develops in one or more of these areas: 6 Cheeks (both sides) Chin Forehead Bridge of nose Above the upper lip Jawline Melasma can also develop on your arms or neck, though it's less common. How many hours of sunlight do you recommend I receive? If you're seeking a preventive, we've gathered a few of the best stretch mark creams for pregnancy. 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. Exactly How to Treat the Skin Discoloration. This increased workload can cause shortness of breath and fatigue, and it is essential to take breaks and rest when needed. She works full-time as a senior content manager at a multinational digital agency. Journal of Experimental and Basic Medical Sciences. 6.6 Naturium vitamin C Complex Face Serum. Stretch marks are easier to prevent than erase. If you are currently expecting, or thinking about becoming pregnant, this post will cover everything you need to know about pregnancy-induced melasma, including ways to prevent occurrence and treatment options. https://www.aad.org/public/diseases/a-z/melasma-overview [Accessed September 2020], UpToDate. Non-pregnancy related hormonal changes like oral contraceptives may also cause skin hyperpigmentation. In pregnant women, it most often appears on the: Forehead Cheeks Upper lip Nose Chin Other skin changes often occur with melasma during pregnancy, including: Darkened nipples, armpits, and genitals But, keep in mind, once you experience this patchwork discoloration, youre more susceptible to it recurring if you become pregnant again. Changing hormones, particularly the excess of estrogen and progesterone, is the main cause of melasma during pregnancy. Goodarzi A, et al. In any case, continue to protect your skin from the sun by using sunscreen every day, wearing protective clothing, and staying out of the sun during peak hours. Can Fam Physician. Melasma usually fades after a few months. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.bad.org.uk/shared/get-file.ashx?id=169&itemtype=document), (https://www.merckmanuals.com/home/skin-disorders/pigment-disorders/melasma#:~:text=Melasma%20is%20dark%20brown%20patches,an%20examination%20of%20the%20skin. Melanin is the natural substance that gives color to hair, skin, and eyes. 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. While there are no specific studies on these methods for chloasma, the following topical treatments may help: Since melasma may also be the result of hormonal imbalances, you may improve matters by giving yourself some much-needed TLC. You may also develop dark patches on your cheeks, along your jawline, or on your forearms and other parts of your body that are exposed to the sun. Other possible causes of melasma include: Melasma causes light brown, dark brown, and/or bluish patches or freckle-like spots on your skin. beneath the breasts during late pregnancy. 2 However, there's not enough info to recommend aloe or turmeric as melasma treatments, and conventional treatments work faster and grant better end results. Use of this site is subject to our terms of use and privacy policy. Melasma: Management https://www.uptodate.com/contents/melasma-management [Accessed September 2020]. Last medically reviewed on April 30, 2021. Melasma is a skin condition causing uneven, darkened areas or spots that look like freckles. There are two main causes of melasma: radiation, whether ultraviolet, visible light, or infrared (heat) light; and hormones. Rachel Nazarian, MD, FAAD, is a board-certified dermatologist seeing patients in New York, N.Y. She practices various aspects of dermatology, including cosmetic treatments, laser, injectables, skin cancer screening, general dermatology, dermatologic surgery, and body contouring. Many compacts come in a wide range of colors for all skin tones. 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. All changes in skin pigmentation due to melasma usually disappear on their own after delivery, but you can do a few things to safely minimize darkened spots on your skin during pregnancy: Melasma usually fades without treatment after you have your baby. Anderson Cancer Center. Depending on the person, melasma may go away on its own, it may be permanent, or it may respond to treatment. Skin Conditions During Pregnancy | ACOG Skin Conditions During Pregnancy Frequently Asked Questions Common Skin Changes Expand All What are some of the common skin changes that happen during pregnancy? Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.