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It's hard to predict who and when someone will develop melasma, but when those triggers take effect, melasma pigmentation comes on relatively strong and fast. Skin scientists know that the most common triggers for melasma include the hormones estrogen and progesterone (endogenous and exogenous), alterations in thyroid levels, stress, pregnancy, sun exposure, and chronic inflammation. The sun can not only trigger melasma, but make it worse.
Hormone exposure includes pregnancy, birth control pills, hormone therapy, and infertility treatments. Ask you doctor if you have PCOS or other abnormality in secreting hormone levels. And...says Los Angeles plastic surgeon and skin expert, Dr. Raffy Karamanoukian, 'both men and women can get melasma.'
In his Santa Monica plastic surgery center, he recommends the following treatments for melasma:
Start with an intense skin rejuvenation protocol for age spots that includes fractional laser, Covalent chemical peels, and daily skin brightening creams to improve your skin’s complexion. Laser therapy must be combined with a proper skin regimen to enhance and maintain youthful results.
The following skincare products for dark age spots: Melarase Brightening Kit
MelaClenz Brightening Cleanser
Melarase AM: Day-time skin lightener with SPF 30
Melarase PM: Night-time skin lightener
Melapads: Daily Exfoliating Pads
Replenish Retinoid Cream: Exfoliating and skin-stimulating night cream
