Melasma, also known as chloasma, occurs when irregular patches of darker skin appear on the face or forearms. These tan or brown patches normally show up symmetrically on the forehead, nose, cheeks, or upper lip. The symmetry of melasma distinguishes it from other conditions that can cause darkening of the skin. Melasma is a common condition that occurs more frequently in women. It can be brought on by sun damage or hormonal changes (such as with pregnancy, birth control pills and menopause). Those with darker skin tones are more prone to melasma than those with lighter complexions. Board-certified dermatologist Dr. Adean Kingston treats melasma and other pigmentation conditions regularly at her practice in Dallas, Texas. At Adean Kingston, M.D., PLLC, we offer a number of treatments that can help reduce the visibility of the dark spots.
"Great, as always!"- E.W. / ZocDoc / Jan 16, 2019
"Where to begin! My husband and family had lived with Hailey-Hailey Disease (HHD, also known as familial benign chronic pemphigus) which is a rare, lifelong, inherited disorder where epidermal skin cells (keratinocytes) cannot properly adhere. This results in skin leisions that are open, oozing wounds. The wounds can appear anywhere, but most often is found in the trunk of the body and private areas. This is almost unbearable for the sufferer and the caregiver. There is usually short bouts of relief, sometimes.I came across a video online from an episode of "The Doctors", featuring Dr. Kingston. She is helping a lady guest on the show who also has HHD. We are so used to doctors never hearing of this, so we're astonished to hear she knew about it, and specialized in treating HHD. Lucky for us, she's local in Dallas area.My husband and family can't thank her enough! Never have they been HHD free, until now. We are forever in her debt!"- M.L. / Google / Mar 04, 2019
"They give hella free samples. But like in a goodie bag. And it's quick too. The waiting is quick and even the consultation. My medicine is in today and I will come back and say if that worked."- J.S. / Yelp / Feb 28, 2019
"Dr. Kingston and her staff are always professional, friendly and on time."- J.M. / ZocDoc / Feb 16, 2019
"Dr. Kingston is an amazing dermatologist and has a great staff. I loved how easy and fast the appointment was. I appreciated how she provided me with samples."- A.S. / ZocDoc / Feb 13, 2019
The exact cause of melasma remains unknown. Experts believe that these dark patches could be triggered by several factors, including heat and sunlight exposure, hormone fluctuations, a family history of melasma, race, and certain medications that make the skin more prone to pigmentation with exposure to ultraviolet (UV) light. Clinical studies have shown that individuals typically develop melasma in the summer months when the sun is most intense. In the winter, hyperpigmentation tends to be less visible or lighter.
Melasma is characterized by discoloration (or hyperpigmentation) primarily affecting the face. Three types of common facial patterns have been identified in those with melasma:
- Centrofacial – (center of the face) hyperpigmentation among the chin, upper lip and forehead
- Malar – (cheekbones) melasma patterns around the upper cheeks
- Mandibular – (jawbone) hyperpigmentation along the jaw
There are several options for treating melasma. To start with, prudent sun protection will be advised and Dr. Kingston may prescribe topical medications that can promote skin lightening and even out your complexion. Additionally, there are various dermatology procedures, such as chemical peels and fractional lasers that can aid in the treatment of the condition. Results can usually last if the patient maintains good skin care and sun protection maintenance regimen once their condition has been resolved.
Get a Professional Diagnosis
If you suffer from melasma and are tired of trying to cover it with makeup, or if you spend money on over-the-counter treatments that do not offer you the results you desire, we invite you to call Adean Kingston, M.D., PLLC to schedule a consultation. Melasma requires a unique diagnosis so that the correct treatment can be provided. If the wrong treatment is given, the skin could become darker. Dr. Kingston can accurately diagnose and treat melasma to produce a wonderful result.