How to treat dark spots | Melasma | Causes & treatment | Dermatologist | Dr. Aanchal Panth
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- Опубліковано 5 лют 2025
- #melasma #melasmatreatment #darkspottreatment #darkspotremoval #darkspotcream
Melasma is a common skin condition where dark spots re seen on cheeks, nose and chin.
It appears to be more common in Indian population. The prevalence of melasma ranges from 4 to 25%. It affects 0.25-4% of cases seen in dermatology institutes. The age of peak incidence is reported as between 30 and 44 years
How does it look?
It appears as light to dark brown spots on both cheeks and nose. It can also appear on upper lips on forehead mainly just above the eyebrows.The face is most commonly affected though rarely pigmentation may extend on to V of the neck or may be confined to the forearms. Sometimes it may appear as tiny speckles on the cheeks. In the initial stages, it may be difficult to diagnose as it may appear as a faint spot. Over time it tends to get darker and involve larger areas. It is usually slowly progressive. Appears to be more prominent after sun exposure.It is more common in women but seen in men as well.
What is the cause of melasma?
The exact cause is not known. It still remains a mystery but there are several well known risk factors such as genetic background, exposure to ultraviolet radiation, female sex hormones, pregnancy, hormonal activity and intake oral contraceptives.
The most important factor tends to be sun exposure. Exacerbations of melasma are inevitably seen after a period of sun exposure and, conversely, melasma gradually fades during periods of sun avoidance.
Genetic: 48% incidence of melasma in a family member.
Less common risk factors include thyroid dysfunction, antiepileptic medications, and cosmetic products, emotional stress. The presence of Zinc deficiency has been probed into in some studies.
Melasma is several times commoner in patients with thyroid disease than in controls and MSH may be important as melasma frequently begins as well as worsens during pregnancy as also after profound emotional stress.
Melasma is known to occur with hormonal changes, it is seen in pregnancy and also in some women who are on oral contraceptive pills.
Melasma may be caused by the presence of more biologically active melanocytes (the pigment forming cells) in the affected skin, rather than an increase in their number. So, the number off cells are same as in normal skin but they appear to be more active. Also these cells may be more sensitive to hormonal changes than normal cells.
May be seen in men as well. Can be seen in men as well. More genetic association than in women.
Indian men who use vegetable oils, most notably mustard oil on the face after bathing, described the onset of melasma with concurrent expo- sure to sunlight
Treatment:
Treatment of melasma can be challenging and requires a long-term treatment plan.
General management recommendations that assist in the clearing of melasma include discontinuation of birth control pills, fragranced cosmetic products. Discuss with your dermatologist all the medications you are taking and if any one of them could be worsening
For women who note the onset of melasma after beginning a course of an oral contraceptive, the medication should be stopped if possible.
Take home message:
Treatment take a long time. Life style modfication required. Recurrence is common. So be persistent with treatment. Sunscreen and strict sun protection is a must. Visit a dermatologist. Hydroquinone based creams can be given for 1- 2 months and then maintenance with non- hydroquinone cream. Maintenance may be required for years. Tends to improve after menopause. We prefer to give longer treatment periods, with lower concentrations of those treatment agents that can induce PIH or irritation, followed by longer maintenance periods to prevent recurrence of pigmentation and melasma.
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Disclaimer: Content provided on this UA-cam channel is for informational purposes only. This video is not intended to provide diagnosis, treatment or medical advice. Information on this UA-cam channel should not be considered as a substitute for advice from a healthcare professional. Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options.
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Follow us on:
Instagram: / dr.aanchal.md
Facebook: / dr.aanchalmd
Twitter: / draanchalmd
Disclaimer: Content provided on this UA-cam channel is for informational purposes only. This video is not intended to provide diagnosis, treatment or medical advice. Information on this UA-cam channel should not be considered as a substitute for advice from a healthcare professional. Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options.
Causes of melasma: 0:43
Types of melasma: 2:31
Treatment of melasma: 3:07
Sunscreens:4:09
Hydroquinone:5:45
Triple combination: 6:32
Non: hydroquinone cream: 8:45
Chemical peels: 11:20
Tranexemic acid: 12:11
Lasers: 14:57
Take home message: 16:31
Thanks mam
Dr. Aanchal MD Dr Anchal kya mai chloasma care cream use kar sakti hoon Aur Ekk cream ka naam hai Bajaj nomarks cream kya Ye Dono cream acchi hai please abhi reply karo please doctor please help me Savita please help me Hindi mein bhejna Par Main likh kar bhej do likh kar
Melacare ka use kaisa hi
Mam apna number de dijiye
खुप छान आहे
OMG!! This doctor is so cute!!! 😻
Every person who is suffering from melasma must watch this video . Very useful and informative video . I watch video on melasma for first time and this was really very useful for me . Now i can go for the treatment with alot of knowledge .
Apko bhi hua h kya melasma
The best informative vedio. I can say this after seeing hundreds of videos on this subject. Great job Dr. Anchal
Where is this doctor. I would love to go see her. God bless you DR.
This video is extremely helpful and one of the best given information about melasma. Thanks Dr. Aanchal. God bless u.
Apko bhi melasma hua tha kya
Thank you Dr. I would like to ask which sunscreen is best for me, I have dry skin and with pigmentation around my mouth, and my cheeks.
Very informative 🙏 Your voice reminds me of Rani Mukerji's voice 😀
Plzz recommend the best cream....
Very informative from a trusted source. I have dark skin so there are a lot of treatments such as lasers I can’t use. But hydroquinone has worked for me in the past.
Which hydroquinone cream did u use ?
@@vidyaSv search Doctor Iyhere on UA-cam, he has the herbal cure for black Spots
Most detailed video on the topic 👍
Thank you lot madam, share this information to all 😊🙏😊
Mam please give effective cream fr pigmentation
Madem please any best cream melasma for nose
Hello mam
Which cream is best for blackness around the nose
Can u help me mam?
Fantastic explanation 👌 much appreciated ur pharmacological talk
Can we use home remedies for melasma along with doctor prescribtion
Mam, will.you treat the patients online mode?
👌🏻👏🏻Excellent Dr. 👍🏻Appreciate 🙏🏻In Detail You Have Shared 👏🏻👌🏻Rgds
Thanks for liking 😊🙏🏻
Konsa sunscreen oily skin k liye better hai di
Please suggest me best creams for melasma
Very informative video, thank u
Hi mam
Pls can u suggest some cream or sunscreen to get rid of pigmentation during pregnancy
Hello ma'am is it safe to use home remedies for pigmentation?
I'm 28 years old lady and my skin is normal type n I'm a housewife ... Can i use hydroquinone cream .. please reply me back..
Dont apoly
HOW CAN I CONSULT PERSONALLY WITH YOU?
Very nice your explaination I will try to follow
Mam can we use kojic acid for melanin
Veru very very useful info.
Hlo mam muje b nose or cheeks pa pigmentation ha last 10yrs se koi medicine batoa 🙏🙏o
Hi Doctor! Thank you for your informative videos. I had 4 queries.
1. I have acne prone skin( breakouts mostly during that time of the month) with normal to slightly oily skin - pls suggest a facewash good for my skin type ie normal but acne prone skin.
( Is regiuglow or ahaglow facewash good for me?)
2. U recommended tretnoin 0.025% in previous videos but how to use it , how many times, should we use before moisturiser or after and is it safe to use without prescription as it's a retinoid?
3. If we use salisylic or glycolic acid based face wash can we use tretnoin cream same day followed by moisturizer.. is this not too much acids and retinoids on skin or should we use some normal facewash the day we use tretnoin.
4 please suggest a kojic acid glycolic acid based cream for skincare routine and can these creams be used without prescription.
Pls suggest a facewash good for my skin type ie normal but acne prone skin.( Is regiuglow or ahaglow facewash good for me?)--> Yes
2. U recommended tretnoin 0.025% in previous videos but how to use it , how many times, should we use before moisturiser or after and is it safe to use without prescription as it's a retinoid? --> it should always be used with a prescription. it should be applied once at nighttime only, use it before a moisturiser if you have acne prone skin.
3. If we use salisylic or glycolic acid based face wash can we use tretnoin cream same day followed by moisturizer.-->
. is this not too much acids and retinoids on skin or should we use some normal facewash the day we use tretnoin.--> if you have acne prone skin then it won't irritate. If you have normal to dry skin ten use salicylic acid face wash only once or twice a week.
4 please suggest a kojic acid glycolic acid based cream for skincare routine and can these creams be used without prescription.--> demean cream ( contains both kojic acid and glycolic acid). to be applied at night. Glycolic acid cream not preferred if you are already using tretinoin. Plain kojic acid is kojiglo or kojivit
@@DrAanchalMD that's so sweet of you mam, thanks for your kindness 😍😍😍😍
What is your oppinion about Ethiglow face wash
Hi very well explained doctor
search Doctor Iyhere on UA-cam, he has the herbal cure for black Spots
I have cleared my doubts about the melasma. Thank you doctor for your sincere information.
Mam, can you please prescribe some tablets and creams? .. I want to make my skin dry
Ma'am which cream for melasma you suggest can you name please
A very thanks to you Mam for giving so much information about melasma and it's treatment. 👍👍 💯💯👌👌❤️❤️
It's a truly honest video. 👍👍Great👍👍
Hi doc , you have beautiful skin . Arbutin is a derivative of hydroquinone so do you need rest breaks when using arbutin , as you need rest breaks when using hydroquinone. Or is it safe to use arbutin twice a day non stop indefinitely to maintain the hyperpigmentation. Arbutin I believe is 2% over the counter , some skincare products contain 7% . Also if you start transamic acid aren’t you at risk for blood clot as it thickens your blood ? I have Pakistani skin . I await your response
Very helpful ❤️
Can we use triple med and glycolic peel 50% in combo...or any other peel as u said...plz reply
search Doctor Iyhere on UA-cam, he has the herbal cure for black Spots............... .....
Very informative ✌
Hello Dr Aanchal MD am 26 female I want to go for laser treatment for pigmentation like brown spots please can you give Suggestion I have three questions.
Should I go for the laser treatment?
If yes which is the best laser for pigmentation?
After the laser treatment can it cames back ? Please grant and do the needful. Thank you .
I was 21 years Dark brown spot caused on cheek i was confused was it sun exporssure or sth else?
Then later it caused on my nose in one day suddenly it comes.
I thought it may b due to my Constipation i have daily .
Till now i am confuse
The best vid iv watched on the subject of melasma.
Hi mam how can I consult to u because my mom has melasma from past 8 years she has been gone through variety of treatments but nothing has worked for her plz can I get you appointment
Plzz make a video on freckles
Hi mam I am priyanka from Tamilnadu....i am taking last two years itself fertility treatment... Recently I noticed my face... Some Dark patches like melasma I think it's very initial stage. So pls can u tel any solution to avoid melasma...
Hi mam kya malasma hard core exercise karne se increase hota because exercise ya running karne ke baad face skin red ho jata hai aur jo dark spots hai wo jayadha visible ho jate hai. Please answer mam
please let me know if you have any clinics in Delhi?
Very detailed explanation doctor, my 10 years old son got burn on face, on 8th day he got pink skin, on 11th day it turned white, by day 15 used silicon based cream and after 1month of burn using sunscreen, now the wound completed 2 months, it is turning to honey colour, will it remain like that? Can get normal colour? Please help me
Thank you, maam For video in such kind of content you are using so good you are genuine I love it
I like your vedeos ...this is entirely different from others vedeos...👌
I visited the dermatologist he gave 6 months prescription hw long does it takes to fade away
Super videos doc. Can we please have a video on psoriasis suffers what to do and dont. Especially for people living in UK. With lack of sun vit d. Thanks again
Hii mam I am 19 years old and I am having melasma like dark brown patches on my face I don't know what cream to use please can u recommend me some creams
Please suggest cream for man, oil skin for treating pigmentation
Ma'am please tell me laser toning for freckles
Great advice .
Mam kya hm melasma ko pregnancy m bhi use kr sakte h.....
Hii mam.. Thank you so much for ur information for everything.. Plz suggest cream for dark buttocks and knees, thigs, elbows, around waist... I'm waiting for ur Rply mam
Madam i had melasma on nose due to rubbing nose i used kojic acid salcylic acid depigmentation creams hhlite kromaglo ointments but there is no use.. Pls suggest me any cream or laser treatment..
Hi Archana, I have been using Trexamanic acid by Menamialist from a year, should I continue using that
Hi doctor plz redness ko permanently hatana kya krna chahiye plźzzzzzzzzzzzz doctor i m ur new subscriber
Redness due to rosacea or red spots after acne ?
Hi how to deal with my dark spots on my forehead,of which I had a heat rush wat to use?
Dr said that there is no any treatment for warts . We can control . Plz how can i control and remove them . Plz tell me
Hlo doctor... I use lumaglo cream for pigmentation mam plz tell me is it good for pigmentation plz plz mam reply its humble request
Lumaglo is a triple combination cream. it should not be used for more than 2 months. I suggest you to use sunscreen regularly. Use creams containing azelaic acid, arbutin, kojic acid, or niacinamide twice a day.
Thnku so much mam 🙏🙏
Only video is not enough. Why don't you ever reply ? People still might have confusions.
Mam can I take pynocare tablet for melasma
Where and how to consult you online?
Dear serum ka Kam Kiya hota ha is pe video banaien
Mam i have hyperpigmentation around mouth.plz suggest some home remedies.thank you mam
I have small brown patch on my cheek. Iam a house wife I never go in sun I consulted a doctor she has prescribed SPF and Anthoxyn-TX cream and Anthoxyn TX tablets. Will it work plz suggest
Did it work to fade melasma?
Did it work to fade melasma?
Mam i am 1st year medical student i am suffers from melasma by migraine pills plz suggest me best anti melasmic cream
Can the white patches on face and trunks and chest be a a sign of melasma?
Mam melano tx tablet ko maximum kitne time tak le sakte hn
For malasma wat cream used mam
Can i use brinlantis intense brightening serum for reduce melasma
Thanks for such Excellent informative video . Mam I am working Geologist for last 17yrs and for my fieldwork I regularly exposes sun hot summer of central India, I never used any sunscreen every time I got sunburns which got cured in a month without any treatment. But two year back dark spot melasma develop on my forehead and it's not getting cured. My question is whether it happened due cumulative effect of year of sun exposure, will it spread on my entire face and what should be the line of treatment to cured completely in a year. Can u give me online consultations.
Hii...i can help you !!!
@@bloomingnav2466 how
Try this diet.. it’s quite helpful. Everything is in your food
ua-cam.com/video/AgQjrsGaABQ/v-deo.html
Does fairever natural cream treat melasma? .. and what about Himalaya herbal natural glow cream?
Reply me mam....
it may not help.
@@DrAanchalMD tq for reply mam...
I have one more concern mam.
I used mometasone furoate cream and later shifted to kejoic acid and L ascorbic acid with doctor prescription. But no use of those creams mam. It increased on my nose, cheek's and also upper lip mam
What to do now mam...
Pls reply me mam...
Thanks.maam..ur a device really appreciate....
Hi Doctor,
Liked your videos 👍
I am 35. I always had a glowing face. But in recently years, my face got some black spots (both sides of cheeks). These are not growing further for last one year. I wanted to know, using sunscreens is precautionary or it will help in reducing these spots.
Currently, my doctor has advised "Melaglow New" and Shadow SPF 50+ sunscreen.
Please advise.
Mam plz make video on male pattern baldness too.
Great job dr
Mam plz reply me .....
My mother have also malsama issue .... She used steroid creams for long time ... ... But now ... She is not using any cream ...so plz suggest me which cream is best for reducing. Her pigmantation ..... Plz reply me ..... 🙏🏻🙏🏻...
Maam make vedio in hypopigmentation also please
Please tell me some name of creams for freacles..please please please...
use a susncreen on a regular basis.
freckles rarely lighten with creams. NdYAG laser shows good results for freckles.
Please list the products and the links to where we can purchase them! Thank you
Informative....
Mam kya scrub se thk hoga ye..agr bht kam melasma ho
pls prescribe any hydroquinone cream mam for melasma
Thanks doc😘
Doctor , meri age 27 hain, face ki skin dry and sensitive with dark spots and til , blemishes .Please tell me any good full and final cream for spotless face
Hello Dr... Priyanka here...
Maam I'm 22 years and I do have melasma... Maam mera one month's jyada hua h Aur maam plz plz I need reply from u.. What should I do bcoz apne jese kaha video Mai ki 30-45 age K Women's k hote h but I'm clg going girl ..n I do have 🤐
It was super knowledge from you dear mam
What cream I need to use because I have melasma in my face thank you
Mam I'm using AHA lightening gel hq by FCL for dark spots along with aqua soft moisturizer at night as per suggested by dermatologist. Should I apply moisturizer first, followed by lightening gel or vice versa??
first lightening gel then moisturiser
Hii Dr m having melasma light brown patches on my cheeks nd slightly on nose,i have used Mediceline gel nd kojitin gel also while using dis it got disappeared but nw my melesma is back wht should I do plzz suggest something
Try this diet
ua-cam.com/video/AgQjrsGaABQ/v-deo.html
Dr I don't have melasma, but I want to use tranexemic acid cream for hyperpigmentation. Can I use it(melano tx) regularly? I have brown skin.please please reply.
Dr Aanchal MD.Mam aapki clinic Kahan PE hai, please batao.....
surat Gujarat.
Mam I'm feeling dat sm dark patches r raising on my cheecks slowly plz suggest me which cream or lotion should I use so dat I can get rid of dis prblm my skin is oily...plz suggest me
Ma'am I have marking on my nose
I can't remove it. It's ugly to see me
Please tell me how can I remove?
This marking has been since 2000 to
till date