MSN posted "How Melasma Became One of The Most Common Skin Conditions To Rule 2020" and features key information about Dr. Purvisha Patel's patented technology – Illuminotex – that is as effective as hydroquinone but without the side effects. Visha Skincare's Mommy Brightener is highlighted as a product specifically made for pregnant and nursing mothers to combat melasma.
If you didn’t know what melasma was last year, there’s a chance that you’ve seen its telltale signs of patchy facial discoloration in 2020. Why? While mask-wearing can reduce the rate of coronavirus spread, its effect on your complexion is tricky. “Wearing a mask traps accumulated heat against the skin surface, and that can further augment the temperature-induced component of melasma,” says Jessica Weiser, MD FAAD, board-certified dermatologist and founder of Weiser Skin MD. Meaning: You can add mask wearing to the list of things—and there are many, as you’ll learn below—that can trigger melasma, a chronic condition that causes dark or discolored patches on the skin. About six million other Americans of all genders, skin types, and ethnicities are currently experiencing it, which means the time is right to find the most modern, safe, and forward-looking options for treating it, preventing it, and simply working with it.
What triggers melasma
The condition is one of the most prevalent dermatologic complaints on the planet. “Melasma happens when the pigment-producing cells, or melanocytes, in the skin are triggered to get bigger and produce more pigment,” explains Purvisha Patel, MD, a board-certified dermatologist and the founder of Visha Skincare. “We are all born with the same number of melanocytes, they are more active in darker-skinned people, and are not evenly distributed in everyone, so when they get big or hyperactive, this results in uneven pigment on the skin.” Limiting the triggers that activate the melanocytes is key to halting the discoloration. “Melasma is triggered by three primary factors: hormones, UV radiation, and heat,” says Dr. Weiser, adding that studies have shown that heat increases pigment production by dilating underlying blood vessels. “It is crucial for patients prone to melasma to be diligent in avoiding heat and UV light, as much as possible, and to cool the skin surface quickly when it becomes heated to minimize the duration of heat on the skin surface.” But avoiding heat isn’t as simple as it seems. Saunas, hot baths, exercise, and even something as simple as cooking over the stove can cause problems. The newest at-home treatments take the issue into account, like Priori UnveiLED Flexible LED Light Therapy Mask ($395), which delivers temperature-controlled near-infrared rays to the face, ones that don’t provoke pigment production, in order to improve tone and texture without the risk of overheating skin (a common complaint associated with early versions of LED tech). And there are other hidden pigmentation stimulants. “Blue light emitted from your smart device or laptop has been shown to increase pigmentation on the face, making melasma worse,” says Orit Markowitz, MD an associate professor of dermatology at the Icahn School of Medicine at Mount Sinai. Skin-care products with irritating ingredients can also be problematic. “Even sunscreens can make melasma worse if they contain chemical ingredients that irritate the skin,” she adds. This happens because these formulas work by converting the UV radiation to heat within the skin so that you don’t get burned, but in this process, that heat can trigger pigment cells in those with melasma. Exposure to heat, light, and irritants are things you can at least try to control. Hormones, on the other hand, are harder to manage. “Hormones influence vascular flow to the surface of the skin, and blood flow influences inflammation in the skin, two factors that also contribute to melasma,” explains Dr. Markowitz. And while melasma has been called the “mask of pregnancy,” hormonal fluctuations aren’t limited to childbearing. Birth control pills, IUDs, estrogen hormone therapy, and thyroid disorders can also exacerbate melasma. Even elevated stress levels can cause a cortisol spike that may lead to estrogen imbalances and trigger a flare-up.How to treat melasma
When treating melasma, it’s important to think about the long game, because it’s a lifetime relationship. If you’re able to see a dermatologist, there are several prescription remedies for melasma. Dr. Markowitz often prescribes a cocktail of Retin-A, hydroquinone, and a mild steroid to treat it; however, hydroquinone does have its downsides. “Hydroquinone is available over the counter in 2 percent formulation and as a prescription in 4 percent formulation,” explains Dr. Patel. “This drug effectively lightens the pigmented skin, but if used over a long period of time, can be dangerous and create hyperpigmentation as a side effect—the opposite of what we want to happen.” It’s also rumored to thin the skin and, interestingly, it’s not safe to use if you’re pregnant.
How to prevent it
Even if improvement can be seen in under a month, Marisa Garshick, MDCS, reminds us that while treatments can help, many cases of melasma are considered chronic, which calls for a lifetime of care. “There’s always the chance of recurrence,” she says. For UV protection, it’s more complicated than just applying the most elegant formula. You want a broad-spectrum product that guards against UV and blue light from screens and doesn’t contain irritating chemicals. “Moisturizers or sunscreen products containing iron oxide [to] help prevent the hyperpigmentation caused by blue light have been shown to be an effective treatment,” says Dr. Markowitz. Iron oxide has also proven to be an effective visible light protectant for darker skin tones, which are often more susceptible to melasma. “Not all sunscreens are able to block against blue light, so it is important to look for ones containing certain blue-light protecting ingredients such as iron oxide which can be found in some tinted sunscreens, antioxidants which can help protect against the free radical damage caused by blue light, and red algae,” Dr. Garshick continues. Skinbetter Science Tone Smart SPF 68 Sunscreen Compact ($55) is easy to apply and is a great option for reapplication throughout the day, she suggests. And blending zinc oxide with Indian ginseng to protect from blue light, Dr. Loretta Urban Antioxidant Sunscreen SPF 40 ($50) doubles as a primer. “Even once it improves, it is important to remain vigilant about sun protection and maintenance strategies,” reminds Dr. Garshick. One such strategy would be adding more blue-light-blocking elements into your skin-care and cosmetic routines, like Chantecaille Blue Light Protection Hyaluronic Serum ($150) and Payot Blue Chrono-Regenerating Balm ($58). Vitamin C is a derm-approved hero ingredient for fighting environmental damage without triggering melasma, and can even benefit the treatment process. “Antioxidants such as vitamin C are helpful for those with melasma, as it not only can be helpful to fight free radical damage, it can also help to brighten the appearance of the skin.” Perricone MD’s just-launched CCC + Ferulic Brightening Complex 20% ($159) uses a unique phospholipid delivery system to send three different versions of vitamin C (plus antioxidants like Vitamin E and ferulic acid) into the skin’s deepest surface layer. Algenist Blue Algae Vitamin C Dark Spot Correcting Peel ($85) includes gentle glycerin humectants to make it safe for all skin types and tones, and FEMMUE Lumière Vital C Serum ($88) uses a UV-resistant version of vitamin C along with vitamin E and safflower seed oil to reduce inflammation and block pollutants for a derm-sanctioned bonus. “Skin of melasma has been studied to show increased markers for oxidative stress and inflammation,” says Dr. Patel. “Pollution has also been shown to contribute and make melasma worse, as this further inflames the skin.” Native Atlas Zahara Vitamin Serum ($60) incorporates a spectrum of antioxidants to protect against environmental aggressors, and Avegan Beauty Plant Based Balance Toner Vitamin Spray($34) includes vitamin C, carotenoids, and vitamin E within its patent-pending FortiSomes complex for a protective top-up that can be misted on throughout the day.How to cover melasma
Whatever you choose, it can often take months to see results. “Because many of the treatments can take time to see improvement, I always review the option of cosmetic camouflage with products such as Dermablend or It Cosmetics,” says Dr. Garshick, who appreciates that the lines make an effort to match all skin tones. Ilia True Skin Serum Concealer ($30) blends in albizia julibrissin bark extract to protect against environmental aggressors, and Kosas Revealer Super Creamy + Brightening Concealer ($28) calms skin with arnica and panthenol to help counteract inflammation. Maybelline Instant Age Rewind Concealer is considered America’s best-selling drugstore option at just $10, while NARS Radiant Creamy Concealer ($30) sits at the top of prestige sales. New to the market this week, makeup artist Monika Blunder, who works with celebs like American Ferrera and Gemma Chan, released Blunder Cover ($52), a clean concealer-foundation hybrid infused with antioxidant-rich edelweiss and rosemary extract (which doubles as a natural preservative). For straightforward clean foundations, Credo’s new 43-shade EXA High Fidelity Foundation ($38) uses hyaluronic acid and protective microalgae actives to create buildable liquid coverage that reads like real skin, while BareMinerals Complexion Rescue Defense Radiant Protective Veil SPF 30 ($39) is infused with cacao to further help protect against that blue light radiating from every device in your life (and some of your energy-efficient fixtures). With or without makeup, your real skin, your bare skin, your hyperpigmented skin, is great skin. If you choose to engage with melasma in a lifelong battle, do your complexion the kindness of double-checking the active ingredients in the products you coat it with so that you protect–rather than punish–your first line of defense.