Melasma, like freckles, may be treated by applying creams that contain depigmenting agents such as hydroquinone. These creams do not bleach the skin, rather, it controls the levels of melanin by pigment-producing cells. Facial peels and laser treatments are also available, but have higher risk of irritation. If the melasma is dermal, most treatments will not work since it involves the inner layer of the skin. It lightens with products that have mandelic acid.

Sun exposure should be avoided and use of sunscreen with a high protection factor is a must to avoid melasma.

Pregnant women should consult with a doctor before using over-the-counter creams, cosmetics and other treatments as it may affect the baby’s development.

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