How to Fade Melasma

Aug 03, 2022 Source: Cainiu Health
Dr. Liu Wan
Introduction
Melasma, also known as chloasma or “liver spots,” refers to hyperpigmented patches distributed bilaterally on the cheeks in a butterfly-like pattern. The following management strategies may help lighten or even resolve melasma: First, dietary adjustments are essential. Avoid spicy and irritating foods; instead, consume more fresh vegetables and fruits—particularly those rich in vitamin C and vitamin E, which help scavenge oxygen free radicals and promote pigment metabolism.

Melasma—also known as chloasma or “butterfly spots”—refers to yellowish-brown hyperpigmented patches on the face, typically distributed in a butterfly-like, round, or even linear pattern. The exact etiology remains unclear but may involve genetic predisposition and/or racial factors. It predominantly affects women. So, how can melasma be lightened?

How to Lighten Melasma

Melasma, also termed “liver spots” or “butterfly spots,” manifests as hyperpigmented patches distributed bilaterally across the cheeks in a butterfly-like pattern. Several management strategies may help lighten—or even resolve—melasma. First, daily lifestyle modifications are essential: avoid spicy and irritating foods; instead, consume abundant fresh fruits and vegetables—particularly those rich in vitamin C and vitamin E—which help scavenge oxygen free radicals and promote pigment metabolism.

Minimize sun exposure. When outdoors, use umbrellas, wear wide-brimmed hats and sunglasses, and apply broad-spectrum sunscreen regularly. Avoid oral contraceptives and photosensitizing foods or medications. Topically, retinoic acid cream or hydroquinone cream may be applied; chemical peels (e.g., glycolic acid) are also options. Orally, vitamin C, vitamin E, and tranexamic acid may be administered. Additionally, dermatology or aesthetic clinics offer laser-based treatments—including Q-switched lasers and intense pulsed light (IPL) therapy.

After treatment, protect the treated area diligently and avoid contact with water. We hope this information proves helpful!