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How do I know if I have epidermal or dermal melasma?

How do I know if I have epidermal or dermal melasma?

Epidermal: Epidermal melasma has a dark brown color, a well-defined border, appears obvious under black light and sometimes responds well to treatment. Dermal: Dermal melasma has a light brown or bluish color, a blurry border, appears no differently under black light and doesn’t respond well to treatment.

How do I know if my hyperpigmentation is epidermal or dermal?

Epidermal pigmentation is mostly brown and fades out in several months. Dermal pigmentation has a grey-brown colour and is generally permanent for years.

What are 3 different types of melasma?

Historically, melasma has been classified as having three histologic variants: epidermal, dermal, and mixed [1]. In the epidermal type, there is increased pigment throughout the layers of the epidermis, particularly in the basal and suprabasilar layers.

How can you tell the difference between melasma and hyperpigmentation?

Although it also is a type of condition characterized by darker patches of skin, melasma is differentiated from other forms of hyperpigmentation mainly by its cause; rather than just being sun-related, melasma is caused in part by hormonal changes within the body.

Can dermal pigmentation be removed?

The short answer is yes. Pigmentation issues are removed or made less obvious in dermatology clinics every day. In fact, dealing with pigmentation issues is one of the most common problems we deal with day-to-day.

How do you get rid of dermal melasma?

The triple fixed combination cream containing hydroquinone, retinoic acid and steroid for a duration of 8 weeks is generally recommended to treat melasma with a superior efficacy than hydroquinone monotherapy2. However, the side effect of skin irritation is very common and it is not recommended for long term use.

What does dermal pigmentation look like?

The pigmentation areas can often look like birthmarks or freckles depending on how they are laid out on the skin, and can often take an uneven appearance.

Is dermal pigmentation permanent?

Clinical Manifestations Hyperpigmentation within the dermis has a blue-gray appearance and may either be permanent or resolve over a protracted period of time if left untreated.

What is dermal pigmentation?

Defining Dermal Pigmentation (Naevi (US English: nevi) are congenital or acquired growths or pigmented blemishes on the skin; birthmarks or moles. As examples, moles are melanocytic naevi). Congenital melanocytic naevi are caused by localised genetic abnormalities resulting in the proliferation of melanocytes.

Can retinol make melasma worse?

There’s a catch, though: Retinol can be irritating (which we know can end up making melasma worse), so start with a gentle retinol formula and use it slowly at first: One night a week for one week, two nights a week for two weeks, three nights a week for three weeks, then every other night indefinitely.

Why is my melasma getting darker?

Possible causes of melasma include sun exposure, changes in hormones, and skincare products that contain irritating chemicals. The dark patches develop as a result of malfunctioning melanocytes, the cells that produce color in the skin.