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Melasma And Facial Melanosis
Melasma and facial melanosis is a skin problem. The hyperpigmentation is often a brown to black area on the face especially forehead and cheek causes undesirable looks and loss of self-confidence.
What causes melasma and facial melanosis?
Melasma and facial melanosis are the result of abnormal melanocyte and excess melatonin under the skin. It usually occurs in female more than male and aged over 30 years. The stimulating factors are pregnancy, taking birth control pills, stress, photo-damage, genetic and tumor in the ovary. Another factor is chemical e.g. coal tar oil, perfume and some cosmetics.
How to treat melasma and facial melanosis?
1. Protect the photo’s face by using sunscreen. The way to choose sun protection is looking for the SPF, if I more than factor 8. PABA (para-aminobenzoic acid), should be no less than 5%. And Micronized titanium dioxide, which is an active ingredient that acts as a UV-A and UV-B reflector.
2. Anti-melasma cream. The common process of the cream reduces melatonin by interrupting tyrosinase activity. The active ingredients commonly used for anti-melasma are glycyrrhizic acid, hydroquinone, retinoic acid, corticosteroid, kojic acid, azlaic acid, tranexamic acid and ascorbic acid.
The precaution for using the anti-melasma cream
1. The creams must be used under medication supervisors. Some products have many contraindications and side effects such as hydroquinone, corticosteroid and retinoic acid, the pharmacist should be consulted before use.
2. The presence of skin irritation after using the products, should prohibit initiation.
3. Most creams can be exposed to sunlight or sun lamps, the customers / patients should know the side effect before using and avoid that factor.
4. The local reaction of some products is reported during therapy includes dry and peeling face. The clients/patients should use moisturizing creams together.
5. The clients/patients should apply the whitening cream only on the infected area and avoid applying around the eyes.
6. The customers/patients should do the skin test before using the products. Apply the cream on the inside of the arms for 24 hours and examine the irritation.
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