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Treatment of melasma caused by thyroid

Treatment of melasma caused by thyroid


Melasma, a form of hyperpigmentation that results in tiny brown-black patches on the face, is a common skin condition that affects both men and women, but it is more common in those of Asian and African heritage. Melasma is more common in people with dark skin, including people who are Puerto Rican, Asian, African, and Middle Eastern descent.

Therapy for thyroid-related melasma (Image courtesy of Twitter user skinfudge)

Dr. Rinky Kapoor, a skin surgeon, cosmetic dermatologist, and consultant dermatologist at The Esthetic Clinics, stated in a conversation with HT Lifestyle that thyroid dysfunction is one of the numerous factors thought to contribute to melasma. thyroid, sun exposure, genetics, pregnancy, pill contraception, cosmetics use, and epilepsy medication use. Melasma affects men just as much as women, but hormonal imbalance is not the cause. Melasma patches that appear to be black-brown patches frequently result in social and cosmetic stigma. Numerous investigations into the connection between melasma and the thyroid gland have revealed that the thyroid gland functions poorly, i.e., hypothyroidism frequently results in melasma patches on the skin. Hormone level disruption is the cause of this.”

He explained, “The thyroid gland, which is found in the neck, is primarily responsible for controlling the body’s metabolism and energy levels. Hormonal imbalances brought on by decreased thyroid function raise estrogen levels. Melasma spots are the result of the skin producing too much melanin. Another consequence of thyroid dysfunction is that the immune system becomes weakened due to the lack of this hormone, which leads to skin inflammation and an increase in the appearance of melasma because melanin-producing cells produce more color.

Treatment of melasma caused by thyroid

Dr. Rinky Kapoor outlines the essential facets of melasma treatment. Initially, normalization of hormone levels is paramount. The optimal management of melasma hinges on addressing the underlying hypothyroidism, a measure that commonly results in the condition’s gradual alleviation. Treating hypothyroidism involves –

  • Medication for hormone replacement therapy should be taken as directed by your doctor, and dosage adjustments should be made in consultation with them.
  • lifestyle adjustments that involve eating differently and getting regular exercise.

Once the thyroid function is stabilized, the dermatologist can address the melasma. According to Dr. Rinky Kapoor, common methods for treating melasma and enhancing its appearance include –

1. Topical Treatment: Azelaic acid, kojic acid, hydroquinone, tretinoin, and corticosteroids are a few examples of these. These substances function by making the skin lighter and lowering melanin synthesis. To boost their efficacy, certain products might combine these ingredients. Usually, it is a part of your daily regimen for skin care.

2. Procedure: There are several dermatological procedures that can help make melasma look better. Among them are:

a) Chemical Shells: This entails removing the outer layers of skin by applying a chemical solution. Melasma symptoms are lessened and the texture is more toned as the new skin layer heals on the surface.

b) Microdermabrasion: This exfoliation technique aims to improve the texture and tone of the skin by removing the outermost layer.

c) Laser treatment: To help breakdown up melasma spots and lessen the dark spots connected to melasma, some laser types, including fractional and Q-switched lasers, can target melanin.

d) Intense Light Therapy (IPL): This treatment effectively lessens the appearance of melasma by targeting pigmented areas of the skin with broad-spectrum light.

3. Sun protection: Using a high SPF (30+++) sunscreen is crucial because sunlight can exacerbate melasma. Reapplying sunscreen is advised every two hours, particularly when spending extended amounts of time outside. Further protection can be obtained by donning wide-brimmed hats, sunglasses, and protective clothes.

4. Makeup Concealment: Melasma can be temporarily relieved, the affected areas can be covered, and the appearance of the condition can be improved with makeup.

5. Combination Therapy: Effective management of certain cases of melasma may involve a combination of procedures, topical treatments, and high-quality sun protection. This approach is usually customized to meet the unique requirements of each patient and is best determined after consulting a dermatologist.

“While melasma can be difficult to manage, knowing the connection between thyroid and melasma is very helpful in managing this condition,” said Dr. Rinky Kapoor in her conclusion. To help the patient achieve clear, radiant, and healthy skin, the doctor helps determine the best course of action by customizing the solution based on the patient’s age, skin type, and degree of melasma.”