Melasma—sometimes called the “mask of pregnancy”—is a common skin condition that causes dark, patchy discoloration on the face. While it most often appears during pregnancy, melasma can also occur with other hormonal changes, such as menopause or starting/stopping birth control. Women with darker or ethnic skin tones may notice more pronounced pigmentation, making specialized care essential.
At Dermatology Associates in Indianapolis, Dr. Sonya Johnson and her team help patients manage melasma safely and effectively, offering guidance tailored to your skin type and lifestyle.
What Causes Melasma?
Melasma occurs when melanocytes (the skin cells that produce pigment) become overactive. Common triggers include:
Hormonal fluctuations: Pregnancy, birth control, or hormone replacement therapy
Sun exposure: UVA and UVB rays can worsen pigmentation
Genetics: A family history can increase susceptibility
Skin irritation: Certain skincare products or procedures can trigger or aggravate melasma
Safe Management During Pregnancy or Hormonal Shifts
During pregnancy, some treatments must be avoided for safety. However, there are effective strategies to manage melasma:
Sun Protection is Key
Daily broad-spectrum sunscreen (SPF 30 or higher) is the most crucial step. Hats and protective clothing can further reduce sun exposure, preventing melasma from darkening.
Gentle Skincare
Use mild, non-irritating cleansers and moisturizers. Avoid harsh acids or treatments that could exacerbate pigmentation or cause irritation during pregnancy.
Topical Treatments Post-Pregnancy
Once it’s safe, Dr. Johnson may recommend professional-grade topical agents like azelaic acid, hydroquinone (postpartum only), or retinoids to fade dark spots. These should only be used under medical supervision.
Professional Procedures
After pregnancy or hormonal stabilization, treatments such as chemical peels, laser therapy, or microdermabrasion can help reduce stubborn pigmentation. These procedures are customized based on skin type to ensure safe, effective results.
Consistency is Crucial
Melasma can be persistent, and results take time. A consistent skincare routine, combined with sun protection, is key to minimizing flare-ups and maintaining an even skin tone.
Protect Your Glow During Hormonal Changes
Melasma is a common, manageable condition, and with the right guidance, you can maintain healthy, radiant skin. Dr. Sonya Johnson specializes in treating melasma for women with darker skin tones, helping you feel confident during pregnancy or hormonal shifts.
📍 Visit Dermatology Associates
931 E 86th St, Suite 104, Indianapolis, IN 46240
📞 Call us today at (317) 257-1484 to schedule your consultation and develop a safe, effective melasma management plan.