Pigmentation (Melasma)

                                                     MELASMA

Frequently Asked Questions

Melasma (mask of pregnancy) but you don’t have to be in childbearing state to acquire this dark brown pigmentation  resulting in patchy skin discolouration . The hormone oestrogen can at times result in overactive pigment producing melanocytes . The outcome , brown patches across the cheeks , chin, forehead and around the mouth. While you don’t have to be taking supplement oestrogen's or be pregnant to develop Melasma, these certainly increase your risk. Birth control pills and hormone replacement medicine also can trigger melasma . 

Melasma is  the stimulation of melanocyte  (cells in the dermal layer which transfer a pigment called melanin to the keratinocytes of skin) when the skin is exposed to ultraviolet light from the sun. Small amounts of sun exposure can make melasma return to the skin after it has faded, which is why people with melasma often get it again and again, particularly in the summer.

The sun is your enemy . No matter the cause of you discolouration , the sun actively plays a role in deepening the disparity between your natural lovely skin tone and the unwanted dark patches. May be you can place the blame squarely on those hours spent in the sun unintentionally sun bathing or perhaps you were merely passing through on your way to less sunny conditions. But sans sunscreen , those UV rays are going to send your pigment skin cells (aka melanocytes) into overdrive .. ,

Genetic predisposition is also a major factor in determining whether someone will develop melasma. People with the Fitzpatrick skin type III or greater from African, Asian, or Hispanic descent are at a much higher risk than others and people of all pigmented races living in areas with high-tensity UV radiation.Treatment of melasma is changing due to its multifactorial aetiology:

  • Primarily a genetic predisposition 
  • Secondary increased oestrogen production 

These factors a complicated by sun sensitivity in which a small exposure to sunlight triggers a series of enzymatic reactions and leads to production of excess pigmentation . 

The real treatment has three challenges:

  1. The first is Basic life style change: Discontinue or decrease hormone use . Must avoid the sun and use lots of Sun protection 
  2. The second challenge id delivering medications to appropriate site: the epidermal melanin unit in the epidermis and to melanophages in the dermis 
  3. The last challenge is chronic suppression of melanocytes 

                           TREATMENT OF MELASMA 

 The principle of treatment is increase the penetration of topical medication to  reduce  the thickness of stratum corneum by Nuevo Exfol Peel and daily use of the Nuevo product as follow:

1/ Preparation and treatment : Exfol Peel applied once every 2 week for 4 sessions and start using Nuevo formulation right after first session 

AM: Cleansing Milk. (Exfoliate the dead skin)

        Hydrating Lightening (Treat uneven skin tone. And lighten the skin blemishes,)

        Day protection (Moisturise and protect)

       Sun protection SPF 50 (apply when under the sun) 

       Day intensive treatment or Total rejuvenation 35+(Hydration and resurfacing daily  for maximum lightening Melasma ,apply this product few drops before applying Hydrating Lightening or Intensive Night treatment ) 

PM:  Cleansing Milk 

        Night intensive treatment  Promoting regeneration of collagen and elastin (After apply Total Rejuvenation 35+) 

2/ Maintenance 

AM: Cleansing Milk 

        Hydrating Lightening (Reduce , to use every second day after 6 months and reduce to twice a week only after another 2 months 

PM:  Cleansing Milk

        Night intensive treatment