(Last Updated On: April 2, 2019)
Authors: Maria Juliet E. Macarayo, MD, FPDS and Evangeline B. Handog, MD, FPDS


Melasma, as elusive as it is, has yet to find an agent that will resolve
its complexity. How to decrease the pigmentation may not
be an enigma, but to get the result every dermatologist wishes to
achieve and every melasma patient wishes to attain are the enigma.
Hitting the principles of management (i.e. impeding activity
of melanocytes, hindering synthesis of melanin, interrupting to
eliminating melanin granules, and shielding from ultraviolet rays)
known to us, may not be enough. Not only the patient’s condition
has to be taken in its wholeness, but the patient’s personality, as
well. Apart from taking into account the kind of melasma, the skin
color and phototype the patient has, one must also consider prior
treatments, expectations and adherence to therapy.


Macarayo MJ, Handog E. Melasma in brown skin: part 2. J Phil Dermatol Soc. 2018; 27(2): 7-17.



Melasma, Brown Skin, Management

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