Natural Treatment - Melasma, Dark Skin, Pigmentation

Melasma is the darkening of the skin due to increased deposits of the pigment, melanin. This hyperpigmentation may occur for a number of reasons but is usually not associated with skin inflammation (dermatitis). Most cases of pigmentation that is present for more than 3 months will not resolve even with treatment and the focus of treatment should be directed at preventing further darkening of the skin or retarding the spread of the hyperpigmentation.

Melasma primarily affects the face, specifically the cheeks, nose, upper lip and forehead. It may spread to the lower parts of the face and neck in some cases. Melasma is more common in women and is prevalent in certain ethnic groups.

Causes of Facial Skin Pigmentation

* Hormonal disturbances - pregnancy, premature ovarian failure. Melasma used to be referred to as the ‘veil of pregnancy’ as it was known to occur in many women after giving birth. Hormone replacement therapy (HRT) and oral contraceptives may contribute to the development of pigmentation.
* Skin lighteners & corticosteroid creams may cause dark pigmentation if used over a long period of time.
* Certain skin conditions like eczema may cause hyperpigmentation of the skin which persists even after resolution of the skin condition.

Treatment of Hyperpigmentation

* Dark skin pigmentation may be treated with corticosteroid or hydroquinone creams. Both may actually aggravate the pigmentation further after prolonged use.
* Certain acid peels may be used for topical treatment with varying results.

Naturopathic Treatment of Pigmentation

* A homeopathic complex of Sepia officinalis 6CH and Lachesis muta 6CH may be effective in reducing the severity of melasma.
* An experimental treatment involving acupuncture on the affected with needles impregnated with the homeopathic remedy, Sepia officinalis D6 has been reportedly used in certain South Asian countries. The results of these treatments have not been ascertained.
* Sunscreen with vitamin A used daily may assist with reducing the severity of melasma. It must be noted that UV exposure does not cause melasma but may aggravate the condition.
* High doses of vitamin C orally and vitamin C creams may also assist with the treatment of melasma.

The effectiveness of these complementary approaches to treating melasma has not been verified in research studies and should be used under the supervision of a practitioner.