Melasma that is triggered by pregnancy can fade after you have given . For more brightening oomph, they may recommend exfoliating treatments, such as microdermabrasion or chemical peels, which slough away dead skin cells to promote skin rejuvenation. After all, as it progresses, it gets more difficult to treat. Melasma can even occur in men, although its far more common in women. Please whitelist our site to get all the best deals and offers from our partners. Thankfully, the only thing it interferes with is your skins appearance, and its not the kind of skin condition that causes cancer or can turn into cancer. How many hours of sunlight do you recommend I receive? Policy. If the skin changes are bothersome, consider another birth control option. If hyperpigmentation started in pregnancy or after birth control pills, or worsens in summer, that would suggest melasma, he says. She may suggest using a bleaching cream that contains hydroquinone (and possibly sunscreen), a topical medication that contains tretinoin (Retin-A), or a chemical peel such as azelaic acid. While pregnancy is a primary cause of melasma, eating a well-balanced diet and getting plenty of sleep can prevent hormonal imbalances or vitamin deficiencies that arent pregnancy-related. 6.6 Naturium vitamin C Complex Face Serum. Solar elastosis and elastic fiber fragmentation. If it doesnt, pursue treatment options with your healthcare provider. Experts think that increases in the levels of the hormones estrogen and progesterone during pregnancy may trigger melasma. Chloasma may also be worsened by hormonal imbalances that may have been present even before pregnancy. Make a good concealer your best friend. Last medically reviewed on April 30, 2021. Changes in skin pigmentation due to melasma usually disappear on their own after delivery. This means that its long-lasting (three months or more). Its not painful, itchy, or uncomfortable in any way. This skin disorder can affect your social life if youre feeling self-conscious about it. American Academy of Dermatology. Sometimes melasma will return and needs further treatment. An increase in estrogen levels can worsen melasma. Melasma: causes. Melasma (chloasma or mask of pregnancy) may be the most cosmetically troublesome skin condition associated with pregnancy ( Figure 2). Journal of Experimental and Basic Medical Sciences. You may be able to lighten your melasma using ingredients from your pantry. Here are ways of reducing melasma on the face during pregnancy: 1. So easy and delicious. 15% to 50% of pregnant women get it. Between 1.5% and 33% of the population may get melasma and it happens more often during a womans reproductive years, and rarely happens during puberty. Some studies link melasma to deficiency in iron and possibly vitamin B12. In turn, the addition of vitamin C serum to skincare routines helps fight free radical damage, brightens the skin, and improves skin tone. Another, less common name for melasma, is chloasma. Group Black's collective includes Essence, The Shade Room and Naturally Curly. A dermatologist can accurately diagnose your condition using a Woods lamp, which helps show whether a skin condition is bacterial, fungal, or otherwise concerning. Melasma during pregnancy is a skin condition in which melanocytes, the skin cells that produce melanin, produce more pigment than usual. our editorial and medical review policies, dark line down the center of your abdomen (the linea nigra), Skin Darkening and Discoloration During Pregnancy. Very common lumps found among women during pregnancy are clogged milk ducts. The condition occurs in up to 70 percent of pregnant. Careful sun protection is key. You can help make your sun protection efforts even more effective if you wear protective clothing, such as long-sleeved shirts, pants, a hat, and sunglasses, and limit your time in the sun, especially between its peak hours between 10 a.m. and 2 p.m. Commonly occurring during pregnancy, melasma is sometimes referred to as chloasma, or the mask of pregnancy because dark patches on the face can resemble a mask. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Melasma is a super common skin condition characterized by hyperpigmentation on certain areas of the face, explains Dan Belkin, MD, a board-certified dermatologist at the New York Dermatology Group in NYC. How much youre out in the sun or even the time of year when youre pregnant may also affect when you first notice it. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. It largely affects people who were assigned female at birtha whopping 90% of themduring their reproductive years, when theyre 20 to 40 years old. This discoloration is usually symmetrical and is most common on the cheeks and nose, but its also found on the forehead and upper lip. Treasure Island (FL): StatPearls Publishing; 2020. Skin conditions commonly confused with melasma include: If you have melasma, the results of the biopsy will typically reveal the following: The severity of your melasma can be measured by using the Melasma Area and Severity Index (MASI). How to Identify & Treat a Melasma Mustache, What to Know Before Getting Melasma Laser Treatment, Understanding Pityriasis Rosea vs. Guttate Psoriasis, Hyperpigmentation Around the Mouth: Everything to Know, Skin Discoloration: Causes and Treatments, Melasma: a clinical and epidemiological review, A review of laser and light therapy in melasma. Elizabeth Geddes-Bruce, MD is a board certified dermatologist and dermatologic surgeon specializing in the practice of both cosmetic and medical dermatology. Dr. Geddes-Bruce is fellowship-trained in cosmetic dermatology and laser surgery. Related: Your guide to pregnancy-safe skin care. Always listen to the advice of your healthcare provider and follow your treatment plan carefully. It depends on the person and the medication used. Treatment once you have finished breast- feeding can take the normal course, which normally begins with topical bleaching . Aside from pregnancy hormones, the suns UV rays, and genetics, there are other potential sparks that light the fire of melasma. Melasma can be slow to respond to treatment. These are red, tender-to-the-touch, hard lumps in your breasts. We avoid using tertiary references. Is Any Acne Treatment Safe to Use During Pregnancy? Melasma sometimes resolves itself one hormonal balance is restored. Learn how we keep our content accurate and up-to-date by reading ourmedical review and editorial policy. Look for noncomedogenic or hypoallergenic foundations, concealers, powders, and other products. The hormonal and physiologic changes during pregnancy are unique in the life of women. Fortunately, melasma typically fades after about three months. Thank you, {{form.email}}, for signing up. Theyll use a Woods lamp (a black light) to see changes in the color of your skin. 2) Stopping the transfer of that pigment to the surface of the skin where it appears as dark spots. There's no proven link between. But you may be able to avoid the factors listed above which make melasma worse. At this time there is no way to remove dermal pigment. Objective To determine the prevalence and awareness of melasma during pregnancy at the Shahed University Hospitals of Tehran, Iran. (We know, weve felt that knee-jerk instinct at times, too.) Wear protective clothing and sunscreen as needed. What are stretch marks? They usually fade in the first few months after . Physical blocking sunscreens tend to offer broader protection and may be less irritating to the skin. 2021. However, there are skin cancers that may mimic melasma, so seeing your dermatologist is often recommended to confirm the correct diagnosis. It doesnt affect your baby in any way or indicate any other pregnancy complications. If the spots don't fade within a few months after having the baby, there are treatments to help fade them. Regrettably, you cant avoid genetics, or stop the skin condition when youre pregnant. The following are common melasma triggers: In addition to the above, genetics play a crucial role. Pregnancy melasma, also known as a pregnancy mask, is an extremely common condition that causes skin hyperpigmentation (i.e. Another exfoliation option would be to have a laser skin resurfacing treatment. If other treatments haven't helped, a dermatologist can lighten dark spots with laser treatments, but that's not the first option. I look for symmetry, since it would be unusual to have melasma only or much worse on one side of the face.. UV light exposure only makes hyperpigmentation worse by further darkening skin. Melasma is a harmless skin condition. There are two main causes of melasma: radiation, whether ultraviolet, visible light, or infrared (heat) light; and hormones. Melasma appears most often during the second or third trimester, as hormonal changes increase. By Cat Matta Melasma may also occur when you either start or stop hormonal contraception, including birth control pills, or when you take hormone replacement therapy, says Dr. Gilchrest. Its an organ the largest organ and it makes up about one-seventh of your body weight. The mechanism that causes Melasma is not well understood, but there is a strong correlation between hormonal changes associated with pregnancy, breastfeeding, menopause, ovarian cysts, etc. 2005-2023Everyday Health, Inc., a Ziff Davis company. Remember that it's likely to go away after giving birth. Melasma is also sometimes referred to as the mask of pregnancy because the splotches typically show up around your upper lip, nose, cheekbones, and forehead in the shape of a mask. There are three types of melasma, categorized by how deep the darker pigment goes into the skin: During pregnancy, melasma usually appears on the face as patchy or spotted areas of skin that are tan, brown, or sometimes blue-gray. . Unfortunately, there is no definitive treatment that will automatically make melasma disappear. Vitamin D helps keep your skin healthy in general. It protects your bones, muscles, organs and everything else from the cold, from germs, sunshine, moisture, toxic substances, injury and more. Melasma: a clinical and epidemiological review. Match the foundation to your skin tone, but use a concealer thats a shade lighter. A review of laser and light therapy in melasma. However, to keep your skin healthy in general, try a skin-healthy diet of foods rich in Vitamin D: Those with melasma are more likely to have a thyroid disease. Maternal adaptations to pregnancy: Skin, hair, nails, and mucous membranes https://www.uptodate.com/contents/the-skin-hair-nails-and-mucous-membranes-during-pregnancy [Accessed September 2020], UpToDate. For many people, pregnancy melasma can improve after youre no longer pregnantonce your hormonal levels return to their normal, pre-pregnant levels. You may be referred to a dermatologist for a diagnosis and appropriate treatment. What Helps With Melasma During Pregnancy? It is supremely sensitive to the sun, worsening with relatively minimal exposure, cautions Dr. Belkin. You can live melasma-free with the right combination of treatments. First, apply the concealer to the patchy spots. Dealing with melasma during pregnancy can be a challenge, but it's not impossible. Melasma can occur at any point in a pregnancy, although it typically develops during the second or third trimester. You may also develop dark patches on your cheeks, along your jawline, or on your forearms and other parts of your body that are exposed to the sun. 2023 Dotdash Media, Inc. All rights reserved, Verywell Family uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. In addition, melasma can make skin that is already darker even more so. Hyperovulation has few symptoms, if any. ClinicalTrials.gov. From the What to Expect editorial team andHeidi Murkoff,author ofWhat to Expect When You're Expecting. Choose a corrective foundation and concealer that are non-comedogenic, hypoallergenic and designed to cover hyperpigmentation. PMID: 30998530. Chemical peels address discoloration by exfoliating the top layers of skin, allowing newer and more evenly toned skin cells to rise to the surface. Melasma can appear at any time during pregnancy, but it develops most often during the second or third trimester when certain hormone levels are increasing. (Other hormonal alterations, such as birth control medication and hormonal replacement therapy can also trigger melasma in nonpregnant people.). Dr. Nazarian shares that she prefers a multipronged approach to treating pregnancy melasma. There are several topical, procedural, and oral therapies to manage melasma during pregnancy. Yes, but use cosmetics that include sunscreen and pay attention to any that may aggravate your melasma by irritating your skin. She works full-time as a senior content manager at a multinational digital agency. As mentioned, pregnancy melasma is a skin condition thats pervasive among pregnant people. If youve noticed dark patches of skin on your face, you may have melasma. 2011;57(6):665-667. See a board-certified dermatologist to figure out the best and safest option for your skin. U.S. Food & Drug Administration. You may be able to prevent or minimize melasma by wearing a high-SPF sunscreen and a hat with a brim when you are in the sun. Melasma is typically a chronic disorder. Melasma is usually flat. beneath the breasts during late pregnancy. Pregnancy comes with a host of emotions and physical changes. Other agents that are being studied to improve melasma include: Dermatitis is a side effect of hydroquinone and tretinoin. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. Melanin is the natural substance that gives color to hair, skin, and eyes. Epidermal melasma resides in the surface of the skin. We believe you should always know the source of the information you're seeing. We even asked a couple of board-certified dermatologists to weigh in. Some people have melasma for years or their entire lives. Heres more about this condition, why it crops up in pregnancy, and how you can treat it safely. If you're seeking a preventive, we've gathered a few of the best stretch mark creams for pregnancy. Melasma during pregnancy is very common. 2017;3(1):11-20. doi:10.1016/j.ijwd.2017.01.004. 2 However, there's not enough info to recommend aloe or turmeric as melasma treatments, and conventional treatments work faster and grant better end results. Melasma will likely fade within three months after youre no longer pregnant. Hair changes with pregnancy. Basit H, Godse KV, Al Aboud, AM. It is common, harmless and some treatments may help. Yes. All changes in skin pigmentation due to melasma usually disappear on their own after delivery, but you can do a few things to safely minimize darkened spots on your skin during pregnancy: Melasma usually fades without treatment after you have your baby. What Are Some Ways To Help Cope With Pregnancy Melasma? Spontaneous recovery back to pre-pregnancy levels usually occurs within 6-12 months. Laser is a great option, he shares. Vitamin C is used in skin care as a strong antioxidant, especially in regard to protecting the skin from sun damage. Cleveland Clinic is a non-profit academic medical center. Bozzo P, Chua-Gocheco A, Einarson A. When you are pregnant, your body shows several changes. Safety of skin care products during pregnancy. American Osteopathic College of Dermatology. Sun exposure triggers melanin production, and pregnancy makes the skin more sensitive and more prone to melanin production. Melasma is a skin condition characterized by brown or blue-gray patches or freckle-like spots. If youre using concealer or foundation to cover your melasma, choose products developed for sensitive skin. It's typically diagnosed after an individual develops multiple pregnancies at once. What is known is that there is a genetic component in the development of melasma. Signs of melasma during pregnancy Melasma occurs most often on the face as brown or grayish-brown patches that sometimes look blotchy. What causes these skin changes during pregnancy? Harvard Medical School, Harvard Health Publishing. To tell the difference between skin conditions, your healthcare provider may perform a biopsy, which is where a small piece of your skin is removed and examined. Shell also sometimes prescribe oral medication to slow down the rate of re-pigmentation and rebounding. Pregnancy: An increase in the hormones estrogen and progesterone, which occurs during pregnancy, is thought to trigger melasma. Plus, you cant change your genetics. Women with darker complexions are more likely to have melasma than women with lighter skin. Fluctuations in certain hormones can cause melasma, which is why it commonly occurs during pregnancy. Lasers, which can be irritating especially during pregnancy, are no-nos too. Sometimes, however, it persists. Fairer-skinned people are less likely to be affected by melasma than those with darker brown skin or those who tan well. Sun exposure plays a role too. If you feel that its negatively impacting your life, or you have any other concerns, try not to suffer in silence. Its impossible to prevent melasma with certainty, but there are ways to reduce your risk or minimize the appearance of your melasma. The #1 app for tracking pregnancy and baby growth. Expect it to get worse and/or reoccur if you dont take steps such as avoiding the sun and makeups and soaps that irritate your skin. Y. ou can also be sure to eat a healthy, skin-friendly diet that contains plenty of nutrients and vitamin D. Foods that fit the bill include eggs (only if theyre fully cooked), yogurt, meat (fully cooked), fish high in fatty acids (also fully cooked), and mushrooms. Exposure to sunlight can make it more noticeable. It is not visible under blacklight and is much more challenging to treat. AAD. Melasma. Her favorite pastimes include experimenting with new foods, libations, and restaurants, as well as traveling the world with her two college-age children, husband, extended family, and friends. If your hyperpigmentation is accompanied by consistent itching, irritation or discomfort, its important to note that these are not symptoms of melasma. Melasma. Estrogen and progesterone, which are thought to trigger it, start building after 12 weeks and peak around 32 weeks. Although its a benign condition that doesnt cause any pain or discomfort, its appearance can negatively impact your confidence and self-esteem. Our. 2 Wondering what skin care products are safe and which to avoid while pregnant? Handel AC, Miot LDB, Miot HA. Melasma appears in six locations or a combination of locations on your skin: Your healthcare provider will decide for sure if you have melasma or another type of skin disorder. Kalayc M. Pregnancy mask: melasma. The same increased production of melanin that causes the facial splotches of melasma also causes the linea nigra, or dark line that you may notice running down your belly. A dermatologist specializes in skin conditions. They can help you with management and treatment of your melasma. They can appear as flat patches or freckle-like spots. Sunlight: When sunlight hits our skin, it triggers the body to produce more melanin. Products that irritate the skin can make melasma worse. Bolanca I, Bolanca Z, Kuna K, Vukovi A, Tuckar N, Herman R, Grubisi G. Chloasmathe mask of pregnancy. This can occur when youre pregnant due to an increase in hormones, specifically estrogen and progesterone. There are three types of melasma and they have to do with the depth of the pigment. Here are some of the most important things to know about melasma and how you can manage it during pregnancy: . Hyperpigmentation results when the skin produces excess melanin. Most people with melasma have a history of daily or intermittent sun exposure, although heat is also suspected to be an underlying factor. But, it has to be gentle enough and done by an experienced board-certified dermatologist. This is because lasers can also exacerbate melasma, he explains. Are you interested in prescriptions that may improve your melasma? Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. There are also some procedures including chemical peels, microdermabrasion, laser treatments, and other light therapies that may work. Slather up with gentle products instead. What medications and/or vitamins can I take to help heal my melasma? There are dermatologists who can help you. Careful sun protection is key. While not being harmful to the health of either mother or child, pregnancy melasma can be a source of embarrassment for some expecting mothers. The second path to take is topical medications. if not please suggest cream? Again, there are a variety of factors at play when it comes to darkening pigment. Nancy LeBrun is an Emmy and Peabody award-winning writer and producer who has been writing about health and wellness for more than six years. A biopsy is quick, safe procedure routinely performed during a normal visit to your healthcare providers office. Methods: A cross-sectional study was carried out by clinical examination and questionnaire on 400 pregnant women. Journal of Experimental and Basic Medical Sciences. Other people may have melasma for just a short time, such as during pregnancy. It often presents as a darkening in skin color around the mid or upper forehead, lateral cheeks, and upper lip. Pregnancy is not the only cause of melasma. Melasma, which causes patchy areas of discoloration that sometimes resemble freckles, is most likely to appear on the cheeks, but it can also develop elsewhere. Trivedi MK, Yang FC, Cho BK. Accessed 7/23/2020. Youre also more likely to develop melasma during pregnancy if someone in your family has had it, if you have naturally dark skin, or if you spend a lot of time in the sun. It is very common in pregnant people and tends to appear during the second or third trimester. It doesnt itch or hurt, and it doesnt become malignant. All What to Expect content that addresses health or safety is medically reviewed by a team of vetted health professionals. We'll tell you the best pregnancy-safe sunscreens so you and your, When you're expecting, pregnancy-safe skin care can help ensure the health of you and your baby. Melasma can develop at any time during your pregnancy, however. Estimates vary, but up to 70% of pregnant people develop melasma. Make-up labeled as non-comedogenic or hypoallergenic is less likely to irritate skin and worsen melasma. DermNet NZ; Science SourceA pregnancy mask may appear as dark, blotchy, brown, confetti-like patches of skin. When Might Melasma Develop During Pregnancy? Melasma is only a pigmentary concern, and does not affect the health of the mother or baby. Avoid exposure to sunlight without sunscreen. Hormone treatments, specifically ones that involve estrogen. Pregnancy melasma is a pretty straightforward skin condition. The darker color usually fades after pregnancy. Stretch marks are easier to prevent than erase. Changes in hormones especially estrogen and progesterone is the main cause of melasma during pregnancy. See your healthcare provider if you have concerns about another type of skin disorder. What Bodily Changes Can You Expect During Pregnancy? Melasma is a skin disorder where the melanocytes (color-producing cells) in your skin produce extra pigment for some reason. Ask your healthcare provider if youre concerned about another condition. Healthline Media does not provide medical advice, diagnosis, or treatment. It largely affects people who were assigned female at birtha whopping 90% of them 1 during their reproductive years, when they're 20 to 40 years old. Nearly 50 to 70% of pregnant women show signs of a " mask of pregnancy". The agents listed above rarely eradicate all of the melasma. Ask them questions and voice your concerns. Causes of melasma in pregnancy Skin hyperpigmentation during pregnancy is very common. Are you interested in procedures that may improve your melasma? Your doctor may refer you to a dermatologist for more information. The darkened spots probably will fade within a year after delivery, and your skin should return to its normal shade, although sometimes the changes never completely disappear. Melasma is harmless, physically, but can have an emotional impact. By Nancy LeBrun The best way to treat melasma is with a bleaching regimen such as hydroquinone. But, melasma patches are almost always larger than what we call age spots, sun spots, or liver spots. There are a few tricks you can try to minimize melasma, including the following: Exposure to the sun will make your pregnancy mask more pronounced. Cat is a linguistic alchemist and expert wordsmith who has written and edited for some of the world's biggest brands. In pregnant people, melasma often goes away on its own within a few months after giving birth. Pain, itchiness, or soreness are not symptoms of melasma. If you have melasma, your freckles and moles may also look darker, there's probably a dark line down the center of your abdomen (the linea nigra) and your areolas could be a deeper shade. With that being said, most people with melasma dont require treatmentits a personal choice. Warm compresses (running warm water over your breasts in the shower or applying a warm washcloth) and massages will probably clear the duct in a few days. ; Telogen effluvium post-delivery is a compensatory decease in hair growth and shedding of hair. 6.1 Neutrogena vitamin C complex serum. Always be on the lookout for any allergic reactions. These areas may get darker the more youre exposed to the sun or the further along you are in your pregnancy. Despite the fact that pregnancy melasma isnt a dangerous condition, it can do a number on your self-esteem and confidence. Int J Womens Dermatol. Melasma is a skin condition in which some skin cells become darker. How can I prevent melasma from getting worse during pregnancy? When your skin heals from the treatment, it may cause even more discoloration. Typically it takes about three or more months for the melasma to fade. The linea nigra will probably fade back to its pre-pregnancy color several months after you deliver your baby, but may not completely disappear. A safer choice would be azeleic acid which is completely safe during pregnancy and breastfeeding. What Causes a Melasma Mustache and How to Treat It, Your Guide to a Pregnancy-Safe Skin Care Routine, Why You May Get Skin Tags During Pregnancy, Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, What Are the Symptoms of Hyperovulation?, Pregnancy Friendly Recipe: Creamy White Chicken Chili with Greek Yogurt, What You Should Know About Consuming Turmeric During Pregnancy, Pregnancy-Friendly Recipe: Herby Gruyre Frittata with Asparagus and Sweet Potatoes, The Best Stretch Mark Creams and Belly Oils for Pregnancy in 2023. Examples of tyrosinase inhibitors and other types of helpful agents include: The combination of hydroquinone, tretinoin and a moderate topical steroid has had the best effect on melasma. It is very likely that if you were going to get Melasma at the time of . Is there a history of melasma in your family? Malar pattern . Why do dark spots and patches appear on the skin during pregnancy? 2015;4:13240-13247. What to Expect follows strict reporting guidelines and uses only credible sources, such as peer-reviewed studies, academic research institutions and highly respected health organizations. Adding a skin condition like melasma to the mix can be frustrating, especially if it's making you self-conscious about your appearance. Unmasking the Causes and Treatments of Melasma, Treatment of Melasma and the Use of Intense Pulsed Light: A Review, Topical Vitamin C and the Skin: Mechanisms of Action and Clinical Applications, A Review of Laser and Light Therapy in Melasma, New Changes in Pregnancy and Lactation Labelling: Review of Dermatologic Drugs, Melasma: An Up-to-Date Comprehensive Review, reviewed by our medical review board and team of experts. And dont forget a stylish pair of sunglasses the bigger the better. Melasma can potentially be prevented by always wearing sunscreen and a hat while in the sun. They can look similar! 1 But certain conditions, like postpartum acne and dry skin, may be caused by the hormonal changes that happen during breastfeeding. Melasma is thought to be primarily related to; external sun exposure, external hormones like birth control pills, and internal hormonal changes during pregnancy. Applying this powerful antioxidant to your skin can help brighten melasma while providing other anti-aging benefits, like increased collegen production. 6.4 EltaMD UV Clear SPF 46 Face Sunscreen. That said, it may take time possibly months for it to completely fade without any targeted treatment. If it doesn't, there are treatments to help fade melasma, though they can take some time to be effective, and sometimes it comes back. You may notice your nipples/areolas, armpits, or genitals become darker. Fortunately, chloasma generally fades within a few months after giving birth. Use sunscreen Using sunscreen is one of the best ways to ward off the harmful effects of sun exposure. You may see a line (linea nigra) extending from the pubic area over the belly, or darkening of the skin all over the body. Eat a variety of healthy, whole foods, drink plenty of water and get sufficient rest. Speak with your doctor about ways to treat your melasma during pregnancy. This common condition occurs in 50-70% of pregnant women.
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