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Dermatologists in Marietta GA for Psoriasis

Melasma is a very common skin disorder that presents as a dark discoloration (hyperpigmentation) of the skin. Dark- brown patches appear on sun-exposed areas of the face, particularly the cheeks, bridge of the nose, forehead, upper lip, and chin. It is most frequently seen in people with darker skin tones, including those of Hispanic, Asian, African, Indian, or Middle Eastern descent. Melasma can occur in both men and women, but about 90% of those affected are women.

What causes melasma?
Although the exact cause of melasma is unknown, there are many factors that have been known to trigger or worsen the condition. Pregnancy, oral contraceptive use, hormone replacement therapy, certain anti-seizure medications, and chronic sun exposure have all been associated with melasma.
What is the treatment?
Sometimes melasma may fade within several months after stopping birth control pills or hormone replacement therapy, or after delivering a child. If melasma does not fade gradually, there are a number of treatment options. There are a variety of creams available to treat melasma. Some of the most commonly used creams to treat melasma contain the active ingredient hydroquinone, a “bleaching” chemical. Some creams containing hydroquinone in a 2% concentration are available over the counter. A dermatologist may be able to prescribe hydroquinone in higher concentrations of 3-10%. Many preparations of hydroquinone may also contain ingredients such as tretinoin, glycolic acid, and topical steroids which may enhance the skin-lightening effect. Other lightening agents that have been used to improve the appearance of melasma include azelaic acid and kojic acid. Many dermatologists may also recommend chemical peels, microdermabrasion, or laser surgery treatments. These cosmetic procedures may be successful in treating melasma, but they should be performed under the care of a dermatologist in order to prevent any potential complications.
How can melasma be prevented?
Avoiding sun exposure and using a daily sunscreen are the two most important factors in preventing melasma. Melasma may worsen with even brief sun exposure such as walking to and from the car, driving and even sitting near a window, so it is essential to protect the skin from the sun daily. Sunscreens that provide broad-spectrum protection (protection from UVA and UVB light) are the best option. Find a sunscreen that includes a physical block such as zinc oxide or titanium oxide, with an SPF of 30 or higher. A new FDA approved sunscreen with Mexoryl SX has been shown to be effective on sensitive skin.

If you believe you may have melasma, call for an evaluation with Dr. John Kayal at 770-426-7177.

Posted on behalf of Kayal Dermatology & Skin Cancer Specialists

141 Lacy Street, Suite 200
Marietta, GA 30060

Phone: (770) 426-7177

FAX: (770) 426-7745


Mon-Fri: 7:30 am – 5:00 pm

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Our Patient Reviews

Kayal Dermatology & Skin Cancer Specialists

4.9 / 5.0

Based on 183 reviews

Jennifer M.

First time ever at a dermatology office! So I was a little nervous... But they have a very friendly staff and it was nice meeting PA Joel! Felt comfortable and he was informative & made me feel like I wasn’t the only person dealing with my issue. I can’t wait to see some results and get some relief!!

Eve L.

Love this place! Everyone is so caring, and very helpful in each way possible. Highly recommend this place for skin care and even skin cancer!

Detlef K.

I’ve been going here awhile. I’ve got a few pesky issues, some due to my not allowing areas to completely heal, sins that prolongs my already glacier like speed healing! I really appreciate Dr. Kayal and Joel who combine to take of me and my family.

Michael V.

Was greeted upon my arrival, very nice waiting room, was taken back immediately. Very professional, caring and friendly staff. They want to help you. The PA Joel was very knowledgeable and knew exactly how to help me. I was given a prescription to address the problem. Will be back with other issues, keep up the good work.

Lisa W.

PA Brown is very attentive to my son's needs. I have not had any difficulty getting appointments when needed. I think this practice provides excellent service. I definitely recommend Kayal Dermatology for all of your skin needs.

Kevin S.

The nurse was great made me completely comfortable before biopsy’s and Dr Kayak was great explaining what’s going on, recommend very highly

Kayal Dermatology & Skin Cancer Specialists

141 Lacy Street, Suite 200
Marietta, GA 30060

Phone: (770) 426-7177

Fax: (770) 426-7745


Mon-Fri: 7:30 am – 5:00 pm