Melasma: A comprehensive update: Part II

Vaneeta M. Sheth, Amit G. Pandya

Research output: Contribution to journalReview articlepeer-review

163 Scopus citations


Several methods of treatment are available to patients with melasma. First-line therapy usually consists of topical compounds that affect the pigment production pathway, broad-spectrum photoprotection, and camouflage. Second-line therapy often consists of the addition of chemical peels, although these must be used cautiously in patients with darker skin. Laser and light therapies represent potentially promising options for patients who are refractory to other modalities, but also carry a significant risk of worsening the disease. A thorough understanding of the risks and benefits of various therapeutic options is crucial in selecting the best treatment.

Original languageEnglish (US)
Pages (from-to)699-714
Number of pages16
JournalJournal of the American Academy of Dermatology
Issue number4
StatePublished - Oct 2011


  • chemical peels
  • chloasma
  • hydroquinone
  • laser therapy
  • melasma
  • pigmentation

ASJC Scopus subject areas

  • Dermatology


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