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Melasma or Mask of Pregnancy

During your pregnancy, if you’ve noticed new, discolored dark patches on your skin, don’t be alarmed, you’ve probably got melasma, a condition that affects most expectant mothers.

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Must Read - What should be read during pregnancy?

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1. What is Melasma?

Melasma or hyperpigmentation is a skin disorder, also known as, “Mask of Pregnancy or Pregnancy Mask”. It is a condition where the color-producing cells in the skin produce extra pigment. This skin condition is mostly seen affecting pregnant women. It does not pose any threat to the mother or the baby. However, the changes that can appear on the skin or the face of an expecting mother, due to melasma, can be disheartening.  

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Book an Appointment  Dr. Usha B R for all concerns related to maternity.


Melasma symptoms:

The distinct symptom of melasma is the darkening of the skin. Dark patches may appear on the face, forehead, cheeks, chin, or around the mouth. The patches may get darker if exposed to too much sunlight or as you are further along in your pregnancy. 

However, keep in mind that melasma does not cause pain or itchiness, or soreness. If these symptoms persist, along with dark patches, then you may have developed another condition. Consult with your doctor, if there are any additional or severe symptoms. 

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Must Read - Pelvic Pain during Pregnancy (PGP).

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2. When does melasma start in pregnancy?

Melasma most commonly starts in the second or third trimester. However, it may also start at any point in your pregnancy. If, at the start of your pregnancy you are exposed to too much sunlight, it may be difficult to presume the causes for skin darkening, until a much later stage. 

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3. How do you treat melasma?

Hormonal imbalances or deficiency in iron and possibly vitamin B12 may be the cause of melasma. Hence, you must ensure that you:

  • Eat well- a diet with plenty of fresh fruits and vegetables
  • Stay hydrated
  • Get good sleep
  • Round out your diet with supplements like omega-3 fatty acids.
  • Consult your doctor for any potential deficiencies in vitamins or iron. 

If your melasma doesn’t fade on its own after the pregnancy, you should seek treatment from your dermatologist, who may suggest topical medications or skin lightening procedures. 

With melasma, being patient is the key. We understand it's easier said than done but by maintaining a healthy lifestyle you can try to prevent the condition from progressing during pregnancy. Fortunately, melasma fades within a few months post-pregnancy, and before you know it, your skin will return to its earlier healthy and glowing state. 

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Frequently Asked Questions

How do you treat melasma during pregnancy?

Treatments during pregnancy are not safe. The only way to treat melasma during pregnancy is with topical creams and physical protection, such as clothing, an umbrella, and hats. Gentle skin care and pregnancy-safe sunscreen can help slow the damage. Most cases of melasma gradually fade after delivery. If not, consult a dermatologist.

How to remove pigmentation due to pregnancy?

Pigmentation or melasma during pregnancy, more commonly known as the mask of pregnancy, is a common skin condition caused by hormonal changes. You cannot remove this pigmentation, and you will have to wait until after the delivery to address it if it does not fade on its own.

What is the fastest way to remove melasma?

Removing melasma during pregnancy is not a safe option. After delivery, most melasma patches tend to fade and reduce. If it doesn’t, consult a dermatologist. In most cases, a combination of topical creams and professional treatments will yield quick, effective results.

Will pregnancy melasma go away?

Yes, in most cases, melasma caused by hormonal changes during pregnancy will slowly fade once the hormones begin to settle after delivery. This can take anywhere between a few months and a year. The pigmentation may not completely go away. If you want better results, a professional dermatologist can help with prescription drugs and pigmentation treatments.

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