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The exact causes are unknown, but there are genetic factors at work, and melasma is made worse by exposure to sunlight. It is very important for people with melasma to use sunscreen.

There is no real cure for melasma at the moment-- just management. Creams that contain lightening agents (for example hydroquinone, kojic acid, and retinoids) may be helpful in treating melasma, as may chemical peels or laser therapy. Azeleic acid may help control but not cure melasma. It has a skin brightening affect that may help fade dark marks but it is not generally the first line treatment.

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12y ago

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