@naskinmd: Melasma is not simply a skin deep condition. Melasma develops when pigment producing cells become overactive, but in many people there are internal factors that continue to drive this process. While sun exposure and visible light are well known triggers, they are often only part of the picture. A functional approach looks beyond the pigment itself and asks why it developed in the first place. Potential contributing factors may include: • Hormonal changes or hormonal imbalance • Chronic inflammation • Oxidative stress • Gut health and the microbiome • Nutrient deficiencies • Poor skin barrier function • UV exposure, visible light, and heat This does not mean every person with melasma has all of these issues, but identifying individual triggers can help create a more personalised treatment plan. Treatment should focus on both reducing pigment production and supporting the body’s internal environment. This may include targeted skincare, optimising skin barrier health, improving nutrition, addressing lifestyle factors, investigating hormonal influences where appropriate, and supporting overall skin health from within. Melasma is a chronic condition, not a quick fix. The aim is not just to fade the pigmentation temporarily but to reduce the factors that may be encouraging it to return. Treat the skin, but do not forget to look beneath the surface. #Melasma #FunctionalDermatology #SkinHealth #Hyperpigmentation #IntegrativeDermatology

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Wednesday 08 July 2026 15:35:13 GMT