Melasma - Location on Body

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Where is melasma seen on the body?

Melasma is characterized by discoloration or hyperpigmentation primarily on the face. Three types of common facial patterns have been identified in melasma, including centrofacial (center of the face), malar (cheekbones), and mandibular (jawbone).

The centrofacial pattern is the most prevalent form of melasma and includes the forehead, cheeks, upper lip, nose, and chin. The malar pattern includes the upper cheeks. The mandibular pattern is specific to the jaw.

The upper sides of the neck may less commonly be involved in melasma. Rarely, melasma may occur on other body parts like the forearms. One study confirmed the occurrence of melasma on the forearms of people being given progesterone. This was a unique pattern seen in a Native American study.

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See what others are saying

Comment from: Shell, 35-44 Female (Patient) Published: July 09

Check for copper toxicity! I developed my melasma while I was developing the copper toxicity I didn't know I had. I was on birth control for years, was a vegetarian and vegan for most of my life- no offense, wish I still could be, and had a copper IUD- not by choice. My Dr at the time insisted on it even though I was asking for tubal ligation. Thanks a lot buddy! I tried literally everything, every cream and lotion, dermatologists, endocrinologists, nothing's wrong according to them. It's a manifestation of an inner issue whether it's caused by pregnancy or copper, or some other reason. Creams and such may help somewhat, but they are NOT the solution. I have been seeing a naturopath for IV therapy, liver flushes specifically. Not only do I feel 100 million times better, but my melasma is MUCH lighter and breaking up and fading a lot. Just moved away from the desert, I'm sure that will certainly(!) contribute as well. Took me years to find out it was copper toxicity, hope this helps someone else look into this sooner if nothing else is working.

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Comment from: strikenh1, 65-74 Female (Patient) Published: June 12

I am Hispanic and Native American. I was struck by lightning 9 years ago and the doctor put me on Topamax and Cymbalta for pain. I am also on Synthroid since I became hypothyroid after my first child was born. I never had melasma before the lightning strike; however, after the accident I developed nerve damage to my left arm and hand as well as sensitivity to extreme heat and cold. I have melasma on my cheeks, lips, and under my eyes. It looks like a mask. It is more pronounced in the summer.

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