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Dr Corin Jullet Carlson Dermatology, San Nicolás, Paracale (2026)

15/12/2021

Common Skin Problems After Delivery
Some of the common skin problems post-delivery are:

1. Stretch Marks
Due to the gain and subsequent loss in weight, women see stretch marks in many parts of their bodies after the delivery. These stretch marks will not go away completely but will become lighter with time. Initially, they will be pink, purple, or reddish-brown in colour. Eventually, the pigmentation will go away, making them look lighter.

2. Dark Spots
The stress that comes with motherhood can have adverse effects on your facial skin. The development of brownish spots is just one of them. To stop these dark spots from increasing, it is important to be gentle to the skin and cleanse it twice a day with a mild cleanser.

3. Melasma
Sometimes, during pregnancy, dark patches develop on the face. These are called chloasma or melasma. This change in the pigmentation occurs due to the high level of pregnancy hormones in the body. These hormones gradually decrease after pregnancy. While some brown patches may become less obvious, others may stay for good. Anyone with this condition must avoid constant exposure to the sun.

4. Dark Circles and Puffy Eyes
Dark circles and puffy eyes are the results of hormonal changes, as well as lack of sleep after childbirth. Your eyes express the tiredness that your body experiences post-delivery. Constantly waking up to feed the baby causes a lack of proper sleep, leading to dark circles.

5. Acne
Acne breakouts during or post-pregnancy are very common. High progesterone levels post-pregnancy can cause pimples to break out. If you have had clear skin throughout the pregnancy, then this may come as a surprise to you.

6. Hypersensitivity
Many of you may experience sensitive skin after pregnancy. Anything may cause your skin to react adversely. For example, even a little exposure to the sun may cause the skin to burn. Sometimes, your skin may feel irritated towards things like chlorine and detergent.

As mentioned earlier, some of the above skin issues may fade away with time, while some conditions such as skin allergy after giving birth may stay and require medical attention.

15/12/2021

What causes postpartum skin changes?
Your skin — your body’s largest organ — stretched and morphed to accommodate your newborn (or multiples). Pregnancy-related skin changes arise for a number of reasons, including:

Hormonal swings

Vascular changes

Glandular changes

Structural changes in your skin

Pre-existing skin conditions that worsen (or sometimes improve) during pregnancy

Postpartum skin changes are mostly the continuation of pregnancy-related issues, but occasionally certain conditions like acne only crop up after giving birth. Is it any wonder that your skin is acting up? Give it time. It may take a while for the effects of pregnancy to wear off and your skin to return to normal.

Top postpartum skin issues
Don’t worry too much about your skin’s texture or appearance after childbirth. Your body has been through the mill, and the fact that you’re not sleeping very much doesn’t help at all. In many cases, your skin issues will resolve with the passage of time and some TLC!

Here’s what may be causing your postpartum skin problems:

Postpartum acne
A pimple-pocked face is annoying but often unavoidable. During pregnancy, your sebaceous glands kick into overdrive. These glands produce the oily wax, called sebum, that keeps your skin moist. Excess sebum can clog pores, leading to acne breakouts.

11/12/2021

Why does the skin get melasma and how to treat it?

Melasma is a pigmentation disorder that occurs when the melanin disorder is overproduced, the amount of melanin is produced and pushed deep into the epidermis.
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Why does the skin get melasma and how to treat it - Photo 1.
Melasma is currently a concern of many women, especially those who turn 30. Melasma is formed by many reasons:

- Due to external factors such as smoke, dust, heat and UV rays, prolonged stress or improper use of cosmetics, or poor quality cosmetics and makeup removers, even fake;

- Due to internal factors when the skin defense system produces too much melanin, the main cause is usually hormone or hormonal imbalance, reaction to drugs, pregnancy or perimenopause...

Or when treating melasma, improper whitening skin care such as peeling, or using cosmetics, but they all fail. Therefore, the treatment of melasma needs a continuous, proper treatment process, if not properly treated, melasma will return. At the same time, after treating the current dark spots, it is also necessary for women to have a skin care and maintenance process to maintain the long-term treatment effect.

Melasma has so many types that it is difficult for women to distinguish which condition they are in. To help you know about the types of melasma, we would like to classify them as follows:

Melasma

As the skin on the cheekbones appears a light brown patch, this melasma appears due to a reaction to drugs or cosmetics, or the harmful effects of environmental pollution and sunlight on the skin's surface. Maybe work makes you stressed, tired, or using birth control pills for a long time is also the cause of melasma. But this skin pigmentation is not deep (also known as legless melasma), so the treatment will be easier and faster with some cosmetic treatment technologies such as Laser Toning, Fraxel Dual or stem cell skin care treatment. .

Deep Melasma

There are causes from within the body due to hormonal changes, or for pregnant and premenopausal women, the manifestation of this type of melasma on the surface of the skin is dark brown spots, so deep melasma is also possible. understood as the type of melasma. If the skin is not properly cared for and protected, melasma will become increasingly pigmented, manifested as increasingly dark brown spots. Treatment of this type of melasma is very difficult and long-term, so it is necessary to use the most advanced technology today, which is Excel V, Fraxel Dual, Atlas Dual lasers combined with stem cell treatment to accelerate skin cell regeneration. new.

Mixed melasma

As a combination of 2 types of melasma and spot melasma, the treatment method will also be more complicated, and longer lasting. Depending on the severity or mildness of melasma, the doctor will prescribe appropriate laser treatment and combine it with other stem cell treatment programs.

In general, melasma is a condition in which the appearance of spots, patches of brown-gray discoloration of the skin on the face, growing slowly, tending to become darker if not prevented. Melasma is not dangerous but greatly affects the aesthetics, so it needs to be treated properly. Melasma is an increase in melanin under a certain area of the skin, caused by many reasons and very difficult to treat.

Melasma appears very common in women of all ages. Melanin is a pigment produced by melanocytes below the epidermis, which is responsible for helping to protect the skin against the harmful effects of UV rays. However, when these pigments are concentrated in high density, it will cause melasma. The increased production of melanin usually occurs during pregnancy but is also very common when women enter middle age, perimenopause - menopause.

Melasma usually appears on the forehead, cheeks, sometimes on the sides of the neck, shoulders and arms. Melasma is sometimes small but also has melasma like freckles and large patches of melasma. Melasma is differentiated in depth as epidermal, dermal, and mixed.

20/11/2021

TOP POSTPARTUM SKIN ISSUES
Don’t worry too much about your skin’s texture or appearance after childbirth. Your body has been through the mill, and the fact that you’re not sleeping very much doesn’t help at all. In many cases, your skin issues will resolve with the passage of time and some TLC!
Here’s what may be causing your postpartum skin problems:
Postpartum acne
A pimple-pocked face is annoying but often unavoidable. During pregnancy, your sebaceous glands kick into overdrive. These glands produce the oily wax, called sebum, that keeps your skin moist. Excess sebum can clog pores, leading to acne breakouts. If you’re still pimply postpartum, here’s what you can do:
Wash your face twice daily. Use a mild cleanser and warm water.
Resist the urge to pick or squeeze. That could cause scarring.
Consult your doctor. Ask about which topical treatments to try.
Postpartum dry skin
Hormonal changes in pregnancy can leave your body parched, especially your face. To treat dry, flaky skin that persists after you’ve delivered, maintain a moisturizing routine.
Follow this dry-skin revival regimen:
Gently cleanse. In other words, no harsh soaps. Wash with a non-soap cleanser once a day and plain water the rest of the time.
Moisturize. Do it after your shower and before bed.
Avoid long, hot soaks or showers. You don’t want to strip your skin of its natural oils. Instead, take a 10- to 15-minute shower or bath (perhaps with added bath oil) in warm water.
Hydrate from within. Drinking plenty of fluids and including healthy, omega-3 fatty acids in your diet can help to keep your skin supple.
Use a humidifier (to add moisture to your environment).
Protect your skin from the sun. Apply a 30-or-greater SPF broad-spectrum sunscreen each day.
Take note: There can be other reasons your skin is bone-dry. For example, about 5 to 10 percent of women in the U.S. develop inflammation of the thyroid gland after pregnancy (a condition called postpartum thyroiditis).
At first, thyroid hormone levels in the blood spike. You may have anxiety, insomnia, fast heart rate, fatigue, weight loss, or irritability. In a matter of months, thyroid levels then plummet, and new symptoms surface, such as weight gain, constipation, depression, and, yes, dry skin.
It often resolves in 12 to 18 months, yet as many 20 percent of women may continue to have low thyroid levels. Your doctor can order a blood test to check your thyroid function.

20/11/2021

POSTPARTUM SKIN CARE GUIDE
Some of the skin changes you experience during pregnancy may persist after you have the baby. Here's what to expect and when your skin should return to normal.
It can take a while for your skin to rebound after pregnancy, and we’re not just talking about your stretched-out belly. Dark patches across your forehead, nose, and cheeks? It’s called melasma and it’s really common. Pregnancy acne? That can happen too.

Fortunately, blemishes and other skin changes that arise during the nine-month prelude to the big event will mostly resolve during the postpartum period. But if you’re still having breakouts, dry skin, or other skin problems after pregnancy here’s what may be going on and what you can do to pamper your postpartum skin.

What causes postpartum skin changes?
Your skin — your body’s largest organ — stretched and morphed to accommodate your newborn (or multiples). Pregnancy-related skin changes arise for a number of reasons, including:

👉Hormonal swings

👉Vascular changes

👉Glandular changes

👉Structural changes in your skin

Pre-existing skin conditions that worsen (or sometimes improve) during pregnancy

Postpartum skin changes are mostly the continuation of pregnancy-related issues, but occasionally certain conditions like acne only crop up after giving birth. Is it any wonder that your skin is acting up? Give it time. It may take a while for the effects of pregnancy to wear off and your skin to return to normal.

18/11/2021

📌LIVING WITH
❓How do I take care of myself?
Avoid exposure to sunlight without sunscreen. Cut down on screen time in front of your LED screen television, tablet, mobile phone, and computer. Choose a method of birth control that doesn’t include hormones. Use the treatment and management advice from your dermatologist or another healthcare provider. And make sure you’re getting the right treatment by confirming the diagnosis with your healthcare provider.
❓What is it like living with melasma?
Melasma is harmless, physically, but can have an emotional impact. Some people may feel embarrassed to allow others to see their skin condition. Fortunately, melasma typically fades after about three months.
❓When should I see my healthcare provider about melasma?
To start treatment, see your healthcare provider as soon as possible when you see signs of melasma. The worse it gets, the harder it will be for treatments to work.
❓What questions should I ask my healthcare provider about melasma?
-Do I have melasma or another type of skin disorder?
-What medications and/or vitamins can I take to help heal my melasma?
-How many hours of sunlight do you recommend I receive?
-Is there a specific sunscreen you recommend?
-Are the soaps I’m using right now aggravating my melasma (come with a list if you need to)?
-What birth control should I use?
-Are any of my current medications causing or worsening my melasma?
Note
Melasma is common, normal and harmless, but it can be bothersome. This skin disorder can affect your social life if you’re feeling self-conscious about it. But you don’t have to just “live with it.” There are treatment options. There are preventative measures you can take. There are dermatologists who can help you. Ask them questions and voice your concerns.
Always listen to the advice of your healthcare provider and follow your treatment plan carefully.

17/11/2021

🛡 PREVENTION
❓Can melasma be prevented?
Regrettably, you can’t avoid genetics, or stop the skin condition when you’re pregnant. But you may be able to avoid the factors listed above which make melasma worse. At this time no medication can completely prevent melasma. However, a skin-friendly diet including adequate amounts of vitamin D is likely to help.

OUTLOOK / PROGNOSIS
❓What can I expect if I’ve been diagnosed with melasma?
Melasma is a harmless skin condition. It doesn’t itch or hurt, and it doesn’t become malignant. Expect it to get worse and/or reoccur if you don’t take steps such as avoiding the sun and makeup and soaps that irritate your skin.

❓How long will I have melasma?
If you have the dermal pigment, it may take longer to fade away than if you have the epidermal pigment. Melasma is typically a chronic disorder. This means that it’s long-lasting (three months or more). Depending on the person, melasma may go away on its own, it may be permanent, or it may respond to treatment. If you take preventative measures and follow any treatments recommended by your healthcare provider, your melasma might disappear.

17/11/2021

❓What specialist should I see to help with the treatment of melasma?
A dermatologist specializes in skin conditions. They can help you with the management and treatment of your melasma.

❓Does makeup cover up melasma?
Yes, but use cosmetics that include sunscreen and pay attention to any that may aggravate your melasma by irritating your skin.

❓What vitamins can I take to help with melasma?
Vitamin D helps keep your skin healthy in general. Your healthcare provider might test your vitamin D levels to make sure that you’re getting enough of it from high vitamin D foods such as meat, cereals, oily fish, and eggs. You could also take a vitamin D supplement. Start at 2,000 International Units (IU) per day.

❓Will melasma go away if I go off birth control?
If the hormones in your contraception are the cause of your melasma then, yes, it may go away. Typically it takes about three or more months for the melasma to fade.

❓Will melasma go away after I give birth? What about after breastfeeding?
Melasma will likely fade within three months after you’re no longer pregnant.

16/11/2021

❓Are there complications/side effects of the medications?
Dermatitis is a side effect of hydroquinone and tretinoin. Azelaic cream, lotion, or gel can sting. Always be on the lookout for any allergic reactions. Report all side effects to your healthcare provider. It might be appropriate for you to use different medications to avoid the side effects.
Chemical peels and lasers may cause the surface layers of skin to die, cause post-procedure hyperpigmentation, and cause hypertrophic scars. They can be safely used with topical medications, but only by specialists who have experience treating melasma.
❓How long will it take for the medications to take effect?
It depends on the person and the medication used. Melasma can be slow to respond to treatment. The agents listed above rarely eradicate all of the melasma.
❓Are there any procedures that can help melasma?
Topical treatment isn’t your only option. There are some procedures that your dermatologist can do to improve your melasma.
Chemical peel: In this procedure, your dermatologist will put a chemical on your skin that may make it peel. The skin that regenerates should be smoother and more evenly colored.
Light-based procedures like intense pulsed light, non-ablative fractionated lasers, and low fluence Q-switched lasers.
What do I do if I’m pregnant and have melasma?
Your melasma is likely to go away when you’re no longer pregnant. If it doesn’t, pursue treatment options with your healthcare provider. While pregnant, be careful to only use topical and oral treatments that are approved for pregnant women.

15/11/2021

❓Can melasma go away on its own?
Yes, your melasma may go away on its own within a few months. However, it is not likely to go away while you’re pregnant or taking hormone contraceptives. Take preventative steps like avoiding sunlight to keep your melasma from getting worse or, if it does fade away, to keep it from coming back. Melasma can return.

❓How is melasma treated? What medicines help?
👉The first thing you need to do to treat your melasma is to make sure that it doesn’t worsen. Do this by avoiding the sun, tanning beds, LED screens, irritating soaps, and birth control that includes hormones. If you are exposed to the sun, be sure to wear sunscreen with iron oxides and an SPF of 30-50 applied every two hours, as well as a wide-brimmed hat. These steps may prevent your melasma from getting worse.

👉The second path to take is topical medications. Topical therapy using tyrosinase inhibitors prevents new pigment formations by stopping the formation of melanin (the dark color). Examples of tyrosinase inhibitors and other types of helpful agents include:

Azelaic acid: This cream, lotion, or gel is applied twice a day. It’s safe for pregnant women to use.
Cysteamine: A small study of 50 people found cysteamine cream to be more effective than a placebo.
Hydrocortisone (a topical corticosteroid): Hydrocortisone helps fade the color caused by melasma. It can also lessen the likelihood of dermatitis that may be caused by other agents.
Hydroquinone: This medication is applied as a cream or lotion. It goes directly onto the melasma patches at night for two to four months.
Methimazole: Methimazole is an antithyroid cream or an oral tablet. It’s known to help melasma that resists hydroquinone.
Soybean extract: Soybean extract is thought to reduce the transfer of color from the melanocytes to the skin cells.
Topical alpha hydroxy acid: Epidermal pigments can be peeled off. This cream or chemical peel removes surface skin.
Tranexamic acid: This is a cream or injection, or oral medication.
Tretinoin: This prescription is a topical retinoid. It’s effective, but can cause dermatitis and should not be used during pregnancy.
The combination of hydroquinone, tretinoin, and a moderate topical steroid has had the best effect on melasma.

👉Other agents that are being studied to improve melasma include:

Absorbic acid (vitamin C).
Arbutin.
Deoxyarbutin.
Glutathione.
Kojic acid or kojic acid dipalmitate.
Licorice extract.
Mequinol.
Resveratrol.
Runicol.
Zinc sulfate.

15/11/2021

🩺MANAGEMENT AND TREATMENT
❓Is there a cure for melasma?
Melasma is hard to treat. To determine a treatment plan, your healthcare provider will have to first figure out what’s possibly causing the melasma. Is it sunlight? Your birth control? Genetics? Your soap? Too much screen time?

Depending on the person, melasma may go away on its own, it may be permanent, or it may respond to treatment within a few months. Most cases of melasma will fade away with time and especially with good protection from sunlight and other sources of light.

Unfortunately, there is no definitive treatment that will automatically make melasma disappear. At this time there is no way to remove dermal pigment.

If you have melasma, be sure to avoid:

Hormone treatments, specifically ones that involve estrogen.
Birth control, specifically oral contraceptive pills that contain estrogen and progesterone.
LED light from your television, laptop, cell phone, and tablet.
The makeup you find irritating to your skin.
Medications that may cause or worsen melasma.
Scented soaps.
Skincare products that irritate your skin.
Tanning beds.
Waxing, which can aggravate the melasma.

❓Do I need to see a dermatologist for melasma?
Yes. A dermatologist will be able to perform treatments that your usual healthcare provider may not be able to.

13/11/2021

What questions might my healthcare provider ask to diagnose melasma?
❓When did see the discoloration in your skin?
❓Where are the discolorations located on your body?
❓Is there a history of melasma in your family?
❓Are you pregnant?
❓What soaps do you use?
❓What cosmetics/makeup do you use?
❓Do you have any other skin disorders?
❓Are you interested in prescriptions that may improve your melasma?
❓Are you interested in procedures that may improve your melasma?
❓Can melasma be raised on the skin?
Melasma is usually flat. See your healthcare provider if you have concerns about another type of skin disorder.
❓Can melasma appear overnight?
No. Melasma appears slowly over a period of weeks or months.
❓Are freckles melasma?
Spots of melasma can sometimes be mistaken for freckles but they are not the same skin condition.
❓Are age spots/sunspots/liver spots melasma?
They can look similar! But, melasma patches are almost always larger than what we call age spots, sun spots, or liver spots. Ask your healthcare provider if you’re concerned about another condition.

Dr Corin Jullet Carlson Dermatology

15/12/2021

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