Malesma Cholasma Fascial discolouration homeopathic treatment

Are you troubled regarding the change in color or pigmentation on your face? Pigmentation problems can impinge on any person from teenage years to old age encumbering your good looks and personality. Melasma is a discoloration of brown patches in an identical pattern on either side of the face, mainly on cheeks, nose, forehead, chin and upper lips. Melasma is generally mistaken for a tan and overlooked by people thinking it will fade away gradually. Anything that arouses the production of pigment producing cells or melanin pigment in the skin can lead to Melasma. Melasma is more customary in women, but at times can concern men too.

Melasma is a very common patchy brown, tan, or blue-gray facial skin discoloration, almost entirely seen in women in the reproductive years. It typically appears on the upper cheeks, upper lip, forehead, and chin of women 20-50 years of age. Although possible, it is uncommon in males. It is thought to be primarily related to external sun exposure, external hormones like birth control pills, and internal hormonal changes as seen in pregnancy. Most people with melasma have a history of daily or intermittent sun exposure. Melasma is most common among pregnant women, especially those of Latin and Asian descents. People with olive or darker skin, like Hispanic, Asian, and Middle Eastern individuals, have higher incidences of melasma.
An estimated 6 million women are living in the U.S. with melasma and 45-50 million women worldwide live with melasma; over 90% of all cases are women. Prevention is primarily aimed at facial sun protection and sun avoidance. Treatment requires regular sunscreen application and fading creams.

Causes of Melasma:


  • Hereditary.
  • Hormonal imbalance caused by oral contraceptive pills, hormonal changes during pregnancy, or hormonal replacement therapy.
  • Prolonged sun exposure.
  • Photo sensitizing medications, after shave lotions, cosmetics and toiletries.
  • Sometimes cause can be unidentified.
  • Repeated pregnancies can deepen the pigmentation.
  • Folic acid deficiency.
  • Ovarian or thyroid disorder.
  • Stress.



Melasma is characterized by discoloration or hyperpigmentation primarily on the face.
Three types of common facial patterns have been identified in melasma, including
1. centrofacial (center of the face),
2. malar (cheekbones),
3.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.

Pathological (aetiological)reason of Malesma

Pregnant women have increased oestrogen, progesterone, and melanocyte-stimulating hormone levels during the second and third trimesters of pregnancy . Pregnancy-related Melasma may be caused by the presence of increased levels of progesterone and not due to oestrogen and MSH . Postmenopausal women receiving progesterone replacement therapy are more likely to develop Melasma; while postmenopausal women receiving oestrogen alone seem less likely to develop it. (

Products or treatments that irritate the skin may cause an increase in melanin production and accelerate Melasma symptoms.

People with a genetic predisposition or known family history of Melasma are at an increased risk of developing Melasma. 

Types of melasma

Four types of pigmentation patterns are diagnosed in melasma:
1. epidermal,
2. dermal,
3. mixed,
4.and an unnamed type found in dark-complexioned individuals.
The epidermal type is identified by the presence of excess melanin in the superficial layers of skin. Dermal melasma is distinguished by the presence of melanophages (cells that ingest melanin) through out the dermis. The mixed type includes both the epidermal and dermal type. In the fourth type, excess melanocytes are present in the skin of dark-skinned individuals.

Homeopathic Treatment of Malesma

Homoeopathic medicines have shown very optimistic results in cases of Melasma. Homeopathy offers a comprehensive constitutional treatment, which gets to the root of the problem and helps build up immunity and in due course restores the pigmented patches back to the normal skin color. Homoeopathy considers Melasma as a local expression of a system disturbance. Homeopathy believes that skin disorders are a reflection of an internal imbalance and needs to be treated from within. Homeopathic constitutional approach takes care of hyperpigmentation along with treating the person as a whole and improving the general health of the patient. Homeopathic remedies treat the hormonal imbalance and control the excessive production of Melanin. This further improves the texture of the skin, reduces occurrence of new patches, and slowly reverts to its normal condition without leaving any blemishes.

As Homeopathy treats Melasma from within, when the constitutional treatment is completed satisfactorily, it is unlikely that the patches reappear again as compared to treatment with conventional medicines. Homeopathic remedies are natural, gentle, harmless and easy to take, are also regulated by the FDA and prepared according to the Homeopathic Pharmacopeia of the United States.

Homeopathic Remedies(medicines) for Malesma


Caulophyllum, :
. Chloasma in women, especially who are having uterine troubles and menstrual disorder, weak uterus, profuse leucorrhoea, menses scanty, irregular with spasmodic pains from uterus to all directions -rheumatic pains in smaller joints.

Cadmium sulph:

Chloasma, yellowish stains on nose and cheeks, worse exposure to sun and wind.

Sepia- .

The yellow earthy complexion of Sepia is something remarkable; the yellowish – brown saddle across the bridge of the nose, and the chloasma on various parts of the skin, are characteristic of the drug. These ” liver spots.” are seated in the retie mucosum, and are probably due to assimilative debility of the trophic nerves. We see it so often associated with hysteria and ovario – uterine diseases, that this may have something to do with the cause of chloasma.

Chlorosis with chloasma-liver spots over face, cheeks or nose. Patient feels uneasiness in crowd, among strangers with sudden flushing (reddening of face) and palpitation of heart. Women patients have dreamful sleep, bearing down sensation as if every thing would pass out of the genitals - with soreness, swelling and itching of vulva. Such patients feel nausea from the smell of food. Menses irregular too early or scanty.Caulophyllum:

Chloasma, on neck. Discoloration of skin in women with menstrual and uterine disorder. Skin was hot and dry.


Formation of chloasma at the chest and back, which itch violently in the evening.

Paullinia sorbilis:

Chloasma on the temples and arms.

Thuja Occidentalis

Dry skin with brown spot. Hydrogenoid constitution. skin looks dirty. Face, pale, waxy, shiny; dark under eyes; spiderlets on.

Plumbum metallicum

Yellow, corpse like dark brown liver spots; cheeks sunken. Skin of face is greasy, shiny. Face pale cachetic.


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About Dr. GS Makkar

Dr. GURPREET SINGH MAKKAR is a dynamic homeopath from India(pb). He is an ardent student of classical Homeopathy. He is a registered doctor degree holder (B.H.M.S.) from Sri Guru Nanak Dev Homoeopathic medical college(S.G.N.D Barewal Ludhiana,PUNJAB, India.
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