What Is Endocrine Melasma - Distinguishing Endocrine Melasma & Normal Melasma 6

What is Endocrine Melasma – Distinguishing Endocrine Melasma & Normal Melasma

Nam It is always a skin condition that many women fear. Because they are not only unsightly, but they are also very difficult to treat and take a lot of time. Especially in recent years Miss Tram VietNam received a lot of customers suffering from endocrine melasma – a severe level of melasma and much more difficult to remove than normal melasma. Therefore, as a professional skin care professional, in addition to mastering the treatment process, you need to distinguish the levels of melasma to advise and build the best treatment course for customers.

Within the scope of this article, Miss Tram Academy will help you understand more about hormonal melasma and the difference from normal melasma.

What Is Endocrine Melasma – Distinguishing Endocrine Melasma & Normal Melasma

1. What is endocrine melasma?

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Manifestations when the skin is melasma due to hormones

Endocrine melasma is a condition in which melasma occurs due to a disturbance in the female hormone estrogen. Not only is an important sex hormone of the body, estrogen also has the function of inhibiting the production of MSH hormone - a hormone that stimulates the production of melanin under the skin.

Due to a number of changes in the body's physiology, estrogen levels are reduced, losing the ability to inhibit MSH and causing uncontrolled melanin production. From there, melasma legs are formed and gradually pushed onto the skin, causing the appearance of melasma.

Endocrine pigmentation is a condition in which the skin appears melasma due to the disruption of the female hormone estrogen. The increase or decrease of estrogen hormone causes hormonal imbalance in the body, stimulating the production of melanin and the formation of melasma.

Endocrine melasma is also known as deep melasma – this is a severe type of melasma and difficult to treat without appropriate methods and procedures. The severity of this type of melasma can be different, depending on the hormonal disorder inside the client's body.

2. Distinguish between endocrine melasma and normal melasma

Melasma is divided into 3 main levels:

  • Melasma level 1: Level of melasma – this is a common skin condition due to the influence of negative external factors in the environment.
  • Melasma level 2: Deep-seated melasma – this is a skin condition that occurs due to internal factors (also known as endocrine melasma).
  • Melasma level 3: Mixed melasma of the above 2 levels – this is the most difficult melasma to treat because melasma is severe both outside and deep inside the skin.

Each level of melasma will have its own unique characteristics. Therefore, to understand and recognize melasma in the most accurate way, you need to distinguish between hormonal melasma and normal melasma:


Endocrine melasma

Usual Melasma

Cause of formation

  • Abnormal hormonal changes during pregnancy and postpartum.
  • Due to stress, prolonged stress.
  • Due to the influence of birth control pills.
  • Due to ovarian diseases or hormonal imbalance in perimenopause.
  • Due to frequent and constant exposure to the sun.
  • Due to improper skin care, using poor quality cosmetics or treating the skin with peeling methods.
  • Negative effects from environmental pollution.


  • Morphology: Endocrine melasma usually appears as dark brown spots. If you look at the light, you can see that the central spots are more pigmented and darker in color. The size of melasma is also irregularly large and small and interspersed with each other.
  • Melasma usually has the form array form, by the concentrated pigments scattered on the skin surface and gathered in large clusters. Melasma often has light brown, sometimes the boundary with the healthy skin is not clearly defined.
  • Location: Endocrine melasma usually appears symmetrically on the cheeks, the temples and sometimes on the forehead, nose, or around the mouth. They do not appear on other skin areas of the body.
  • Melasma often has a location similar to endocrine melasma. However, sometimes they also appear in the arm area.
  • Level: Endocrine melasma often appears from deep inside the skin, so it is difficult to treat. In particular, melasma can spread if the endocrine disorder in the body does not subside.
  • Melasma is usually milder than hormonal melasma because the melasma is not deep under the skin. However, if there is no timely treatment method, melasma legs will become more and more deeply rooted in the skin and more difficult to treat.
  • Symptoms may be accompanied by: menstrual disorders, insomnia, fatigue, poor appetite, acne skin ...
  • Melasma usually has no accompanying symptoms.


Endocrine melasma needs to be combined to treat both causes and symptoms:

  • Use hormone balancing pills in combination with a healthy diet to regulate hormones in the body.
  • Laser melasma treatment combines a rigorous at-home skin care routine with specialized skin care products.
  • Limit the use of peeling and peeling methods.
  • Live in moderation, avoid stress and tension.

Melasma has a milder grade, but to remove it quickly, it is also necessary to combine treatment and careful skin care from the inside out:

  • Treatment of melasma with laser technology combined with special treatment products, to increase skin regeneration and inhibit melanin production.
  • Use appropriate skin care products and pay special attention to skin protection.
  • Strengthen the skin's resistance by establishing a healthy diet and lifestyle.

3. Instructions on how to receive customers with melasma

What Is Endocrine Melasma - Distinguishing Endocrine Melasma & Normal Melasma 8

To bring the fastest and safest melasma treatment results to customers, you need to receive, examine and treat according to the following process:

  • Step 1: Examination and skin examination

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The process of examining and examining skin for customers

This is the most important step in determining the client's skin condition. Therefore, in addition to examining and examining the skin to understand the level of melasma, you need to collect information about the customer such as: time of melasma, age of occupation, have you given birth, how is the skin care process, the skin care products you are using, etc. This helps you accurately analyze the cause of skin pigmentation and have an effective remedy.

  • Step 2: Consult the course for customers

From the client's current skin condition, plan the most suitable treatment course (with the right route and technology, treatment method).

In addition, you need to clearly analyze how long the process takes, how many sessions are needed, what treatments are used and how much it costs so that customers understand and commit to treatment.

  • Step 3: Carry out the appropriate procedures trình

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Reputable melasma treatment address

After agreeing on the course of treatment, proceed to treat melasma for the customer. 

Note, in the next course of treatment, you also need to re-examine the skin to determine if the treatment process is progressing well or not. From there, there is a direction to adjust or not adjust to the best fit.

  • Step 4: Instruct customers to take care of their skin at home

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How to effectively care for skin after laser treatment of melasma with YAG laser technology

To support the fastest skin pigmentation treatment process, customers need to have a thorough skin care and protection regimen at home. Therefore, you need to always guide the right skincare steps and set up a healthy diet for your guests.

Hope the above sharing of Miss Tram Academy will give you an overview of melasma conditions. Good luck!

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