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Updated: Jun 28, 2025

Author Spotlight: Non-Surgical Treatment of Melasma– Microneedling with Tranexamic Acid
Published on: January 19, 2024
Different therapeutic approaches in melasma: advances and limitations
Parisa Ghasemiyeh1, Rahil Fazlinejad2, Mohammad Reza Kiafar2
1Pharmaceutical Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Abstract:
Melasma is a chronic hyperpigmentation skin disorder that is more common in the female gender. Although melasma is a multifactorial skin disorder, however, sun-exposure and genetic predisposition are considered as the main etiologic factors in melasma occurrence. Although numerous topical and systemic therapeutic agents and also non-pharmacologic procedural treatments have been considered in melasma management, however, the commonly available therapeutic options have several limitations including the lack of sufficient clinical effectiveness, risk of relapse, and high rate of unwanted adverse drug reactions. Recruitment of nanotechnology for topical drug delivery in melasma management can lead to enhanced skin penetration, targeted drug delivery to the site of action, longer deposition at the targeted area, and limit systemic absorption and therefore systemic availability and adverse drug reactions. In the current review, first of all, the etiology, pathophysiology, and severity classification of melasma have been considered. Then, various pharmacologic and procedural therapeutic options in melasma treatment have been discussed. Afterward, the usage of various types of nanoparticles for the purpose of topical drug delivery for melasma management was considered. In the end, numerous clinical studies and controlled clinical trials on the assessment of the effectiveness of these novel topical formulations in melasma management are summarized.
Insights
Nanotechnology offers a promising approach to topical melasma treatment, enhancing drug delivery for better efficacy and fewer side effects. This review explores nanoparticles for managing hyperpigmentation disorders like melasma.
Area of Science:
- Dermatology and Nanomedicine
Background:
- Melasma is a common chronic hyperpigmentation disorder, primarily affecting women, with sun exposure and genetics as key triggers.
- Current melasma treatments have limitations, including insufficient effectiveness, high relapse rates, and adverse reactions.
Purpose of the Study:
- To review the etiology, pathophysiology, and classification of melasma.
- To discuss current therapeutic options for melasma.
- To explore the application of nanotechnology in topical drug delivery for melasma management.
Main Methods:
- Review of existing literature on melasma etiology, pathophysiology, and treatments.
- Analysis of pharmacologic and procedural therapeutic modalities.
- Examination of various nanoparticle types for topical delivery in melasma.
- Summary of clinical studies and trials on novel topical formulations.
Main Results:
- Nanotechnology can improve topical drug delivery for melasma by enhancing skin penetration and targeted action.
- Nanoparticles offer potential for longer drug deposition and reduced systemic absorption, minimizing side effects.
- Clinical studies indicate promising effectiveness of novel nanoparticle-based topical formulations.
Conclusions:
- Nanoparticle-based topical treatments represent a significant advancement in melasma management.
- These novel formulations show potential for improved therapeutic outcomes and safety profiles in treating hyperpigmentation.
- Further research and clinical trials are essential to fully establish the role of nanotechnology in melasma therapy.
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