Melasma’s Impact on Quality of Life

February 2020 | Volume 19 | Issue 2 | Original Article | 184 | Copyright © February 2020

Published online January 24, 2020

Karen Kagha MD,a Sabrina Fabi MD,b Mitchel P. Goldman MDb

aLoma Linda University Medical Center, Department of Dermatology, Loma Linda, CA bUniversity of California, San Diego; Cosmetic Laser Dermatology, San Diego, CA

Finally, while it may be best to distinguish from the QoL scale, willingness to pay is another important measure of disease burden that should be considered in future melasma clinical studies.33 A study conducted in Germany on patients with rosacea found that 25.7% would pay €100 ($130) for a sustainable cure, 27.1% would pay €500 ($650), 21.4% would pay up to €1000 ($1300), and 19% would pay greater than or equal to €1000 ($1300).33 Since data shows that even a small amount of melasma may be significantly distressing to a patient, willingness to pay may be another important tool combined with QOL and self-esteem assessment used to further assess the importance of adequately treating these patients.


Overall, melasma presents as a unique chronic and often recurring pigment disorder that mostly commonly affects women of dark skin types. This condition has a significant impact on QOL and self-esteem in ways that may not be fully captured by the 2003 MelasQOL assessment tool. Several enhancements to this assessment tool can be made in order to better serve patients suffering with this condition.


Dr. Fabi has conducted research studies and consulted for SkinMedica, Colorscience, Lumenis, and Solta. Dr. Goldman Goldman has conducted research studies and consulted for SkinMedica, SkinCeuticals, Isdin, Topix, Cell Research Corporation, Lumenis, and Solta. Dr. Kahga has no conflicts of interest to declare.


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Karen Kagha MD