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Causes of Melasma on the Face

How the structures involved in Melasma differ from normal
Illustration: How the structures involved in Melasma differ from normal

Short answer

Melasma on the face is linked to increased pigment activity influenced by light exposure, hormonal changes, genetic tendency, heat, and skin irritation.

This answers one question. It is not a diagnosis and does not replace an assessment by a licensed doctor.

At a glance

Common areas
Cheeks, forehead, nose, and upper lip
Potential triggers
Light, heat, hormonal shifts, and irritation

How melasma develops

Melasma often appears as fairly even brown or grey patches on the cheeks, forehead, nose, or upper lip. Sunlight and visible light can stimulate pigment cells, and heat may add to the trigger. Pregnancy, hormonal contraception, or other hormone shifts can also be associated with its onset. Some people are more prone to it because of their skin and family pattern.

Facial darkening has several possible explanations. Sun-Damaged Skin, post-inflammatory pigment after irritation, and other causes of Dark Patches On Skin can look similar. A clinician uses the distribution, history, and examination to distinguish them.

Steps that can help

Use broad-spectrum sun protection consistently, seek shade, and consider a hat or physical barrier when outdoors. Avoid picking, harsh scrubs, and products that sting, since irritation may deepen pigment. Keep a simple record of triggers and changes. Depending on your skin and goals, a clinician may discuss Skin Brightening Treatment, Chemical Peel, Microneedling, or Laser Toning; these require careful selection because irritation can worsen uneven tone.

When to seek care

Arrange an assessment if facial patches are new, one-sided, rapidly changing, itchy, scaly, bleeding, or unlike your usual pattern. Seek review when pigment persists despite avoiding obvious triggers, because Uneven Skin Tone has causes beyond melasma. Prompt examination is appropriate for a sore or crusted spot rather than a flat, symmetrical patch.

Questions for your doctor

Ask whether the pattern is consistent with melasma, which light and heat exposures may be contributing, and which products are least irritating for you. Discuss pregnancy, hormone medicines, skin sensitivity, and how long to try a plan before changing it.

Find care

General Clinics & Polyclinics in Abu Dhabi

That answer is general. If you want it applied to your own case, these are licensed general clinics & polyclinics listed in Abu Dhabi.

City

Ordered by verification status and how complete each clinic's public record is, then alphabetically. This is a directory listing, not a ranking — Zavis does not rate or recommend providers.

A factual listing drawn from the DHA, DOH and MOHAP licence registers. It is not a referral, an endorsement, or advice that any of these providers is right for you.

Questions people ask

Does melasma come only from the sun?

No. Light can worsen it, but hormones, heat, inherited tendency, and irritation may also influence facial pigment.

Can treatment make melasma darker?

Some procedures can irritate skin and temporarily deepen pigment, so treatment should be selected and adjusted by a qualified clinician.

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Medical disclaimer. This page is general health information, not medical advice, and it cannot diagnose you. Always consult a licensed healthcare provider about your own symptoms and treatment. In an emergency in the UAE, call 998 for an ambulance.