What should you know about dark melasma on face?

Patches commonly appear on the cheeks, forehead, upper lip, nose, or jawline and may be similar on both sides. Daylight can deepen the colour, and visible light, heat, hormonal changes, or irritation may make control harder. The surface is usually flat rather than scaly. [Melasma](/conditions/melasma/) is the condition page for this pattern; [Dark Patches On Skin](/symptoms/dark-patches-on-skin/) and [Uneven Skin Tone](/symptoms/uneven-skin-tone/) describe related appearances. A clinician may use the history and examination to separate melasma from other pigment disorders.

Use broad-spectrum sun protection consistently, reapply as directed, and add shade or a hat when outdoors. Choose fragrance-free, non-irritating products and avoid picking or aggressive scrubbing. A dermatologist may discuss a tailored topical plan and, when appropriate, [Skin Brightening Treatment](/treatments/aesthetic-procedures/skin-brightening-treatment/), [Chemical Peel](/treatments/aesthetic-procedures/chemical-peel/), [Microneedling](/treatments/aesthetic-procedures/microneedling/), or [Laser Toning](/treatments/laser-and-energy/laser-toning/). Procedures can worsen pigment in some skin types, so diagnosis and conservative settings matter.

Book a dermatology review if patches are new, changing quickly, itchy, painful, raised, bleeding, or confined to one unusual spot. Seek advice before treating pigment during pregnancy, while breastfeeding, or when using medicines that affect the skin. Routine care is appropriate for longstanding, flat, symmetrical patches, especially when you want a diagnosis before choosing a procedure.

Does the pattern fit melasma or another pigment problem? Which forms of light and heat protection suit my daily routine? What treatment should come first, how long should I try it, and how will irritation or rebound darkening be handled?