Does melasma cause uneven skin tone?

Melasma increases pigment in selected areas rather than changing all skin equally. This creates blotchy or patchy colour, often across matching areas of the cheeks, forehead, nose, upper lip, or jaw. The tone may look more noticeable after sun or visible-light exposure and can vary with heat, hormonal shifts, or irritation. Melasma is generally flat; scale, crust, pain, or bleeding suggests that the area needs evaluation for another explanation.

Protect the skin from light with daily broad-spectrum sunscreen, shade, and a hat when outdoors. Keep products gentle and avoid scrubbing, picking, or treatments that cause burning, since inflammation can deepen uneven pigment. A dermatologist can confirm the pattern and recommend a tailored plan, which may include prescription creams or procedures. Take progress photographs in the same lighting rather than judging colour from day to day.

Book a skin assessment when uneven tone is new, spreading quickly, one-sided in an unusual pattern, or difficult to distinguish from a spot or rash. Seek prompt review for a raised, scaly, tender, crusted, or bleeding area. Professional advice is worthwhile if treatment causes strong irritation or if the colour continues to change despite consistent protection.

Ask whether the distribution fits melasma, which triggers may be affecting your skin, and which treatment is appropriate for your tone and sensitivity. Ask how long to trial a product, how to limit irritation, and when follow-up is needed.