What should you know about freckles and melasma treatment?

Freckles are usually small, flat spots that become more noticeable after ultraviolet exposure. Melasma more often forms broader, patchy areas of brown or grey-brown pigmentation, commonly on the cheeks, forehead, upper lip, or jaw. The conditions can coexist, and a picture or product recommendation cannot reliably separate them. A dermatologist may examine the distribution, surface, and history of change before discussing treatment.

Use broad-spectrum sunscreen every day and combine it with shade, a hat, and protective clothing. Be gentle with cleansers and moisturisers, and stop using products that sting or inflame the skin. Ask whether a topical plan should come before a procedure. For selected freckles, a clinician may discuss [IPL Photofacial](/treatments/laser-and-energy/ipl-photofacial/) or [Picosecond Laser Treatment](/treatments/laser-and-energy/picosecond-laser-treatment/). Melasma may respond differently, so treatment should not be chosen solely because a procedure helped someone else.

Seek a dermatology assessment for any pigmented mark that changes quickly, develops an irregular border or mixed colours, bleeds, crusts, hurts, or stays itchy. Arrange review if pigmentation spreads unexpectedly, becomes inflamed after a product, or does not fit your usual pattern. A changing lesion needs medical assessment before cosmetic treatment.

Ask whether the pattern is freckles, melasma, or another condition; what treatment goal is realistic; and how to reduce irritation and recurrence. Ask whether your current skincare, medicines, pregnancy plans, or recent tanning affect the choice and timing of treatment.