Hormonal Melasma Treatment: What to Know

[Melasma](/conditions/melasma/) usually appears as fairly even brown or grey-brown patches on areas such as the cheeks, forehead, nose, or upper lip. Pregnancy, hormonal contraception, other hormonal shifts, heat, and light exposure can influence it. [Dark Patches On Skin](/symptoms/dark-patches-on-skin/) and [Uneven Skin Tone](/symptoms/uneven-skin-tone/) have other possible explanations, so diagnosis should come before treatment. The pigment may be superficial, deeper, or mixed, and that affects response.

Daily broad-spectrum sunscreen, shade, a hat, and attention to visible light are the foundation. Use gentle cleansers and moisturisers, and stop products that sting or inflame the skin. A clinician may prescribe a topical plan or discuss [Skin Brightening Treatment](/treatments/aesthetic-procedures/skin-brightening-treatment/). Selected patients may be offered [Chemical Peel](/treatments/aesthetic-procedures/chemical-peel/), [Microneedling](/treatments/aesthetic-procedures/microneedling/), or [Laser Toning](/treatments/laser-and-energy/laser-toning/). Procedures can irritate skin and worsen pigment in some people, so treatment settings, skin tone, active inflammation, and pregnancy plans matter.

Have a new or changing dark area examined if it is one-sided, irregular, raised, bleeding, crusted, painful, or persistently itchy rather than a familiar flat pattern. Seek review when pigment changes quickly, follows a new medicine or product, or fails to improve with gentle care. Pause cosmetic procedures and seek advice if you develop blistering, marked pain, or prolonged inflammation.

Does the distribution fit melasma or another diagnosis? Is the pigment superficial or deeper? Which topical ingredients are appropriate with my pregnancy or contraception plans? Would a peel, microneedling, or laser be reasonable for my skin tone, and how will recurrence be managed?