Melasma and Age: What to Know

Melasma often appears as flat, patchy brown or grey-brown colour on sun-exposed facial areas. It can begin around hormonal changes, but it may also persist as the years pass. Cumulative light exposure and heat can keep pigment noticeable, while products, inflammation, and medicines may alter its appearance.

A new mark later in life should not automatically be labelled melasma. [Dark Patches On Skin](/symptoms/dark-patches-on-skin/) and [Uneven Skin Tone](/symptoms/uneven-skin-tone/) describe symptoms that can have several explanations. A clinician may also consider [Sun-Damaged Skin](/conditions/photoaging/) during examination.

Use broad-spectrum sunscreen, seek shade, and protect the face from intense heat and direct light. Choose a mild cleanser and moisturiser, and stop any product that causes persistent stinging or peeling. Photograph the area in consistent lighting if you want to track slow changes.

A dermatologist can match treatment to your pigment pattern, skin tone, sensitivity, and medical history. Discuss options such as [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/), including the possibility of irritation or recurrence.

Arrange an examination for a spot that is new and changing, asymmetric, raised, bleeding, crusted, persistently itchy, or painful. Seek prompt care after a procedure if there is severe pain, blistering, pus, fever, or swelling. Sudden facial swelling with breathing trouble needs urgent help.

Ask whether the pattern fits melasma, which other diagnoses were considered, how age-related medicines or hormonal changes affect treatment, and which option best limits irritation.