Melasma and Pigmentation: What to Know

Melasma produces flat brown, grey-brown or tan patches, commonly across the cheeks, forehead, nose or upper lip. Sunlight and visible light can stimulate pigment, while hormonal changes, heat and irritation may also influence it. Pigmentation is a broad term: Dark Patches On Skin and Uneven Skin Tone can have many causes, including inflammation, medicines or sun damage. A clinician examines the pattern and history before labelling it melasma.

Use a gentle cleanser, moisturiser and broad-spectrum sunscreen every day; add shade, sunglasses or a hat when outdoors. Avoid picking spots and introduce exfoliating or brightening products only as directed, because irritation can make colour more visible. Treatment may involve a Skin Brightening Treatment, Chemical Peel, Microneedling or Laser Toning, depending on the depth, activity and sensitivity of the pigment. Improvement is usually gradual, and maintenance may be needed.

Take clear photographs in consistent lighting so you and your clinician can notice true change rather than day-to-day variation. Mention pregnancy, breastfeeding, hormonal medicines and any new skincare when discussing options.

Book a skin review if a patch changes quickly, becomes raised, bleeds, crusts, forms a sore or differs sharply from your other areas of pigmentation. Seek prompt care for painful swelling, pus or rapidly spreading redness after a procedure. These signs are not typical reasons to keep exfoliating at home.

What supports the diagnosis of melasma in my case? Which light-protection measures and products fit my skin? What is the gentlest treatment option, and how will we respond if the pigment darkens?