Melasma in skin of colour: what does it mean?

Melasma can appear as flat, uneven patches, often on areas exposed to light. In deeper skin tones, the colour may be subtle in some lighting and more grey-brown or strongly contrasted in others. Skin of colour can also develop post-inflammatory pigmentation after acne, eczema, burns, waxing, or product irritation, so similar-looking marks have different explanations. A clinician assesses distribution, surface, symptoms, and history rather than relying on colour alone.

Use gentle cleansing, regular moisturising, and diligent protection from sunlight and visible light. Introduce only one new product at a time and stop it if there is burning or persistent redness. Avoid aggressive scrubbing and unmonitored bleaching mixtures. If melasma is confirmed, a clinician may consider a skin-brightening treatment or procedures such as chemical peel, microneedling, or laser toning, using conservative settings and follow-up because irritation can create more pigment.

Arrange review if the patch is new, spreading, itchy, scaly, painful, thickened, bleeding, or changing in shape. Prompt assessment is appropriate for a sore that does not heal or a mark unlike your usual pigmentation. Early clarification can prevent a worsening cycle of irritation and unnecessary treatment.

Is this melasma or post-inflammatory pigmentation? How can we reduce irritation during treatment? Which procedure settings suit my skin? What symptoms should make me stop a product and call?