Melasma and Paula’s Choice: what to know

Melasma causes flat brown or grey-brown patches, often across the cheeks, forehead, nose, or upper lip. It reflects increased pigment activity rather than dirt or poor hygiene. Sunlight and visible light can deepen the colour, while hormonal changes, heat, and skin irritation may also influence it. Learn more about [Melasma](/conditions/melasma/) and [Dark Patches On Skin](/symptoms/dark-patches-on-skin/).

A product line can be useful for cleansing, moisturising, and supporting a calmer skin barrier. It cannot confirm the diagnosis or remove every trigger. New, changing, raised, bleeding, or itchy marks deserve an examination because not every dark patch is melasma.

Use a gentle cleanser, a moisturiser that does not sting, and broad-spectrum sunscreen each morning. Reapply sunscreen when outdoors and use shade, a hat, or other physical protection. Introduce one active product at a time; burning, persistent redness, or peeling is a reason to pause and seek advice. A clinician may discuss prescription pigment treatments or procedures such as [Chemical Peel](/treatments/aesthetic-procedures/chemical-peel/), [Microneedling](/treatments/aesthetic-procedures/microneedling/), or [Laser Toning](/treatments/laser-and-energy/laser-toning/). Treatment choice depends on skin tone, pigment depth, pregnancy status, medicines, and previous reactions.

Arrange a dermatology assessment if pigmentation is spreading quickly, appears in an unusual pattern, or does not settle with gentle care. Seek prompt medical attention for a spot that bleeds, forms a persistent sore, changes noticeably, or becomes painful. A clinician can separate melasma from other causes of [Uneven Skin Tone](/symptoms/uneven-skin-tone/) and set realistic follow-up.

Could this pattern be melasma, and is a closer examination needed? Which ingredients fit my skin and current medicines? How should I adjust my routine if I develop irritation? Would [Skin Brightening Treatment](/treatments/aesthetic-procedures/skin-brightening-treatment/) be appropriate for my skin tone?