What should you know about permanent solution for melasma?

Melasma causes brown or grey-brown patches, often on the cheeks, forehead, nose or upper lip. [Dark Patches On Skin](/symptoms/dark-patches-on-skin/) and [Uneven Skin Tone](/symptoms/uneven-skin-tone/) can have other causes, so examination helps confirm the diagnosis. Sunlight and visible light can worsen melasma, and hormonal changes or irritation may contribute for some people.

A treatment can fade existing pigment without removing the tendency to develop it again. Harsh products and aggressive procedures may irritate the skin and make pigmentation more noticeable, particularly in deeper skin tones.

See a dermatologist for a plan that may combine consistent broad-spectrum sun and visible-light protection, a suitable topical product and gradual maintenance. Depending on the skin and diagnosis, options can include [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/). Procedures should be selected carefully because irritation can deepen pigment. Do not use unlabelled bleaching mixtures or stop prescribed treatment abruptly without advice.

Arrange review for a rapidly changing, bleeding, crusted or painful patch, or for pigment that follows a new medicine or product. Seek prompt care for blistering, severe burning, swelling or signs of infection after a peel, laser or other procedure. Persistent [Uneven Skin Tone](/symptoms/uneven-skin-tone/) deserves assessment when home care is not helping.

Is this melasma or another pigment condition? What light protection is appropriate for me? Which treatment is safest for my skin tone? What maintenance plan should I follow if the patches fade?