How to reduce melasma

Melasma is increased pigment that creates fairly symmetrical brown or grey-brown patches, commonly on the cheeks, forehead, nose, or upper lip. Sunlight and visible light can deepen it, and hormonal changes may influence its course. Heat, irritation, and some medicines can also be relevant. Read about [Melasma](/conditions/melasma/), [Dark Patches On Skin](/symptoms/dark-patches-on-skin/), and [Uneven Skin Tone](/symptoms/uneven-skin-tone/) for related concerns.

Use a broad-spectrum sunscreen and protective clothing, seek shade, and consider visible-light protection when your clinician recommends it. Choose gentle, fragrance-free cleansing and stop products that sting or inflame the skin. A clinician may prescribe pigment-reducing treatment or discuss [Skin Brightening Treatment](/treatments/aesthetic-procedures/skin-brightening-treatment/). Selected people may be offered a [Chemical Peel](/treatments/aesthetic-procedures/chemical-peel/), [Microneedling](/treatments/aesthetic-procedures/microneedling/), or [Laser Toning](/treatments/laser-and-energy/laser-toning/). Procedures can worsen pigment if poorly matched, so professional selection matters.

Arrange a review if pigmentation is new, one-sided, rapidly changing, itchy, painful, bleeding, scaly, or unlike your usual patches. Seek care for a severe reaction after a peel, needling, laser, or cream, especially with blistering, swelling, spreading redness, or eye symptoms. A clinician can confirm melasma rather than assuming every dark patch has the same cause.

Ask what pattern and depth of pigment you have, which ingredients are safe for your skin and situation, how to prevent irritation, whether pregnancy or medicines affect choices, and how progress will be monitored.