Skin Pigmentation and Melasma

Melasma commonly appears as flat brown, grey-brown, or tan patches on the cheeks, forehead, nose, or upper lip. It often develops on both sides of the face, although its distribution can differ. Visible light, ultraviolet exposure, heat, hormonal shifts, and skin irritation may make it more noticeable. Dark patches can have other causes, so an examination helps confirm the pattern.

Use daily broad-spectrum sun protection and add shade, a hat, or other physical barriers when outdoors. Choose a gentle routine and introduce active products slowly to avoid irritation. A dermatologist may consider skin brightening treatment, prescription medicines, chemical peel, microneedling, or laser toning after reviewing your skin tone, triggers, medications, and pregnancy plans. Improvement requires a measured plan and ongoing maintenance.

Book an assessment if patches are new, rapidly changing, itchy, scaly, bleeding, painful, or different from the usual melasma pattern. Seek advice before using a strong peel or laser, particularly if you have a history of dark marks after inflammation. A clinician can check whether the pigmentation is melasma or another condition and reduce the risk of treatment-related irritation.

What features make this look like melasma? Which triggers should I track? What protection and treatment fit my skin? How should I prepare for a peel, microneedling, or laser session?