What Are the Symptoms of Melasma?

The patches are generally smooth rather than raised, and they often form on both sides of the face in a similar pattern. Colour can range from light brown to deeper grey-brown, depending partly on how deeply pigment sits in the skin. Melasma may become more noticeable after sunlight or visible light exposure and can appear darker during hormonal changes. It usually does not cause pain, scaling, or discharge. Facial pigmentation has several possible causes, so a diagnosis should not be made from colour alone. Dark Patches On Skin and Uneven Skin Tone can have different explanations.

Arrange a dermatology assessment when pigmentation is persistent, spreading, or affecting your confidence. Bring a list of skincare products and medicines, and mention pregnancy, contraception, or other hormonal changes when relevant. Daily broad-spectrum sun protection, shade, and a hat can help reduce darkening. Use gentle, non-irritating products and avoid picking or aggressive scrubbing. Depending on your skin and diagnosis, treatment may include Hydroquinone Treatment, a Chemical Peel, Microneedling, Skin Brightening Treatment, Laser Toning, or Picosecond Laser Treatment.

Melasma itself is usually a cosmetic colour change, but seek prompt assessment for a patch that is raised, rapidly changing, bleeding, crusting, painful, or unlike the surrounding pigmentation. Sudden widespread colour change or irritation after a new product also warrants medical advice. Stop a product that causes burning, swelling, or blistering and ask a clinician how to restore the skin barrier.

Ask what type of pigmentation is present, whether a medicine or hormone may contribute, which sunscreen and active ingredients suit your skin, how long a treatment trial should last, and how to reduce the chance of darkening after a procedure.