Why does melasma cause dark patches on skin?

Short answer
Melasma causes dark patches because pigment-producing cells make and deposit extra melanin in the skin, creating visible areas of darker colour.
This answers one question. It is not a diagnosis and does not replace an assessment by a licensed doctor.
At a glance
- Main pigment
- Extra melanin in affected areas
- Common sites
- Cheeks, forehead, nose, and upper lip
What is happening in the skin
Dark Patches On Skin is a very common presentation of Melasma. The colour may appear on the cheeks, forehead, nose, upper lip, or jawline, often on both sides of the face. Sunlight and visible light can stimulate pigment activity, while hormonal changes may make the cells more reactive. Heat, irritation, and repeated exposure can also encourage the patches to look deeper. Melasma is a pigment pattern rather than a buildup that can be scrubbed away. The surface may feel normal even when the colour is noticeable.
Ways to reduce darkening
Use broad-spectrum sunscreen consistently and add physical protection such as a hat or shade. Reapply sunscreen as directed, especially during outdoor time. Choose gentle, fragrance-free skincare and avoid picking, vigorous exfoliation, or products that sting, because irritation can intensify visible pigmentation. A dermatologist can assess the pattern and discuss prescription creams or procedures suited to your skin. Improvement is gradual, and continued light protection helps reduce re-darkening.
When an assessment helps
Arrange a dermatology assessment if the patches are new, changing quickly, itchy, painful, bleeding, or confined to one unusual spot. A clinician can distinguish melasma from other causes of pigmentation and check whether a medicine, hormonal change, or irritation is contributing. Seek care sooner when colour change comes with a new lump, ulcer, or persistent scale.
Questions to bring
Ask whether the distribution fits melasma, which ingredients are gentle enough for your routine, and how to combine light protection with treatment. You can also ask how long to try a plan before reviewing it and what signs mean a product should be stopped.
Find care
General Clinics & Polyclinics in Abu Dhabi
That answer is general. If you want it applied to your own case, these are licensed general clinics & polyclinics listed in Abu Dhabi.
27 Ar Ruwwad St - Shakhbout City - MSH4 - Abu Dhabi - United Arab Emirates
Accepts: Daman, Thiqa, Cigna, MetLife +20 more
Al Ruwais, Al Dhafrah
Accepts: Daman, Thiqa, AXA, Cigna +16 more
Al Bahyah - Al Bahyah Old - Abu Dhabi - United Arab Emirates
Accepts: Daman, Thiqa, Cigna, Allianz Care +18 more
Abu Dhabi
Accepts: Daman, Thiqa, AXA, Cigna +27 more
Ordered by verification status and how complete each clinic's public record is, then alphabetically. This is a directory listing, not a ranking — Zavis does not rate or recommend providers.
A factual listing drawn from the DHA, DOH and MOHAP licence registers. It is not a referral, an endorsement, or advice that any of these providers is right for you.
Questions people ask
Can sunlight make melasma darker?
Yes. Sunlight can stimulate pigment activity and make existing patches more noticeable, so daily light protection matters.
Does scrubbing remove melasma?
No. Scrubbing can irritate the skin and may make pigmentation look darker rather than clearing its cause.
Related
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Medical disclaimer. This page is general health information, not medical advice, and it cannot diagnose you. Always consult a licensed healthcare provider about your own symptoms and treatment. In an emergency in the UAE, call 998 for an ambulance.