Melasma produces symmetrical brown patches, most often across the cheeks, forehead and upper lip. It tends to fluctuate with sun exposure and hormonal changes.
What drives it
Ultraviolet and visible light, hormonal factors and a genetic tendency all contribute. Heat, irritating products and unregulated bleaching creams frequently make it worse.
Treatment approaches
Prescribed topical agents form the core of treatment, sometimes supported by gentle superficial peels or, in selected patients, oral therapy. Aggressive procedures can aggravate melasma, so plans are deliberately conservative.
Why maintenance is part of the plan
Melasma is a relapsing condition. Most patients need ongoing photoprotection and a maintenance routine to hold the improvement, particularly through summer months.
- Daily tinted broad-spectrum sunscreen, reapplied
- Shade, hats and window protection
- Avoiding scrubs and unregulated creams
- Continuing maintenance therapy after clearance
Key takeaway
Melasma responds to gentle, consistent treatment plus disciplined sun protection, with maintenance to reduce relapse.
Information on this website is for education only and does not replace an in-person consultation with a qualified dermatologist. Treatment suitability is determined after consultation.