Melasma
Symmetrical brown or grey-brown facial patches, often hormone related.
Overview
Melasma typically appears on the cheeks, forehead and upper lip. It is chronic and relapsing, so long-term maintenance matters more than any single treatment.
Common symptoms
Dark patches
Areas of darker pigment than surrounding skin.
Why it happens
Sun and visible light exposure, pregnancy, oral contraceptives, hormone therapy and genetic predisposition.
Self-care that helps
Use daily tinted mineral SPF with iron oxides, avoid heat exposure and be patient — melasma improves slowly.
When to seek advice
See a dermatologist for a tailored plan if over-the-counter products are not helping or pigmentation is worsening.
