What patients notice
Common signs and descriptions
- Symmetrical facial patches
- Cheek, forehead or upper-lip involvement
- Worsening with light or heat
- Recurrence after improvement
Pigmentation
Melasma
Melasma is a recurring pattern of facial pigmentation influenced by light, hormones and individual susceptibility.
In plain language
What this term means.
Melasma causes symmetrical brown or grey-brown facial patches, commonly on the cheeks, forehead or upper lip. It often needs long-term trigger control.
Possible explanations
Different causes can look similar
- Genetic susceptibility
- Sun and visible light
- Hormonal influence
- Heat and irritation in some patients
Professional assessment
How a consultation may clarify the concern.
The colour, depth, distribution and trigger pattern are examined
Skin type, sun exposure, inflammation, hormones, medicines and prior procedures are reviewed
Treatment approach
Options follow the diagnosis
- Identify and limit triggers before selecting topical or procedural options
- Use skin-type aware plans to reduce irritation and rebound darkening
Avoid
What not to do
- Avoid unlabelled lightening mixtures and prolonged unsupervised steroid creams
- Do not combine strong peels, scrubs and lasers on irritated skin
Care
Useful next steps
- Use broad-spectrum sun protection consistently
- Protect the skin barrier and address inflammation early
Frequently asked
Questions to take into consultation.
A photograph can document appearance but may not show texture, depth, scalp findings or warning signs. A diagnosis and personalised plan may require history and in-person examination.
Not usually. The appropriate pathway depends on the cause, severity, skin or hair characteristics, previous treatment, medical suitability and the result you hope to achieve.
Questions patients ask
Prepared answers related to this concern.
Related treatments and guides
Related concerns