Melasma

Understanding Melasma: Causes, Symptoms, and Treatment


Melasma typically presents as brown or gray patches of discoloration across the cheeks, forehead, nose, chin, or upper lip, and it often appears symmetrically on both sides of the face. Although it most commonly affects the face, melasma can also occur on other areas frequently exposed to the sun, such as the neck and forearms.

While melasma can affect anyone, it is more prevalent in young women with darker or olive skin tones. It is closely linked to the female hormones estrogen and progesterone, making it more common in women who are pregnant, using hormone-based birth control, or undergoing hormone replacement therapy. For this reason, melasma is sometimes referred to as the “pregnancy mask.”

A consultation with one of our expert dermatologists at Keystone Dermatology Partners can help you begin your journey to healthier skin. Learn more about melasma and schedule an appointment with Keystone Dermatology Partners today.

What are the Symptoms of Melasma?

  • Very common skin disorder that occurs on areas of the face that are exposed to the sun, creating dark discolorations on the skin.
  • Melasma generally manifests itself in a brown or gray discoloration across the cheeks, forehead, nose, chin, or upper lip.
  • Melsama is most often uniform and symmetrical on both sides of the face.

Causes of Melasma

  • Melasma can affect anyone, but more prevalent among young women with darker or olive skin types.
  • Associated with female hormones estrogen and progesterone, making it more common in women who are pregnant.
  • Melasma occurs with sun exposure.
  • Certain skin products can irritate or worsen melasma.

How to Prevent Melasma

Preventing melasma involves a combination of sun protection, skincare, and lifestyle choices. Here are key measures to minimize the risk of melasma:
  • Sunscreen: Apply a broad-spectrum sunscreen with a high SPF daily, even on cloudy days. This shields the skin from UV rays, a significant contributor to melasma.
  • Sun Avoidance: Minimize sun exposure, especially during peak hours. Wear wide-brimmed hats and protective clothing when outdoors.
  • Skincare Routine: Use skincare products that contain ingredients like niacinamide, vitamin C, or alpha arbutin known for their skin-lightening properties. Consult a dermatologist for personalized recommendations.
  • Hormonal Management: For women, discussing hormone-related triggers with one of our trusted dermatology providers and exploring birth control options that may not exacerbate melasma can be beneficial.
  • Avoiding Irritants: Limit the use of products or treatments that may irritate the skin, potentially triggering melasma. This includes harsh chemical peels or abrasive exfoliants.
  • Pregnancy Planning: For women experiencing melasma related to pregnancy, consulting with a healthcare provider before conception can help manage hormonal changes that may contribute to melasma.
  • Healthy Lifestyle: Adopting a balanced diet, staying hydrated, and managing stress contribute to overall skin health.
By incorporating these preventive measures into your daily routine, you can significantly reduce the likelihood of developing melasma and maintain a healthier complexion. Regular consultations with one of our dermatologists can provide tailored guidance and solutions for individual skin concerns.

Melasma FAQs:

Hormonal changes, sun exposure, and genetics can contribute to its development. It is commonly linked with hormonal fluctuations such as pregnancy or birth control use, melasma can also appear as a temporary condition linked to these shifts.

The positive news is that melasma is treatable. Dermatologists offer a range of treatments, such as topical creams, chemical peels, and laser therapies. With appropriate care, these patches can diminish over time.

Sunscreen isn't only for sunny days; applying it daily, even when it's cloudy, helps prevent melasma from worsening. It acts as a protective barrier for your skin, keeping those stubborn patches from getting darker.


Although melasma might gradually fade without intervention, consulting a skin expert can speed up the process and improve outcomes.

Using makeup while you have melasma is not only safe, but can help boost confidence. It is important to select products that won't aggravate your melasma. Dermatologists can suggest makeup options that effectively conceal while remaining gentle and non-irritating to your skin.

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How to Treat Melasma

Our skincare specialists offer a personalized approach to treating melasma, tailoring solutions to your individual skin needs. Common treatments include topical medications with ingredients like hydroquinone, tretinoin, or corticosteroids to lighten pigmentation. Procedures such as chemical peels or laser therapy may be recommended for more persistent cases. Daily use of SPF and sun protection is highly recommended to prevent further pigmentation.

We pride ourselves on working closely with patients, providing guidance on skincare routines, and recommending products to manage melasma effectively. Regular follow-ups ensure progress monitoring and adjustments to treatment plans, supporting you on your journey to healthy skin.