What is melasma?
Melasma is a common skin condition that appears as dark patches on the face, particularly on the cheeks, forehead, and nose.
It results from an overproduction of melanin in the skin. It often affects women more than men, especially during pregnancy, with the use of contraceptives, or with prolonged sun exposure.
What are the causes of melasma?
There are several factors that can trigger or worsen melasma, including:
- Excessive sun exposure.
- Hormonal changes during pregnancy or the use of contraceptives.
- Genetic factors and increased melanocyte activity.
- Using inappropriate cosmetics.
- Constant stress and fatigue.
What are the common symptoms of melasma?
Melasma symptoms often appear as dark or brown spots on specific areas of the face, such as:
- Brown or gray patches on the face.
- Pigmentation concentrated on the cheeks, forehead, or nose.
- Uneven skin tone.
- Spots that become more visible after sun exposure.
- There is no pain or itching in the affected area.
When should you see a doctor?
It is best to consult a dermatologist if you notice the spots worsening or home remedies fail, especially in the following cases:
- The melasma persists for a long time without improvement.
- The color or shape of the spots changes.
- The melasma appears after using a certain medication.
- Topical creams are ineffective.
- There is a suspicion that the spots are caused by another condition.
What are the methods for diagnosing melasma?
Melasma is easily diagnosed through a doctor's examination and the use of tools that help determine the depth of pigmentation, such as:
- Direct clinical skin examination.
- Wood's light examination to determine the depth of the spots.
- Skin analysis to rule out similar conditions.
- Medical and hormonal history.
- Sun exposure assessment.
What are the methods for treating melasma?
Treatment methods vary depending on the severity of melasma and skin type, and include the following:
- Using lightening creams containing hydroquinone or tretinoin.
- Daily application of a high-protection sunscreen.
- Chemical peeling sessions to stimulate cell renewal.
- Laser or microneedling treatment under medical supervision.
- Stop products that cause skin irritation.
Is melasma curable?

Melasma can be controlled and the skin's appearance significantly improved with adherence to treatment and prevention. Recovery depends on several factors, such as:
- Skin type and response to treatment.
- Extent of sun exposure.
- Regular use of sunscreen.
- The patient's hormonal status.
- Daily skin care.
What are the tips for preventing melasma?
Daily prevention helps reduce the likelihood of melasma appearing or recurring. The most important tips are:
- Use appropriate sunscreen daily.
- Avoid prolonged direct sun exposure.
- Wear a wide hat and sunglasses.
- Moisturize regularly.
- Avoid products that irritate the skin.
What are the potential complications of melasma?
Neglecting melasma treatment or using the wrong products can lead to skin complications, such as:
- Increased pigmentation that makes it difficult to treat later.
- Skin irritation and redness.
- Skin sensitivity to light.
- Psychological effects, such as low self-esteem.
- The appearance of new pigmentation in various areas.
Frequently Asked Questions about Melasma
Does melasma go away on its own?
It may gradually disappear after pregnancy or with sun exposure.
Is melasma curable?
It can be significantly reduced, but it requires long-term commitment.
Does melasma affect men?
Yes, but it is less common than in women.
Can melasma be covered with makeup?
Yes, provided you use medical-grade, safe skincare products.
Article Summary
Melasma is one of the most common pigmentation problems, but it is not serious and can be easily controlled with regular care and sun protection.
Sunscreen and appropriate treatment can help improve the appearance of the skin and gradually restore its natural color.