Melasma Explained: What You Need to Know About Skin Pigmentation

Melasma Explained: What You Need to Know About Skin Pigmentation

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Melasma is a common skin condition that causes brown to grey-brown patches on the face. These patches often appear on the cheeks, bridge of the nose, forehead, chin, and above the upper lip. Less commonly, melasma can also occur on other parts of the body that get significant sun exposure, such as the forearms and neck. Understanding melasma, its causes, symptoms, and treatment options is crucial for managing this condition effectively.

What is Melasma?

Melasma is a form of hyperpigmentation characterized by dark, discolored patches on the skin. It is more common in women, particularly those with darker skin tones, but it can affect anyone. Melasma is often referred to as the "mask of pregnancy" because it frequently occurs in pregnant women due to hormonal changes.

Symptoms of Melasma

The primary symptom of melasma is the appearance of discolored patches on the skin. These patches are usually:

  • Symmetrical: They often appear on both sides of the face.

  • Brown or Gray-Brown: The pigmentation varies in color.

  • Irregularly Shaped: The patches can have irregular borders.

Causes of Melasma

The exact cause of melasma is not fully understood, but several factors contribute to its development:

  • Sun Exposure: Ultraviolet (UV) light from the sun stimulates melanocytes, the pigment-producing cells in the skin, leading to increased melanin production.

  • Hormonal Changes: Hormonal fluctuations, such as those occurring during pregnancy, menopause, or with the use of oral contraceptives, can trigger melasma.

  • Genetics: A family history of melasma increases the likelihood of developing the condition.

  • Certain Medications: Some medications, including hormone replacement therapy and anticonvulsants, can trigger melasma.

Diagnosing Melasma

Clinical Examination

A dermatologist can diagnose melasma by examining the affected skin. The distinctive pattern and color of the patches typically allow for a straightforward diagnosis.

Wood's Lamp Examination

A Wood's lamp (a type of black light) can help to identify the extent of the pigmentation and to differentiate melasma from other skin conditions. Under this light, the dermatologist can better see the depth of melanin in the skin.


In rare cases, a skin biopsy may be performed to rule out other skin conditions. This involves taking a small sample of the affected skin and examining it under a microscope.

Treatment Options for Melasma

Topical Treatments

Several topical treatments can help lighten melasma patches:

  • Hydroquinone: A skin-lightening agent that reduces the number of melanocytes in the skin.

  • Tretinoin and Corticosteroids: Often used in combination with hydroquinone to enhance its effects.

  • Azelaic Acid: Helps reduce pigmentation and is less irritating than hydroquinone.

  • Kojic Acid: An alternative skin-lightening agent derived from fungi.

Chemical Peels

Chemical peels involve applying a chemical solution to the skin to remove the top layers, promoting new skin growth. This can help reduce the appearance of melasma. Common types of chemical peels include:

  • Glycolic Acid Peels: A mild peel that can improve skin texture and pigmentation.

  • Salicylic Acid Peels: Helps exfoliate the skin and reduce pigmentation.

Laser and Light Treatments

Laser and light-based treatments can target the pigment in melasma patches:

  • Fractional Lasers: Use tiny beams of light to penetrate the skin and break up the pigment.

  • Intense Pulsed Light (IPL): Uses broad-spectrum light to target melanin and reduce pigmentation.


Microneedling involves using fine needles to create tiny punctures in the skin, stimulating collagen production and allowing for better absorption of topical treatments.

Preventing Melasma

While it may not be possible to prevent melasma entirely, certain measures can help minimize the risk of developing this condition:

Sun Protection

Sun exposure is a significant trigger for melasma. To protect your skin:

  • Use Sunscreen: Apply broad-spectrum sunscreen with an SPF of 30 or higher daily, even on cloudy days.

  • Wear Protective Clothing: Wear hats, sunglasses, and protective clothing to shield your skin from the sun.

  • Seek Shade: Avoid direct sun exposure, especially during peak hours (10 AM to 4 PM).

Avoid Hormonal Triggers

If possible, avoid medications that can trigger hormonal changes, such as oral contraceptives or hormone replacement therapy. Discuss alternative options with your healthcare provider.

Use Gentle Skincare Products

Harsh skincare products can irritate the skin and exacerbate melasma. Use gentle, fragrance-free products and avoid excessive scrubbing.

Living with Melasma

Emotional Impact

Melasma can affect self-esteem and confidence due to its visibility. It is essential to acknowledge the emotional impact and seek support if needed. Connecting with support groups or speaking with a therapist can be beneficial.

Skincare Routine

Developing a consistent skincare routine tailored to managing melasma can help. This may include:

  • Daily Sunscreen Application: Sunscreen is crucial in preventing further pigmentation.

  • Hydration: Use moisturizers to keep the skin hydrated and healthy.

  • Regular Exfoliation: Gentle exfoliation can help remove dead skin cells and improve the effectiveness of topical treatments.

Regular Dermatologist Visits

Regular visits to a dermatologist can help manage melasma effectively. A dermatologist can monitor your skin's progress, adjust treatments as needed, and provide professional advice.


Melasma is a common skin condition that can be managed effectively with the right treatments and preventive measures. Understanding the causes, symptoms, and treatment options is crucial for managing this condition. Consulting with a Skin doctor in Ranchi can provide personalized advice and treatment plans to help manage melasma. Raj Hospitals, a Super Speciality Hospital in Ranchi, offers expert dermatological care and advanced treatment options for melasma. By following a consistent skincare routine and seeking professional help, you can achieve clearer, healthier skin and improve your quality of life.

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