Melasma

Melasma is a common pigmentation condition that causes brown or grey patches on the face, most often on the cheeks, forehead, upper lip, and nose. It is particularly common in women and is often triggered by hormonal changes (pregnancy, contraceptives, menopause) and UV exposure. While not dangerous, melasma can be cosmetically distressing and long-lasting without proper treatment.

At DermLab, our Dermatologists provide accurate diagnosis and personalised treatment, helping patients manage melasma safely and effectively.

Causes & Triggers

  • Hormonal factors — pregnancy ('mask of pregnancy'), oral contraceptives, menopause

  • Sunlight / UV exposure — the most important ongoing trigger

  • Genetics — more common in those with darker skin types

  • Heat or light exposure — not just UV, but also visible light and infrared heat

  • Skin irritation — harsh products, peels, or inappropriate laser treatments can make melasma worse

Signs & Symptoms

  • Brown or grey-brown patches of skin

  • Most often on the face — cheeks, forehead, upper lip, nose

  • Symmetrical pattern (appears on both sides of the face)

  • Darkening with sun exposure

  • May improve during winter, worsen during summer

Treatment Options at DermLab

  • Prescription creams — hydroquinone, retinoids, or combination formulas to lighten pigmentation

  • Chemical peels — carefully selected to improve uneven pigmentation without worsening melasma

  • Laser & light treatments — used cautiously, as some can aggravate melasma (Dermatologist guidance essential)

  • Sun protection — daily broad-spectrum sunscreen is the cornerstone of treatment

  • Lifestyle & skincare guidance — avoiding triggers, safe cosmetic routines, and supportive skincare products

Frequently Asked Questions

  • It often recurs, but with consistent treatment and sun protection it can be greatly improved and controlled.

  • No. Some lasers may help in selected cases, but others can make it worse. Specialist Dermatologist care is essential.

  • It may fade after pregnancy, but many women continue to have pigmentation that requires treatment.

A blurred silhouette of a person standing in front of a large black and white portrait or photograph on a wall.
Array of white dots arranged in a pattern on a black background.

Request a Consultation

We know skin, and want you to be comfortable in yours. Let’s discuss your concerns and how to reclaim health and confidence.