Description

Melasma causes brown or gray-brown patches of pigmentation, most commonly on the cheeks, forehead, and upper lip. It's much more common in women and is strongly linked to hormonal changes, including pregnancy and birth control use, as well as sun exposure.

Causes

Hormonal changes (pregnancy, birth control, hormone therapy) combined with UV exposure trigger pigment-producing cells to overproduce melanin.

Prevention

Strict daily sunscreen use, including physical blockers like zinc oxide, is the single most important step in preventing melasma from worsening.

Treatment Options

Topical lightening agents (like hydroquinone, tranexamic acid, or azelaic acid), chemical peels, and select laser treatments under a dermatologist's guidance.

Myths vs. Facts

Myth: Melasma always fades on its own after pregnancy. Fact: While some pregnancy-related melasma fades, it often persists and needs targeted treatment plus consistent sun protection.

When to See a Dermatologist

If you notice new facial pigmentation, especially during pregnancy or while on hormonal birth control, so you can start an effective, safe treatment plan.

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