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Pigmentation

Melasma

Brown or grey-brown patches on the cheeks, forehead or upper lip.

Woman smoothing sunscreen across her forehead and cheekbones, a sun hat and tube on the table beside her

Understanding it

What causes melasma?

Melasma is linked to hormones, sun and heat, and is common during pregnancy or with hormonal medicines.

It is a long-term condition: it can be controlled well, but needs patience, gentle treatment and strict sun protection.

Alongside creams, peels and laser toning, your dermatologist may suggest tranexamic acid injections for stubborn patches.

Common causes

  • Hormonal changes
  • Sun and heat
  • Genetics
  • Some cosmetics

FAQ

Melasma: your questions

Why does melasma keep coming back?

Triggers like sun and hormones persist, so maintenance is part of the plan.

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