MelasmaSymptoms, Doctors, Treatments, Advances & More
Learn About Melasma
Melasma is a skin condition that causes patches of dark skin on areas of the face exposed to the sun.
Chloasma; Mask of pregnancy; Pregnancy mask
Melasma is a common skin disorder. It most often appears in young women with brownish skin tone, but it can affect anyone.
Melasma is often associated with the female hormones estrogen and progesterone. It is common in:
- Pregnant women
- Women taking birth control pills (oral contraceptives)
- Women who are taking hormone replacement therapy (HRT) during menopause.
Being in the sun makes melasma more likely to develop. The problem is more common in tropical climates.
The only symptom of melasma is a change in skin color. However, this color change can cause distress about your appearance.
The skin color changes are most often an even brown color. They often appear on the cheeks, forehead, nose, or upper lip. Dark patches are often symmetrical.
Treatments may include:
- Creams that contain certain substances to improve the appearance of melasma
- Chemical peels or topical steroid creams
- Laser treatments to remove the dark pigment if melasma is severe
- Stopping hormone medicines that may be causing the problem
- Medicines taken by mouth
Office
Pearl Grimes is a Dermatologist practicing medicine in Los Angeles, California. Dr. Grimes is rated as an Elite provider by MediFind in the treatment of Melasma. She is also highly rated in 6 other conditions, according to our data. Her clinical expertise encompasses Vitiligo, Hypomelanotic Disorder, Melasma, and Tinea Versicolor.
Pascale Guitera practices practicing medicine in Camperdown, Australia. Ms. Guitera is rated as an Elite expert by MediFind in the treatment of Melasma. She is also highly rated in 6 other conditions, according to our data. Her clinical expertise encompasses Melasma, Melanoma, Neuroendocrine Tumor, and Basal Cell Skin Cancer.
Elisa Cinotti practices practicing medicine in Siena, Italy. Ms. Cinotti is rated as an Elite expert by MediFind in the treatment of Melasma. She is also highly rated in 30 other conditions, according to our data. Her clinical expertise encompasses Melasma, Melanoma, Basal Cell Skin Cancer, and Pigmented Purpuric Dermatosis.
Melasma often fades over several months after you stop taking hormone medicines or your pregnancy ends. The problem may come back in future pregnancies or if you use these medicines again. It may also come back from sun exposure.
Contact your provider if you have darkening of your face that does not go away.
The best way to lower your risk for melasma due to sun exposure is to protect your skin from the sun and ultraviolet (UV) light.
Things you can do to lower your exposure to sunlight include:
- Wear clothing such as hats, long-sleeved shirts, long skirts, or pants.
- Try to avoid being in the sun during midday, when ultraviolet light is most intense.
- Use high-quality sunscreens, preferably with a sun protection factor (SPF) rating of at least 30. Pick a broad-spectrum sunscreen that blocks both UVA and UVB light.
- Apply sunscreen before going out into the sun, and reapply often -- at least every 2 hours while in the sun.
- Use sunscreen year-round, including in the winter.
- Avoid sun lamps, tanning beds, and tanning salons.
Other things to know about sun exposure:
- Sun exposure is stronger in or near surfaces that reflect light, such as water, sand, concrete, and areas painted white.
- Sunlight is more intense at the beginning of the summer.
- Skin burns faster at higher altitudes.
Summary: Congenital Nevus (CN) is a pigmented skin lesion present at birth, which grows in size as the child grows. It can vary in appearance and is classified by its size, from small (less than 1.5 cm) to giant (greater than 40 cm). CN is associated with genetic mutations, mainly in the NRAS/BRAF genes. A large CN can lead to several clinical issues, including: Risk of neurological disorders: Large CN can...
Summary: NOTE: This is a research study and is not meant to be a substitute for clinical genetic testing. Families may never receive results from the study or may receive results many years from the time they enroll. If you are interested in clinical testing please consider seeing a local genetic counselor or other genetics professional. If you have already had clinical genetic testing and meet eligibility...
Published Date: October 13, 2024
Published By: Ramin Fathi, MD, FAAD, Director, Phoenix Surgical Dermatology Group, Phoenix, AZ. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM. Disturbances of pigmentation. In: James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM, eds. Andrews' Diseases of the Skin: Clinical Dermatology. 13th ed. Philadelphia, PA: Elsevier; 2020:chap 36.
Weston GK, Chang MW. Disorders of hyperpigmentation. In: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. 5th ed. Philadelphia, PA: Elsevier; 2025:chap 67.