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Melasma: Causes, Types & Dermatologist Advice

Understanding Melasma: Causes, Types, and Treatments

What is Melasma?

Melasma is a skin condition that shows up as darker patches, usually on the face. It happens when pigment-producing cells, called melanocytes, create too much melanin. Although not dangerous, it can affect confidence and appearance.

Woman with melasma dark patches on cheeks
Melasma often appears on the cheeks, forehead, and upper lip

What Causes Melasma?

Several factors can trigger melasma:

  • Sunlight exposure – UV rays are the main reason melasma gets worse.

  • Hormonal changes – Pregnancy, birth control, or hormone therapy can influence melanin production.

  • Genetics – If family members have melasma, you might be more prone.

  • Skin irritation – Harsh skincare products or procedures can trigger pigment changes.

Sun exposure as a major cause of melasma
UV rays stimulate pigment cells, making melasma more visible

Types of Melasma

Dermatologists usually classify melasma into three categories:

  1. Epidermal Melasma – The pigment sits in the top skin layer; appears brown and well-defined.

  2. Dermal Melasma – The pigment is deeper, giving a bluish-gray shade; harder to treat.

  3. Mixed Melasma – A combination of both, and the most common type.

Illustration of epidermal, dermal, and mixed melasma
Melasma varies by skin depth: surface, deep, or both

What Helps Remove or Reduce Melasma?

While melasma can fade with the right care, it often needs consistent treatment:

  • Sun protection – Daily use of broad-spectrum sunscreen is essential.

  • Topical creams – Ingredients like azelaic acid, kojic acid, or niacinamide can brighten skin.

  • Gentle exfoliation – Helps renew skin, but must be done carefully to avoid irritation.

  • Healthy lifestyle – A balanced diet, hydration, and stress management can support skin health.

Recommended Skincare Support Products:


Sunscreen application for melasma prevention
Sunscreen is the most effective daily shield against melasma

What Do Dermatologists Recommend for Melasma?

Specialists usually combine different strategies:

  • Prescription creams – Hydroquinone, tretinoin, or mild steroids may be prescribed for stubborn patches.

  • Chemical peels – Used under professional guidance to renew skin and reduce pigmentation.

  • Laser treatments – Certain gentle lasers target pigment but are not suitable for everyone.

  • Long-term prevention – Daily sunscreen, protective clothing, and avoiding harsh products are always part of the plan.

Advanced Dermatologist-Recommended Skin Solutions:

Dermatologist consulting patient with melasma
Dermatologists often combine creams, peels, and sun care

Final Thoughts

Melasma may not have a quick cure, but with patience and the right approach, it can be managed. Following a dermatologist’s advice, protecting your skin from the sun, and using safe skincare products are the keys to seeing improvement.

Woman smiling with clear glowing skin
With proper care, melasma can fade and skin confidence can return

⚠️ Disclaimer

This article may contain affiliate links. If you purchase through these links, I may earn a small commission at no extra cost to you. This helps support the blog and allows me to continue providing helpful content.

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