When melasma, a common skin condition causing brown or gray-brown patches, usually on the face. Also known as chloasma, it's not just a cosmetic issue—it’s tied to hormones, sun exposure, and genetics. It often shows up on the cheeks, forehead, or upper lip, especially in women, and doesn’t fade on its own. Unlike regular sunspots, melasma sticks around because it’s driven by internal triggers, not just UV damage. That’s why slathering on sunscreen alone won’t fix it—but skipping it makes everything worse.
Most melasma treatment starts with hydroquinone, a topical agent that reduces melanin production in the skin. It’s the gold standard for lightening dark patches, often used in 2% to 4% strengths, either over the counter or by prescription. But it doesn’t work for everyone, and long-term use can cause irritation or even a rebound effect called ochronosis. That’s why many dermatologists pair it with retinoids, like tretinoin, which speed up skin cell turnover and help other treatments penetrate better. You’ll also see azelaic acid, a gentle alternative that reduces pigment and calms inflammation, especially for sensitive skin. These aren’t quick fixes—they take 8 to 12 weeks to show results, and you have to stick with them.
What most people miss is how much sunscreen matters. Not just any sunscreen—daily, broad-spectrum SPF 30 or higher, reapplied every few hours if you’re outside. UV light doesn’t just darken melasma—it reactivates the pigment cells even on cloudy days. Even indoor lighting can trigger it in some cases. That’s why some patients see improvement only after they stop skipping sunscreen on rainy days. Chemical peels, laser treatments, and microdermabrasion are options too, but they carry risks if not done right. A bad peel can make melasma darker, not lighter. That’s why you need to work with someone who’s treated melasma before, not just any aesthetic clinic.
There’s no magic cure, but the right mix of topical treatments, strict sun protection, and patience can make a big difference. Many people get frustrated when results are slow, but melasma responds best to consistent, gentle care—not aggressive shortcuts. Below, you’ll find real patient experiences, clinical insights, and practical tips on what treatments actually deliver results—and what’s just hype.
Hyperpigmentation and keloids are common, persistent skin conditions in people with darker skin tones. Learn how sun protection, targeted treatments, and expert care can manage these issues effectively.
