Melasma / Hyperpigmentation
Melasma causes dark, discoloured patches on the skin, typically on the face. It is more common in women and those with darker skin tones. Sun exposure and hormonal changes are major triggers.
Signs and symptoms
Melasma / Hyperpigmentation commonly presents with the following signs. Not every patient shows all of them — an in-person examination by a dermatologist is what confirms the diagnosis.
Dark Patches (Hyperpigmentation)
Areas of skin that are noticeably darker than the surrounding tone, caused by excess melanin deposition. Common on the cheeks, forehead, and upper lip.
Affected area: face (cheeks, forehead, upper lip)
Uneven Skin Tone
Irregular distribution of skin pigment, with some areas appearing lighter and others darker, giving a blotchy or patchy appearance.
Affected area: face, neck, hands
Treatment approach
Treatment involves targeted depigmenting agents (hydroquinone, azelaic acid, kojic acid), strict sun protection, and topical retinoids. We take a methodical, long-term approach to achieve even skin tone without aggressive procedures.
Common questions
Why is sunscreen so important for melasma?
Melasma is driven by light, and that is why sunscreen is not an optional extra alongside the creams — it is part of the treatment. Without daily protection, pigment returns as fast as treatment lightens it, and patients conclude the medicine has failed when in fact it is being undone every afternoon. Sunlight through a window and the bright light of an overcast day both count, so protection needs to be daily rather than reserved for sunny outings.