Melasma
Effective treatments to even out your skin tone.
Melasma is a condition that causes darker patches of skin to appear on your face or other areas commonly exposed to the sun. Although it’s harmless, it can affect your confidence or self-esteem.
So if you’re looking to restore your natural tone, our experts can help. Get proven, effective options from our dermatologist and order melasma treatment online.
Melasma is a dermatological condition that causes patches of your skin to become darker. It’s not harmful or contagious, won’t lead to any further complications, and causes no physical symptoms other than those visible on the skin — it only affects your appearance. But that doesn’t mean it’s not worth treating. The change in appearance that it does cause can have a significant effect on your self-confidence, or mental health more broadly.
It’s thought to be triggered by exposure to UV light, which tends to make it more noticeable in the summer months, with symptoms typically fading over winter. Melasma is also particularly common in pregnancy, which is why it’s sometimes also called: ‘pregnancy mask’.
Anyone can get melasma, but research shows that it’s far more common in women than it is in men, with the American Academy of Dermatology claiming that around 90% of the people who get melasma are female. This is, in part, due to the increased likelihood of getting it during pregnancy. It’s thought that somewhere between 15% and 50% of pregnant women will get it. Usually the condition goes away once the baby has been delivered, but may come back with any subsequent pregnancies.
Melasma has also been shown to be more common in people of colour, or in those who tan quite easily, as well as people with a family history of it (though there’s no evidence that it’s hereditary). It also tends to appear for the first time in people between the ages of 20 and 40.
Melasma is a fairly common condition, but exact information on just how common is a little difficult to come by. Estimates suggest that 1.5% to 33% of people have it, depending on the population. So, depending on where you live, it may affect as little as one-or-two out of a hundred people around you, or as many as one in every three.
How we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
The exact cause of melasma remains unknown, however experts think it might be caused by pigment-producing cells in your skin (called melanocytes) making too much melanin (which is the pigment that causes darker skin). When this happens, it can cause the patches of darker skin you get with melasma.
Other things that can cause (or lead to) melasma are:
Melasma is characterised by patches of darker skin, usually on the face. It can also affect other areas of the body that are routinely exposed to sunlight, such as your neck and forearms. These patches of darker skin are not raised in any way, and don’t cause any altered sensation. They’re not painful, itchy or sensitive.
No, melasma is benign (meaning it doesn’t cause any other health issues or complications). It can, however, affect quality of life. This may happen if you feel particularly self-conscious about your changing appearance. Because of this, it may lead to mental health conditions such as anxiety.
How we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
There are a range of treatment options for melasma, which will depend on the extent of your condition, as well as your preferences and needs.
Common treatment options include:
Your dermatologist may also prescribe something that’s a little easier on your skin in some situations, such as azelaic acid, kojic acid or vitamin C.
The best treatment for melasma is the one that suits you best, really. So this may vary from person-to-person. If you’ve developed melasma during your pregnancy, for example, you’ll be advised not to use hydroquinone or retinoid creams, as they can be harmful to your unborn baby.
Ultimately, the best treatment routine for melasma is one which decreases the amount of pigment your skin makes, as well as evening out your skin tone to bring it back to its natural colour.
According to research, the most successful option seems to be a combination of hydroquinone, tretinoin and a topical corticosteroid. One study recommended this option as the best treatment for melasma, but it won’t always be the best or safest for everyone.
Not always, no. Melasma can go away on its own without treatment. If it develops during pregnancy, for example, it may go away a few months after delivery (though it might come back if you get pregnant again). Certain measures to remove possible triggers can also help to treat it. Some common ways of doing this are:
Some people might also find that they can make their melasma less noticeable by wearing camouflaging makeup, which can even out your skin tone without the need for treatment. This might be the best option if you have a milder form of the condition.
How we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
Have something specific you want to know? Search our info below, or ask our experts a question if you can’t find what you’re looking for.
Melasma. [online] PubMed.
Evidence-based review, grade of recommendation, and suggested treatment recommendations for melasma. Indian Dermatology Online Journal, [online] 8(6), p.406.
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