Melasma

Brown or grey-brown patches on the face, common in women, triggered by sun and hormones.

SkinPigmentationLast updated: 21 October 2026

Quick Summary

Primary Symptoms

Brown patches on cheeks, forehead, nose and upper lip, often symmetrical.

Common Treatments

Strict sun protection, skin-lightening creams prescribed by a doctor, and procedures for some.

Risk Factors

Sun exposure, pregnancy, birth control pills, darker skin types and family history.

OverviewSymptomsCausesTreatmentFAQ

Overview

Melasma is very common in Indian women. It isn't harmful but can affect confidence.

Avoid unprescribed steroid-containing 'fairness' creams, which can damage skin.

Symptoms

Brown patches

On the face.

Worse with sun

Darkens in summer.

Pregnancy

Often appears or worsens.

Symmetrical

Both sides of the face.

Causes & Risk Factors

Biological Causes

Overactive pigment cells triggered by sunlight and hormones.

Key Risk Factors

  • Sun Main trigger.
  • Hormones Pregnancy and birth control pills.
  • Genes Family history.

Management & Treatment

01. Sun protection

Broad-spectrum sunscreen daily and hats.

02. Prescription creams

Under a dermatologist's care.

03. Procedures

Chemical peels or laser for some.

Frequently Asked Questions

Will it go away?
It may fade but often returns without sun protection.
Are fairness creams safe?
Many contain steroids and can harm skin; avoid them.

Sources and further reading

Last updated 21 October 2026. For more detail, see these trusted health organisations.