Melasma is a chronic acquired pigmentary disorder that can have a negative impact on quality of life.1 It is characterised by bilateral tan to dark brown or slate grey patches of smooth hyperpigmentation, predominantly affecting sun-exposed prominence areas on the face such as the forehead, cheeks and nose.2 There are three main facial patterns: centrofacial, malar and mandibular.
The centrofacial pattern is the most common, with excess pigment appearing in the forehead, cheeks, upper lip and nose.3 In this article, I will share some melasma management and treatment approaches which I have found satisfactory, although it is paramount to remember that it is a difficult condition to treat, and there are multiple possible approaches available.
Although melasma can affect all skin types and genders, it is most apparent in females (9:1 female to male ratio), and more evident in those with skin of colour (SOC) and high levels of sun exposure.4
