Cosmetic Dermatology · Condition guide

Melasma

Also known as: pregnancy mask, chloasma

Symmetrical brown patches on the face, common in pregnancy, treatable with patience.

Illustrative close-up of clearly visible facial melasma patches on melanin-rich skin

The short version

Melasma causes soft, symmetrical brown patches on the cheeks, forehead and upper lip, commonly in pregnancy or with hormonal contraception.

It sits deeper in the skin than it looks, which is why harsh fade creams often burn or worsen it. A dermatologist-led plan works slowly and safely.

What it can look and feel like

  • Brown or grey-brown facial patches
  • Appears on both sides, symmetrically
  • Darkens after sun exposure
  • Often starts in pregnancy or with the pill

Why it happens

  • Hormones, pregnancy, contraceptives
  • Sun and visible light
  • Genetics, commoner in deeper skin
  • Heat exposure

How we treat it

See other conditions

Every plan starts with a proper diagnosis, your treatment is chosen for your skin, your history and your lifestyle. See our in-clinic treatments →

Related reading

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