Melasma: dark facial spots, causes and treatments

Melasma is a skin condition defined by the appearance of dark, irregular patches on the face, typically on the forehead, cheeks, upper lip and chin. The main contributing factors are genetic predisposition, hormonal changes (for example during pregnancy or with certain contraceptives) and sun exposure, especially without adequate protection.

Prevention relies on consistent high-SPF photoprotection, with sunscreen reapplied several times a day, combined with hats and sunglasses, and, when medically appropriate, on adjusting or suspending photosensitising medications before direct sun exposure.

Treatment options

At MAVIT Clinic, melasma treatment is tailored to each patient and may include chemical peels, selective laser treatments, Intense Pulsed Light (IPL) to even out skin tone, at-home topical therapies with targeted lightening products and dedicated protocols such as Dermoamelan, always combined with strict sun protection to maintain and stabilise the results.

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