Melasma: Care Instructions
Overview
Melasma is a condition that causes dark spots and patches on your skin. It usually happens on the face. It
often occurs during pregnancy, and it usually fades after delivery. In other cases, the color changes last for
years or they may go away and come back.
Doctors do not know exactly what causes melasma. It tends to run in families. It has been linked to changes
in hormone levels from pregnancy or oral contraceptives. Other possible causes include the use of some
medicines or cosmetics. It tends to get worse with exposure to light and the sun. Melasma is more common in
people with darker skin.
Melasma does not cause other symptoms and does not lead to other physical health problems. It does not have
to be treated. Some people choose to treat it if it is having an effect on their life. Avoiding the sun and
using sun protection are keys to treatment. This includes using daily sunscreen and wearing sun-protective
clothing. Some people use special makeup to cover up the patches. Medicated creams to lighten the patches are
often used for treatment. In some cases, pills are used to lighten the skin. Chemical peels and laser and
light therapy may be used as well.
Chemical peels and laser and light therapy can irritate the skin, which can make melasma worse. If you have
darker skin, make sure you see a doctor who has experience using these procedures on darker skin.
Follow-up care is a key part of your treatment and safety. Be sure to make and go to all
appointments, and call your doctor if you are having problems. It's also a good idea to know your test results
and keep a list of the medicines you take.
How can you care for yourself at home?
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Wear a hat to shade your face when you are outside. Being in the sun without protection can make the
patches darker.
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Always wear sunscreen on exposed skin. Make sure to use a broad-spectrum sunscreen that has a sun
protection factor (SPF) of 30 or higher. Use it every day, even when it is cloudy.
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Avoid the sun between 10 a.m. and 4 p.m., which is the peak time for UV rays.
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Use only gentle soap or cleanser on your face. Do not rub your face hard.
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If your doctor prescribes or recommends face creams, use them exactly as directed.
When should you call for help?
Watch closely
for changes in your health, and be sure to contact your doctor if:
Current as of: November 16, 2023
Content Version: 14.0
Care instructions adapted under license by your
healthcare professional. If you have questions about a medical condition or this instruction, always ask
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this information.