Melasma is a widespread pigmentary problem affecting the Asian skin. It usually appears as tan or brownish patches over the cheek. The forehead, temples, nasal bridge, upper lips and jawline may be affected as well. Melasma results from the combination of genetic, hormonal and UV factors. Women are more frequently affected compared to men. Worsening is often seen after sun exposure, pregnancy and the use of oral contraceptives.
Melasma is tough to treat as reappearance after initial successful treatment is high. Melasma is best controlled with the regular use of good broad spectrum sunscreens, sun avoidance and lightening creams. Chemical peeling and BBL may offer additional benefits. Pigment laser treatment is not recommended as it may worsen the pigmentation instead.