Dr Shardul Soman

Melasma & Dark Spots

Melasma & Dark Spots

Melasma is a skin condition that causes patches and spots, usually on the face, which are darker than your natural skin tone. While common, melasma can be mistaken for another skin condition.
Many women first see these blotchy patches and freckle-like spots on their face during pregnancy or when they start taking birth control pills. Melasma is so common during pregnancy that it’s sometimes called the “mask of pregnancy.”

Melasma appears most commonly on your cheeks, nose, chin, above the upper lip and the forehead. It sometimes affects your arms, neck and back. In fact, melasma can affect any part of your skin that is exposed to sunlight. That’s why most people with melasma notice that their symptoms worsen during the summer months.

Fairer-skinned people are less likely to be affected by melasma than those with darker brown skin or those who tan well. Women are more likely to get melasma than men: about 10% of those who get melasma are men, 90% women. Pregnant women get melasma more often than anyone else. You’re also at risk if you take oral contraceptives and hormones.

There are two main causes of melasma: radiation, whether ultraviolet, visible light, or infrared (heat) light; and hormones.

Ultraviolet and infrared radiation from the sun are key in making melasma worse. Other possible causes of melasma include:

Antiseizure medications, Contraceptive therapy (birth control), Genetics, LED Screens, Pregnancy, Hormones, Makeup (cosmetics), Skin care products, Tanning beds.