Melasma

Melasma is a common form of pigmentation that causes larger patches of brown or gray-brown discoloration, most often on the face. Unlike sun spots, melasma usually develops because of a combination of hormones, sun exposure and genetic predisposition.

If you've noticed symmetrical patches of pigmentation on your cheeks, forehead, upper lip or chin, melasma may be the cause.

Although melasma can be challenging to treat, many people achieve meaningful improvement with the right combination of professional treatments, home skincare and ongoing sun protection.

At a Glance

Melasma:

Appears as larger patches of pigmentation rather than individual spots
Commonly affects the cheeks, forehead, upper lip and chin
Is influenced by hormones, sun exposure and genetics
Often requires long-term management rather than a one-time treatment
Can often be improved with a personalized treatment plan

What Is Melasma?

Melasma is a chronic pigmentation condition caused by overproduction of melanin, the pigment responsible for skin color.

Unlike isolated sun spots, melasma typically appears as broader, symmetrical patches with less defined borders.

It is most common in women and often develops during periods of hormonal change, although it can also occur in men.

What Makes Melasma Different?

Unlike many other pigmentation concerns, melasma often has hormonal triggers and can return even after successful treatment. That's why long-term management and sun protection are just as important as the treatment itself.

What Causes Melasma?

Melasma rarely develops because of one factor alone. It is usually the result of several influences working together.

Hormonal Changes

Hormonal fluctuations are one of the strongest contributors to melasma. Pregnancy, birth control and hormone replacement therapy are all associated with an increased risk.

Sun Exposure

Ultraviolet (UV) light is a major trigger. Even small amounts of daily sun exposure can stimulate pigment production and make melasma more noticeable.

Heat

Many people are surprised to learn that heat—not just sunlight—can contribute to melasma. Hot environments, saunas and prolonged heat exposure may trigger pigment-producing cells in susceptible individuals.

Genetics

A family history of melasma increases the likelihood of developing the condition.

Where Does Melasma Usually Appear?

Melasma most commonly affects:

Cheeks
Forehead
Upper lip
Chin
Bridge of the nose

The pigmentation usually appears on both sides of the face in a relatively symmetrical pattern.

Melasma vs. Sun Spots

Many people confuse melasma with sun spots because both appear as brown pigmentation.

Melasma	Sun Spots
Larger patches	Individual spots
Usually symmetrical	Often scattered
Strong hormonal influence	Primarily caused by UV exposure
Can recur even after successful treatment	Less likely to recur if sun exposure is controlled

Recognizing the difference is important because treatment strategies are different.

Can Melasma Be Improved?

Yes, but it requires realistic expectations.

Melasma is considered a chronic condition, which means it can return over time, particularly with ongoing sun exposure or hormonal changes.

The goal of treatment is not simply to fade the pigmentation. It's also to help manage the factors that contribute to its recurrence.

For many guests, the best results come from combining professional treatments with medical-grade skincare and diligent daily sun protection.

Our Philosophy

One of the biggest misconceptions about melasma is that it can be permanently "removed."

We believe it's more helpful to have an honest conversation.

Many people experience significant improvement, but maintaining those results often requires ongoing care and consistent sun protection.

We'd rather set realistic expectations and achieve lasting success than promise quick fixes that don't reflect the nature of the condition.

When Should Pigmentation Be Assessed by a Doctor?

Melasma is a cosmetic condition, but not every area of facial pigmentation is melasma.
If you notice a pigmented area that:
-develops rapidly
-changes in shape or color
-has irregular borders
-bleeds or doesn't heal
-looks significantly different from your other spots

it should be assessed by your family physician or dermatologist before pursuing cosmetic treatment.
At Raintree, we'll always recommend medical assessment first if a pigmented lesion doesn't appear consistent with a typical cosmetic pigmentation concern.

Frequently Asked Questions

Is melasma permanent?

Melasma is considered a chronic condition. While it can often be improved significantly, it may return over time, particularly with sun exposure or hormonal changes.

Can melasma be cured?

There is currently no permanent cure for melasma. The focus is on improving its appearance and helping maintain results through ongoing management.

Why did my melasma come back?

Recurrence is common. Sun exposure, heat and hormonal changes can all reactivate pigment production, even after successful treatment.

Does sunscreen really make a difference?

Yes. Daily broad-spectrum sunscreen is one of the most important parts of managing melasma and helping maintain treatment results.

Which treatment is best for melasma?

The most appropriate treatment depends on the depth of the pigmentation, your skin type and your goals. A consultation allows us to develop a personalized treatment plan based on your individual needs. There are real concerns that heat based treatments can exacerbate existing melasma rather than helping reduce it. That is why the right treatment is so important.

Not Sure Where to Start?

You don't need to know whether your pigmentation is melasma before booking.

A personalized consultation allows us to evaluate your skin, determine the likely cause of your pigmentation and recommend treatment options that fit your goals—without pressure.

Book a Skin Consultation