Overview
Melasma is a common form of hyperpigmentation, where areas of the skin develop darker patches due to increased melanin production.
It typically appears symmetrically on sun-exposed areas of the face and may vary in colour from light brown to grey-brown.
Unlike some types of pigmentation, melasma is influenced by a combination of internal and external factors. Hormonal changes, such as pregnancy or contraceptive use, can play a significant role, alongside sun exposure and genetic predisposition.
Melasma is not harmful or contagious, but it can be persistent and prone to recurrence, particularly without careful management
How we approach Melasma
At Mirabel, melasma is approached with care and precision, recognising that it behaves differently from other forms of pigmentation.
The aim is to:
• Reduce excess pigment production within the skin
• Minimise triggers that may be worsening the condition
• Improve overall skin tone and clarity gradually
• Avoid inflammation or overly aggressive treatments that may exacerbate pigmentation
This often involves a combination of carefully selected treatments and targeted skincare, alongside strict sun protection.
A measured, consistent approach is key, as melasma is best managed over time rather than treated as a one-off concern.
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What you may notice
Melasma typically presents as:
• Symmetrical patches of darker pigmentation on the face
• Areas of uneven skin tone across the cheeks, forehead or upper lip
• Pigmentation that becomes more noticeable after sun exposure
• Changes that may fluctuate over time
The patches are usually flat and do not cause discomfort, but can feel persistent or difficult to improve.
What is happening in the skin
Melasma occurs when pigment-producing cells (melanocytes) become overactive and produce excess melanin in certain areas of the skin.
This process is influenced by a combination of factors:
• Increased sensitivity of melanocytes
• Stimulation from UV and visible light
• Hormonal influences
• Underlying inflammation within the skin
Unlike other pigmentation concerns, melasma often involves both surface and deeper layers of the skin, which contributes to its persistence and tendency to recur.
What can influence melasma
Melasma is strongly influenced by triggers, which can vary between individuals:
• Sun exposure, one of the most significant triggers
• Hormonal changes, including pregnancy or hormonal medication
• Heat and environmental exposure
• Genetics and skin type
• Inflammation or irritation within the skin
Because of this, melasma often requires ongoing management rather than a one-time solution.
When to seek advice
If pigmentation feels persistent, worsening or difficult to manage, a more tailored approach can help to improve both understanding and results.
Seeking advice can help to:
• Distinguish melasma from other types of pigmentation
• Identify individual triggers and contributing factors
• Avoid treatments that may worsen the condition
• Develop a long-term plan to manage and maintain results
Early and appropriate guidance can help to reduce the risk of worsening pigmentation and support more consistent improvement over time.