Melasma also known as chloasma is a dark or brown discoloration commonly seen over cheeks, forehead, nose and upper lip. It is also known as mask of pregnancy.

Melasma can affect anyone, but more common in women especially pregnant women. It is related to external sun exposure, hormones like birth control pills and internal hormonal changes as in pregnancy.

Three types of common facial patterns have been identified Centro facial (center of the face), malar (cheek bones), mandibular (jaw bone). Facial discolorations of any cause have significant impact on the quality of life and the effect is on self-perception and self-presentation.

Melasma of pregnancy usually fades away within a few months of delivery. Sometimes melasma may be preventable by avoiding sun exposure.

Sun screen can be used to prevent sun exposure. Various treatment options like sunscreens, topical de-pigmenting agents or skin lightening agents and other procedures like chemical peelings, micro dermabarasion are available.

Although melasma tends to be a chronic disorder with periodic ups and downs, the prognosis for most cases is good. Just as melasma develops slowly, clearance also tends to be slow.

The gradual disappearance of dark spots is based on establishing right combination of treatment for each individual skin type, which can be done by a dermatologist.