What melasma is
Melasma is hyperpigmentation often on the cheeks, forehead, and upper lip, worse with sun and hormonal shifts (pregnancy, oral contraceptives). It is common and chronic—management focuses on control, not a one-time cure.
Sun protection is non-negotiable
Broad-spectrum SPF 30+ daily, reapplied with outdoor activity, plus hats and shade. Ultraviolet and visible light can worsen pigment—tinted sunscreens with iron oxides help some patients. See the AAD overview on melasma for fundamentals.
Topical therapy
Hydroquinone (where legally available), retinoids, azelaic acid, and combinations may be prescribed in sequences to reduce irritation. “Natural” lightening creams can contain hidden steroids—avoid unregulated imports.
Procedures cautiously
Chemical peels and lasers can help or worsen melasma if sun protection is inadequate—only under experienced supervision.
Timeline
Expect months of consistent care; flares can occur—call your clinician to adjust rather than stacking harsh products at home.
Written by Dr. Trita Dermatology Team
Dermatology
Our dermatology specialists provide expert care for a wide range of skin conditions, from eczema and psoriasis to skin cancer screening. We are dedicated to helping Ottawa patients maintain healthy skin year-round.
