Melasma
Medically reviewed: Dr. Murat Toktamışoğlu · 2026-07-05
Definition
Symmetric brown-gray facial patches; hormone, UV, heat-triggered pigmentation. Double-layered (epidermal + dermal).
Detail
9x more common in women 30-50. Triggers: pregnancy, OCP, HRT, sun, heat. Treatment: chronic. Never full-energy Q-switched. Kligman trio + low-dose pico + tranexamic acid.