Melasma commonly affects the cheeks, forehead, and upper lip. Because facial pigmentation can have different causes, the first step is to assess the patches before choosing a treatment.
Your dermatologist will review how the pigmentation has changed, what you have already tried, and factors that may be contributing to it. This helps shape a plan suited to your skin.
During the consultation, the dermatologist examines your skin and asks when the dark patches appeared, whether they change with sun exposure, and which products or procedures you have used.
After the assessment, the doctor will recommend a home treatment routine and explain whether any in-clinic treatments are appropriate for you.
Your plan may include prescribed topical products, adjustments to your daily skincare, and consistent sun protection. The dermatologist will explain how to use each product and when to return for a progress review.
In-clinic chemical peels may be considered when appropriate. The doctor selects the treatment only after assessing your skin, as an unsuitable or overly intensive procedure can worsen pigmentation.
