Treatable Condition

Medical Dermatology


Melasma is a skin brown discoloration typically seen on the cheeks, forehead, nose, or upper lip. It often occurs in sun-exposed areas and can affect anyone, but is most often seen in young women with brownish skin tones. It is more common in certain ethnic groups, especially Latinos.


About the Melasma

The cause of melasma is unknown, but pregnancy, hormonal treatment and birth control pills can trigger and/or worsen melasma. Melasma that occurs in pregnant women is often referred to as "pregnancy mask". Because sun exposure can increase the risk of melasma, it is most common in tropical climates.


  • What are the treatment options?
    Treatment for melasma can be challenging since there are some resistant cases. The most important step in the treatment of melasma is sun protection.

    1) Sun protection.
    2) Topical creams.
    3) Cosmetic treatment.
  • Is there a cure?
    Melasma has a tendency to return, therefore it is very important to continue sun avoidance and the use of sunscreens even if the melasma has gone away. Avoiding the sun and using sunscreen is important in keeping melasma from developing or worsening.

"The skin is your best outfit — you just need to know how to take care of it."
Miriam Casal, MD

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Great dermatologist, the staff is amazing ! And great skin line best customer service.

Stephanie V. - Elmhurst, Queens, NY

This office is a hidden gem! Great environment and excellent care. Seeing Dr. Casal is a pleasure - I highly recommend it.

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Good for hair loss. I went to 3 other derms and doctors, she was the only helpful one. Come here!

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