Melasma, also called chloasma, is a common skin condition in adults which causes the development of brown or greyish patches of pigmentation (colour), usually on the face. Most people develop melasma on their cheeks, bridge of their nose, forehead, chin, and above their upper lip. This skin discolouration or pigmentation doesn't cause any physical harm but may make one feel self-conscious about the way they look.


Melasma becomes more noticeable during summer and improves in winter. Though the exact cause is still unclear, melasma is thought to develop when pigment-producing cells in the skin (melanocytes) produce too much pigment (melanin).

Melasma can develop as a result of pregnancy and using hormonal drugs such as birth control pills and hormone replacement.

Sun protection is a vital treatment for melasma involving wearing sunscreen every day and reapplying the product every two hours.


Melasma can be chronic and difficult to treat, but under a dermatologist’s supervision and care, many people can have a good outcome. Melasma tends to reoccur if it is not managed properly.

Dr Jacobs will determine and counsel on the possible triggers of your condition and make a bespoke skincare regimen of which the cornerstone is adequate sun protection. Medical treatment for melasma may include topical prescription medications, prescription oral medications (if necessary) and in-office procedures. Dr Jacobs will work with you to find the best approach for you to help improve your confidence.