Melasma is a common cause of facial darkening (hyperpigmentation) in women. It is related to hormonal changes and can be worsened by oral contraceptives. This image displays subtle darkening (hyperpigmentation) of lip in a woman with melasma. In melasma, which most commonly occurs in females following pregnancy or use of oral contraceptives, the skin is darker, but the lesions are not raised. A frequent location for the increased darkness (pigmentation) seen in melasma is the upper lip. As displayed in this image, melasma, while usually affecting the cheeks and lips, can also appear on the forehead. This image displays melasma on the lips and cheeks. In this image, melasma is on the cheeks and extends to the temple. Sun-exposed areas of the face can be affected by melasma, seen on the nose and upper lip in this young woman. This image displays extensive irregular areas of melasma across the cheeks, nose, and chin. Melasma is particularly noticeable in people with darker skin. This image displays melasma affecting the cheeks and upper lip. This image displays extensive melasma on the cheek area. This image displays a lace-like pattern on the cheeks typical of melasma.
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Melasma:
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Picture of Melasma: Melasma is a common cause of facial darkening (hyperpigmentation) in women. It is related to hormonal changes and can be worsened by oral contraceptives. Divider line
Melasma is a common cause of facial darkening (hyperpigmentation) in women. It is related to hormonal changes and can be worsened by oral contraceptives.
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Signs and Symptoms
The dark patches of melasma most commonly affect the face, particularly the sides (lateral portions) of the cheeks and sometimes the skin above the lips. 
Last Modified: 18 Oct 2007

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