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Melasma

Last updated: March 25, 2026

Melasma is a common skin condition that manifests as dark patches on the face. The condition is harmless, but it can be cosmetically bothersome and affect quality of life.

At Lægerne Danmark, our dermatologists offer professional assessment and treatment of melasma, with a focus on both effectiveness and skin health.

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Jakob Fraes
Specialist in General Medicine, Ph.D.
Learn more about melasma. Everything you need to know.

What is melasma?

Melasma is a pigmentary disorder in which the skin produces too much melanin (pigment), resulting in dark patches. These patches typically appear on the face, often on the cheeks, forehead, upper lip, and chin, and tend to be symmetrical.

This condition is most common in women and often occurs in connection with hormonal changes, such as during pregnancy or when taking birth control pills. Sunlight plays a significant role in both the development and worsening of melasma.

Melasma is not dangerous, but it can be persistent and often requires targeted treatment.

Causes of melasma

Melasma develops as a result of a combination of factors that affect the skin’s pigment production. The most common causes are:

  • Sunlight (UV radiation): the main triggering factor
  • Hormonal factors: e.g., pregnancy or hormonal contraception
  • Genetic predisposition
  • Certain skin care products or skin irritation

Even small amounts of sunlight can worsen the condition, making daily sun protection essential.

Symptoms of melasma

Melasma manifests as:

  • Dark, irregular pigment spots
  • Typical symmetrical placement on the face
  • No itching or pain
  • Gradual development over time

The color can vary from light brown to dark brown depending on skin type and the degree of pigmentation.

Consultation with a dermatologist

If you notice changes in your skin's pigmentation, it is important to get a proper diagnosis. A dermatologist can determine whether it is melasma or another type of pigmentation disorder.

During the consultation, the dermatologist will:

  • Assess your skin and pigmentation
  • Review your medical history and any hormonal factors
  • Let's talk about sun habits and skincare
  • Develop an individualized treatment plan

An accurate assessment is essential for selecting the most effective treatment and preventing the condition from worsening.

Treatment of melasma

Treating melasma requires patience and a combination of approaches. Often, several methods are used at the same time:

Sun protection

Daily use of a high-SPF sunscreen (SPF 30–50) is absolutely essential and the most important part of the treatment.

Medicated creams

Prescription creams can reduce pigmentation and lighten the skin over time.

Chemical peels

Removes the top layers of skin and can improve the skin's appearance.

Laser treatment

May be used in some cases, but requires careful evaluation, as improper treatment can worsen the condition.

The treatment is always tailored to each individual based on skin type and the severity of the melasma.

What can you do yourself?

There is a lot you can do yourself to prevent and manage melasma. It is important to use sunscreen every day, even in the winter, as even limited UV exposure can worsen the condition. In addition, you should avoid direct sunlight as much as possible, especially in the middle of the day, and protect your skin with a hat or stay in the shade when the sun is strong.

A gentle skincare routine is also important. Choose mild products that do not irritate the skin, and avoid products that may worsen pigmentation changes. Consistent sun protection is a crucial part of both treating and preventing melasma.

Advantages of choosing a private dermatologist

When you choose a private dermatologist, you get quick access to specialized evaluation and treatment without long wait times. This allows you to start the right treatment as soon as the need arises.

At Lægerne Danmark, we prioritize high professional standards and taking the time to care for each patient. You’ll receive a thorough consultation during which we’ll assess your skin condition and tailor the treatment to your individual needs.

We offer personalized assessments and customized treatment plans, access to modern treatment options, as well as ongoing follow-ups and adjustments to your treatment. In addition, you’ll receive advice on skincare and prevention so you can best maintain your results.

Book now

Book an appointment with our dermatologists today to receive a professional evaluation and a personalized treatment plan for melasma.

Frequently Asked Questions About Melasma

Is melasma permanent?

Melasma can be a long-term condition, but this varies from person to person. For some, it fades over time, while others find that it returns, especially when exposed to the sun.

Can melasma be treated?

Yes, melasma can be treated, but it often requires a combination of treatments and patience. Treatment may include medicated creams, chemical peels, and in some cases laser therapy, as well as consistent sun protection.

Can melasma get worse from sun exposure?

Yes, even small amounts of sunlight can make melasma worse. That’s why it’s important to protect your skin all year round.

Is melasma dangerous?

No, melasma is not dangerous and does not develop into skin cancer. It is a cosmetic condition that can, however, affect your quality of life.

When should I see a doctor?

You should contact a dermatologist if you notice any new or changes in existing skin pigmentation, or if you would like treatment and advice regarding your skin.

Do regular skincare products work?

Some skincare products may have a mild effect, but prescription treatment is often necessary to achieve visible results.