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Is it sun damage or melasma? Here's how to tell the difference

March 28, 2026

Do you have spots on your face and aren’t sure what’s causing them? You’re not alone—many people experience changes in skin pigmentation, but it can be hard to tell whether it’s sun damage or melasma.

What is sun damage?

Sun damage occurs as a result of prolonged or intense sun exposure. UV rays from the sun affect the skin’s pigment cells and can lead to dark spots, redness, or uneven skin tone. Sun damage typically appears on areas frequently exposed to the sun, such as the face, neck, hands, and arms.

Sun damage develops gradually over time and can be both cosmetically bothersome and a health concern. It is therefore important to have it evaluated by a doctor, especially if the spots change in size, color, or shape.

Prevention is key: high-SPF sunscreen, clothing that covers the skin, and avoiding the sun during the middle of the day can reduce the risk of sun damage. Also remember that even on cloudy days, UV rays can still affect your skin.

What is melasma?

Melasma is a type of pigmentation disorder that most often appears as symmetrical, brown or grayish patches on the face. The condition is often hormone-related and can occur during pregnancy, while taking birth control pills, or during hormone therapy. Sun exposure can worsen melasma, but it is not the primary cause.

Melasma is most common in women and typically affects the cheeks, forehead, upper lip, and nose. Although melasma is not dangerous, it can affect self-esteem and cause concern about the appearance of the skin. Many people find that the patches become more visible during the summer months and less so during the winter months.

Here's how to tell the difference

One of the biggest challenges for patients is distinguishing between sun damage and melasma. Sun damage is often patchy and occurs on areas of the skin most exposed to the sun. Melasma typically exhibits symmetrical patterns and can worsen during periods of hormonal changes.

Signs of sun damage

  • Uneven, small brown or reddish spots
  • Found on sun-exposed areas such as the face, hands, and arms
  • May develop slowly over the course of several years

Signs of melasma

  • Symmetrical, brown, or gray spots
  • Affects the cheeks, forehead, upper lip, and nose
  • Can develop relatively quickly, especially under the influence of hormones

Although these characteristics can help you understand the difference, it is important to get a professional evaluation. A dermatologist can examine the spots closely and ensure that they are not caused by other skin conditions, including skin cancer.

When should you see a dermatologist?

You should contact a dermatologist if you notice any changes in your moles. This applies if they grow larger, change color, itch, bleed, or look different than before.

At Lægerne Danmark, you can get quick help and an evaluation. We offer appointments that fit your schedule, and our doctors can determine whether the spots are harmless or if further examination is needed. Getting a professional evaluation gives you peace of mind, so you can take action in a timely manner.

Treatment of sun damage

Treatment for sun damage often combines prevention with cosmetic solutions. High-SPF sunscreen, clothing that covers the skin, and limiting sun exposure reduce the risk of further damage.

Cosmetic options

  • Chemical peels: remove the outermost layer of skin and reduce pigmentation spots
  • Laser treatment: targeted reduction of dark spots
  • Medical skincare: creams containing active ingredients that lighten the skin

A dermatologist can determine which treatment is best suited to your skin type and the extent of the spots. It is important to combine treatment with continued sun protection to maintain the results.

Treatment of melasma

Melasma often requires a slightly different approach, as it can be hormone-related. Sun protection is still important, but treatment may also include medicated creams that inhibit pigment production.

Effective measures

  • Topical lightening creams
  • High-SPF sunscreen every day
  • Any adjustments to hormone therapy, as determined by the doctor

It is important to have realistic expectations, as melasma can return, especially due to sun exposure or hormonal changes. Your doctor can help you develop a long-term plan that both reduces the spots and prevents them from getting worse.

Prevention of pigment changes

Prevention is key for both sun damage and melasma. Daily sun protection, hats, and clothing that covers the skin, as well as limiting direct sun exposure, help keep the skin healthy.

In addition, gentle exfoliation and skincare products containing antioxidants can support the skin’s natural renewal process. Lægerne Danmark can advise you on the best preventive measures for your skin type and lifestyle.

Get a quick assessment at Lægerne Danmark

Are you unsure what’s causing your skin discoloration? At Lægerne Danmark, you can book an appointment quickly—often on the same day or at a time that works for you.

Our doctors provide professional advice and assist you with both treatment and prevention. We’ll answer your questions and offer guidance on how to best protect your skin going forward. When you schedule an appointment with us, you’ll find peace of mind and practical solutions, so you can feel confident and well-informed.