Best Melasma treatment in Villivakkam Melasma is a common cause of facial darkening (hyperpigmentation) in women. It is related to hormonal changes and can be worsened by oral contraceptives. The condition is marked by brown patches that worsen in response to increases of the hormone estrogen, such as during pregnancy or with the use of birth control pills. Other medications, such as anti-seizure medications, may also cause melasma. Increased sun exposure can also be a cause. Although the condition is more common in women, men can also have melasma. People with darker skin are generally more likely to have it. Family history increases likelihood of developing melasma. Protect your skin from sun exposure to prevent worsening, and use a combined UVB+UVA sunscreen. Use sunscreen year-round, since the skin is very sensitive to even small amounts of ultraviolet (UV) light. With your doctor's permission, stop using medications that may be causing your melasma. Superficial chemical peels (application of an acid to remove the top layers of the skin) and microdermabrasion (a facial sanding technique) may offer additional help. A topical agent, azelaic acid, may be helpful. Book your appointment for further assistance.