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Melasma is a discoloration of the skin that comes from a combination of hormonal fluctuations and sun exposure. Other common triggers include birth control pills and estrogen supplements. It’s common in pregnant women, hence the nickname “mask of pregnancy.” Most people with melasma have a history of daily or intermittent sun exposure.

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It causes brown to grayish-brown patches on the face, mostly occurring on the cheeks, bridge of the nose, forehead, chin and above the upper lip. It can also appear on other parts of the body that get a lot of sun exposure, such as the arms and neck.

There are different types of skin hyperpigmentation, and all can be caused by a variety of different reasons. That all depends on what form of hyperpigmentation you have and its severity.

Laser treatments are effective at stopping the skin cells from releasing pigmentation, while not causing any damage to your skin’s outer layer. This method is probably the most expensive treatment for melasma. Procedures for melasma include, microdermabrasion, Fraxel, and Ruby Lasers.