Menopause Q&A: Carolyn Taylor talks about her changing skin
When did you first start noticing changes in your skin related to menopause or perimenopause? I first started noticing changes during perimenopau...
Melasma is a form of pigmentation where brown or greyish patches develop on the skin, most commonly across the cheeks, forehead, chin, and upper lip. It’s often linked to hormonal changes such as pregnancy, contraceptive use, or menopause, and can also be worsened by UV exposure or genetics. These patches form when pigment-producing cells (melanocytes) become overactive and create too much melanin in certain areas. While melasma isn’t harmful, it can affect confidence and often feels tricky to manage with skincare alone. The good news? With the right professional treatments and at-home care, melasma can be significantly reduced and managed long-term.
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Melasma is a type of pigmentation that appears as brown or grey-brown patches, often on the cheeks, forehead, nose, and upper lip. It’s sometimes called the “mask of pregnancy” because it’s common during hormonal changes.
The biggest triggers are hormonal shifts (such as pregnancy, birth control, or menopause), sun exposure, and genetics. UV light is a major factor, even short amounts of sun exposure can make melasma worse.
Melasma is a form of pigmentation, but it behaves differently. Unlike freckles or sunspots, melasma often appears in symmetrical patches and can be more stubborn to treat.
Melasma can fade after pregnancy or once hormones settle, but in many cases it lingers. Without ongoing protection (like SPF) and treatment, it’s likely to return or darken over time.
At Caci, we often recommend treatments such as Fractional Laser, Photo Rejuvenation, Peels, or Skin Infusions to target stubborn patches. These are paired with skincare, including daily SPF and brightening serums, to manage melasma long-term.
The best prevention is consistent sun protection: broad-spectrum SPF every day, hats, and avoiding peak sun. Managing hormones isn’t always possible, but protecting your skin can reduce flare-ups and keep results from treatment lasting longer.