Melasma vs Hyperpigmentation: What’s the Difference and How to Deal With It

If you’ve ever stared at your reflection and noticed dark patches on your skin, you’re not alone. Skin discolouration is super common, but it can be confusing to figure out what’s going on. 

Is it melasma? Hyperpigmentation? Are they the same thing?

 Don’t worry—I’ve got you covered. Let’s break it down in simple terms, backed by science, so you can understand what’s happening and what you can do about it.

What’s the Deal with Hyperpigmentation?

Hyperpigmentation is like an umbrella term for any dark spots or patches on your skin. It happens when your skin produces too much melanin (the pigment that gives your skin its colour). Think of it as your skin’s way of saying, “Hey, something’s up here!”

Common Causes of Hyperpigmentation:

Hyperpigmentation is usually harmless, but it can be annoying, especially if it’s on your face. 

The good news? It’s treatable!

Did You Know? Fascinating Facts About Melanin

🔬 Melanin is your skin’s natural sunscreen – It absorbs UV radiation and helps protect against sun damage.
🌍 Everyone has the same number of melanocytes (melanin-producing cells), but the amount of melanin they produce varies, leading to different skin tones.
🦸‍♂️ Melanin is also found in your hair, eyes, and even your brain! It plays a role in the nervous system and eye pigmentation.
🥕 Certain foods can help regulate melanin production – Vitamin C, E, and antioxidants found in carrots, tomatoes, and citrus fruits support healthy skin pigmentation.
🦠 Melanin has antimicrobial properties! It helps defend against certain infections and environmental damage.

How Do Dermatologists Treat Hyperpigmentation?

Dermatologists like me often use a combination of treatments to reduce hyperpigmentation based on its cause and severity:

What About Melasma? Is It the Same Thing?

Melasma is a type of hyperpigmentation, but it’s a bit more specific. It’s like hyperpigmentation’s more stubborn cousin. Melasma shows up as brown or greyish patches, usually on the cheeks, forehead, nose, or upper lip. It’s often called the “mask of pregnancy” because it’s super common in pregnant women, but it can happen to anyone.

What Triggers Melasma?

Melasma is tricky because it’s chronic—it can fade and come back, especially if you’re not careful with sun protection.

Where Does Melasma Appear?

How Do Dermatologists Treat Melasma?

Melasma is more stubborn than general hyperpigmentation, so dermatologists take a targeted approach:

How to Tell the Difference Between Melasma and Hyperpigmentation

Here’s a quick cheat sheet:

Feature

Hyperpigmentation

Melasma

Appearance

Dark spots or patches

Symmetrical brown/grey patches

Common areas

Anywhere (face, hands, body)

Cheeks, forehead, upper lip

Causes

Sun, acne, injuries, skin conditions

Hormones, sun, genetics

Duration

Can fade with treatment

Often

chronic, comes and goes

Still unsure? A dermatologist can help diagnose it with tools like a Wood’s lamp, which shows how deep the pigment is in your skin.

How to Treat Melasma and Hyperpigmentation

Now for the good stuff—how to tackle these pesky patches!

Sun Protection is Non-Negotiable

Both melasma and hyperpigmentation love the sun. Wearing SPF 30+ every single day (yes, even indoors) is your first line of defence. Look for broad-spectrum sunscreens with zinc oxide or titanium dioxide.

Topical Treatments

Professional Treatments

Lifestyle Changes

What NOT to Do

When to See a Dermatologist

If over-the-counter products aren’t cutting it, or if you’re unsure what’s causing your dark patches, it’s time to see a pro. They can create a personalized plan for your skin type and concerns.

Final Thoughts: How to Manage Melasma & Hyperpigmentation Effectively?

Pro Tip: The sooner you start treatment, the better your results!

Frequently Asked Questions (FAQs)

  • Hyperpigmentation may fade over time, especially if caused by acne or an injury.
  • Melasma is stubborn and often needs treatment.

Yes! Though it’s more common in women, men can also develop melasma, especially with sun exposure and genetics.

Foods rich in antioxidants like Vitamin C, E, and glutathione can help. Eat: 🍊 Citrus fruits (oranges, lemons) 🥦 Leafy greens (spinach, kale) 🐟 Omega-3-rich fish (salmon, walnuts)

  • Topical creams: 2-3 months for visible results.
  • Chemical peels & lasers: Multiple sessions are required.
  • Sunscreen & skincare routine: Lifelong commitment to prevent recurrence.

Yes! Stress increases cortisol levels, which can stimulate melanin production and worsen pigmentation.

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