Melasma

Abstract

Background Melasma is a common disorder of hyperpigmentation of the skin, characterised by brown pigmentation primarily on the face. Given its frequent facial involvement, it has a significant impact on the quality of life of patients. Management can often be quite difficult, requiring extensive treatment periods and multiple modalities for ongoing maintenance. Objective The aim of this article is to provide evidence-based clinical updates to clinicians, specifically general practitioners, to assist with their everyday practice and effective assessment and treatment of melasma. Discussion Therapeutic modalities are chosen on the basis of disease presentation, patient preference, treatment periods and sideeffect profiles of treatment agents; often a combination of therapies is required.