START WITH YOUR CONCERN
Melasma and uneven pigmentation
Brown facial patches may reflect melasma or another pigmentation concern. The first step is a diagnosis and a plan that respects your skin’s tendency to become irritated or darker.
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Understanding the concern.
Melasma is a recurring pigment condition, often appearing as brown or grey-brown patches on both sides of the face. Sunlight, visible light and hormonal factors can contribute. Other pigment disorders can look similar, so diagnosis comes before procedures.
Where care starts.
Daily broad-spectrum SPF 30 or higher, shade and a hat form the foundation of care. A tinted sunscreen containing iron oxides can help with visible-light protection. Appropriate topical treatment usually comes before a peel, laser or light procedure.
What the evidence means.
Melasma treatment aims to control pigment rather than promise a permanent cure. Procedures may help selected cases, but can also worsen pigmentation. The choice should account for skin tone, irritation and previous responses.
Options to discuss.
Pigment and Redness Care
A diagnosis-led discussion of skincare and selected procedural options.
Chemical peels
A carefully chosen peel may be discussed after assessing stability and pigment risk.
Pulsed-light treatment (DPL)
Discussed only for an appropriate pigment or vessel target; not the usual first treatment for melasma.
Your questions.
Can every brown patch be treated as melasma?
No. Different pigment conditions can look similar. New or changing marks should be examined before cosmetic treatment.
Can melasma be cured permanently?
A permanent cure is not promised. Recurrence is possible, and ongoing care may be needed.
Is DPL always suitable for melasma?
No. Heat and irritation can worsen pigmentation in some people. The diagnosis and stability of the skin come first.
Does sun protection still matter after a procedure?
Yes. Use daily broad-spectrum SPF 30 or higher with shade and protective clothing. A tinted sunscreen with iron oxides can help protect against visible light. Protection remains important after improvement.
Can a peel make pigmentation worse?
It can, particularly if the skin becomes inflamed or the treatment is unsuitable. Your history of pigment reactions should be discussed.
What will happen at the first visit?
Dr. Roy reviews the pattern, triggers, skincare and previous treatments, then explains appropriate care or referral before considering a procedure.
Suitability depends on a personal assessment. Meet Dr. Roy Dagher or call +961 76 612 621 to discuss an appointment.
Further reading: Melasma: diagnosis, sun protection and treatment · Melasma: everyday skin protection. These sources do not endorse the clinic. Overseas regulatory information does not establish local authorization.
General patient information. Evidence and copy checked 15 September 2026. A personal assessment is needed.