Melasma - Location on Body

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Where is melasma seen on the body?

Melasma is characterized by discoloration or hyperpigmentation primarily on the face. Three types of common facial patterns have been identified in melasma, including centrofacial (center of the face), malar (cheekbones), and mandibular (jawbone).

The centrofacial pattern is the most prevalent form of melasma and includes the forehead, cheeks, upper lip, nose, and chin. The malar pattern includes the upper cheeks. The mandibular pattern is specific to the jaw.

The upper sides of the neck may less commonly be involved in melasma. Rarely, melasma may occur on other body parts like the forearms. One study confirmed the occurrence of melasma on the forearms of people being given progesterone. This was a unique pattern seen in a Native American study.

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See what others are saying

Comment from: Candy, 45-54 Female (Patient) Published: July 09

I am white with hint of Asian blood. I noticed my melasma when I was 36 years old after my vacation trip in Thailand. I tried to use all kinds of bleaching cream and it got a little bit better but still darker in summer time, even if I used very good sunblock. It is on my upper cheeks around the sunglasses area and lately I got more freckles. I'm 47 now, I am so tired of it all these years, and all recipes of homemade masks and any cream treatment is not working. It has got lighter, but still very ugly and any makeup makes it even more visible. I am thinking of laser therapy or chemical pill.

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Comment from: Incognito, 55-64 Female (Patient) Published: January 20

I am 62 now, melasma came on my face when I started peri menopause at age of 49. Now I am at post menopause, I still have a few hot flashes and still have melasma on my face.

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