Melasma is a long-term skin condition characterized by bilateral, hyper pigmented, irregularly shaped macules on the cheeks, forehead, and jaw. It's a broad-minded, macular, nonscaling hypermelanosis ...of sun-exposed skin that mostly affects the face and forearms. It's usually linked to pregnancy or the use of oral contraceptives or anticonvulsants (such as phenytoin Dilantin), but it can also be idiopathic. Melasma can be identified based on the patient's normal clinical symptoms. Some patients may object to the use of products with strong smells or an oily foundation, as well as the use of camouflaging proxies. Furthermore, some patients may find applying skin care products multiple times a day or smoothing once a day unattractive, and physicians should be aware of this.
