Pigmentation & melasma: why it recurs and how to manage it

Pigmentation is common in coastal climates, and melasma in particular can feel frustrating because it often improves — then returns. The most effective approach is rarely a single product or a short “course”. It is a strategy.

Why pigmentation returns

In many patients, pigmentation is driven by more than one factor:

• UV and visible light exposure (not only sunlight — also strong indoor light in some settings)
• Inflammation (acne marks, irritation, aggressive peels, friction)
• Hormonal influence (melasma patterns)
• Skin barrier stress (over‑exfoliation, frequent product switching)

When these triggers persist, pigmentation tends to recur even after good initial improvement.

A structured management plan

1) Protect first (this is non‑negotiable)

• Daily broad‑spectrum sunscreen.
• Consider additional protection (shade, hats) when exposure is high.

2) Reduce inflammation

If your skin is irritated, many brightening routines fail. The goal is calm, consistent care.

3) Use targeted treatments thoughtfully

Short‑term improvement is common. Long‑term stability requires the right sequence and follow‑up, especially for melasma.

4) Avoid the “product rotation” trap

Frequent changes often increase irritation and slow progress. In practice, a simpler plan tends to be more sustainable.

When evaluation is recommended

Consider a consultation if:

• Pigmentation persists beyond 8–12 weeks despite consistent protection.
• Marks are worsening or spreading.
• You have recurrent melasma with repeated relapses.

This article is educational and does not replace clinical assessment. Pigmentation patterns can look similar, but management differs.