#melasma causes

[delhiwellnessclinics]

The Complete Guide to Melasma Treatment

Melasma is one of the most persistent and emotionally frustrating skin conditions. It appears as brown or greyish patches on the face, most commonly on the cheeks, forehead, upper lip, and chin. It does not cause physical discomfort, but its visible nature makes it a significant cosmetic concern for millions of people, particularly women.

What makes melasma challenging is that it is chronic. It can fade and return, especially with sun exposure, hormonal changes, or stress. For those living in a city with year-round sun intensity, finding consistent and effective Melasma Treatment in Delhi has become a priority for many patients seeking long-term skin clarity.

This guide covers everything you need to know about melasma: what causes it, how it is diagnosed, which treatments work, and how to maintain results over time.

What Is Melasma?

Melasma is a form of hyperpigmentation that develops when melanocytes (pigment-producing cells) produce excess melanin in certain areas of the skin. The condition often appears symmetrically on the face and tends to worsen with sun exposure and hormonal fluctuations.

What Causes Melasma?

Melasma occurs when melanocytes, the pigment-producing cells in the skin, become overactive and produce excess melanin in localised areas. Several factors trigger or worsen this overactivity.

Common causes and triggers include:

Sun exposure, which is the most significant and consistent trigger

Hormonal changes from pregnancy, oral contraceptives, or hormone therapy

Genetic predisposition, as melasma often runs in families

Thyroid dysfunction, which is an underrecognised contributor

Certain skincare products or cosmetics that cause skin irritation

Heat exposure, even without direct sunlight

Women are far more commonly affected than men, though men can develop melasma too. People with medium to darker skin tones are at higher risk due to more active melanocytes.

Common Symptoms of Melasma

Melasma typically presents as:

Brown or grey-brown facial patches

Symmetrical pigmentation on both sides of the face

Pigmentation on the cheeks, forehead, nose, upper lip, and chin

Gradual darkening after sun exposure

How Is Melasma Diagnosed?

Melasma is typically diagnosed through a clinical skin examination. A dermatologist may use a Wood’s lamp, a device that emits ultraviolet light, to determine how deep the pigmentation sits within the skin.

Melasma is classified into three types based on depth:

Epidermal melasma: Pigment sits in the upper layers of skin and responds well to topical treatments

Dermal melasma: Pigment is deeper and more resistant to standard treatments

Mixed melasma: A combination of both, which is the most common presentation

Understanding the depth and distribution of pigmentation directly influences which treatment approach will be most effective.

Treatment Options for Melasma

There is no single universal cure for melasma, but a combination of treatments tailored to the individual can produce significant and lasting improvement.

Topical Medications

Dermatologists may prescribe:

Hydroquinone

Azelaic acid

Kojic acid

Retinoids

Vitamin C-based formulations

These ingredients help reduce melanin production and improve skin tone.

Chemical Peels

Superficial to medium-depth peels using glycolic acid, lactic acid, or trichloroacetic acid can accelerate pigment clearance. They work by removing the outer layers of skin and promoting fresh cell turnover. Multiple sessions are usually required, and peels must be carefully matched to skin type to avoid post-inflammatory hyperpigmentation.

Laser and Light Therapies

For cases that do not respond adequately to topical treatments, laser therapy offers a more targeted approach. Options include Q-switched Nd:YAG laser, picosecond lasers, and intense pulsed light. These technologies break down pigment particles without damaging surrounding tissue.

Oral Medications

In selected cases, dermatologists may recommend oral medications such as tranexamic acid under medical supervision to help manage recurrent melasma.

The Importance of Sun Protection

Sun protection is not optional in melasma management. It is the single most important factor in preventing recurrence.

Daily sun protection should include:

Broad-spectrum SPF 50+ or higher applied every morning

Reapplication every two hours during outdoor exposure

Physical sun protection such as hats and UV-protective clothing

Avoiding peak sun hours between 10am and 4pm

Without consistent sun protection, even the most effective treatments will produce limited and short-lived results.

Lifestyle Tips to Manage Melasma

Maintain a Consistent Skincare Routine: Use dermatologist-recommended products that support pigmentation control.

Avoid Harsh Treatments: Over-exfoliation and aggressive skincare can worsen pigmentation.

Manage Hormonal Triggers: Seek medical advice if hormonal factors are contributing to pigmentation.

Reduce Heat Exposure: Avoid excessive heat from saunas, steam rooms, and prolonged outdoor activities.

Why a Personalized Approach Matters

Melasma varies from person to person. Two people with similar-looking patches may have different pigment depths, triggers, and skin sensitivities, meaning they need different treatment protocols. Visiting the Best Skin Clinic in Delhi ensures that your skin is assessed properly before any treatment is prescribed.

At Delhi Wellness Clinics, melasma is approached with a structured combination strategy. The team evaluates pigment depth, skin type, hormonal history, and lifestyle factors before recommending a treatment plan. Treatments are layered thoughtfully to improve results while minimizing the risk of irritation or rebound pigmentation.

Why Choose Delhi Wellness Clinics for Melasma Treatment in Delhi?

At Delhi Wellness Clinics, every melasma treatment plan is customized after a detailed skin assessment. The team evaluates pigmentation depth, skin sensitivity, hormonal factors, and lifestyle triggers before recommending a combination of treatments designed for optimal results and long-term maintenance.

Final Takeaway

Melasma is a manageable condition when treated with the right combination of clinical intervention and consistent home care. Topical agents, chemical peels, laser therapy, and oral treatments each have a role depending on the severity and depth of pigmentation. Sun protection remains the cornerstone of both treatment and prevention.

Patience is essential. Melasma responds gradually, and maintaining results requires ongoing commitment, especially in a sun-intensive environment.

If melasma has been affecting your confidence, start with a professional assessment. Book a consultation at Delhi Wellness Clinics, the Best Skin Clinic in Delhi and work with a specialist team to build a treatment plan that is right for your skin. Book a consultation now.

Original Source:- https://paidforarticles.in/how-to-treat-melasma-effectively-a-complete-patient-guide-966888

[delhiwellnessclinics]

Can Birth Control Pills Cause Melasma?

Many women rely on birth control pills to manage their reproductive health, acne, or hormonal cycles. However, a common and often frustrating side effect is the appearance of dark, blotchy patches on the face. If you have noticed these brownish marks on your forehead or cheeks, you might be looking for effective melasma treatment in Delhi. Understanding the connection between your medication and your skin is the first step toward clearing your complexion.

How The Pill Triggers Pigmentation

Melasma is a skin condition that causes symmetrical patches of hyperpigmentation. While it is often called the "mask of pregnancy," it frequently occurs in women who are not pregnant but are taking oral contraceptives. The primary reason is the hormones specifically estrogen and progesterone found in the pill.

These hormones stimulate the "melanocytes" in your skin. These are the cells that produce melanin, the pigment which gives your skin its color. When these cells are overstimulated by the birth control pills, they produce too much pigment in certain areas. This causes the dark patches that are characteristic of melasma.

The Role of Sunlight in Worsening Melasma

Hormones trigger the condition internally, but sunlight activates it. Even if you are taking birth control pills, melasma might not show up until your skin is exposed to UV rays. In a sunny city like Delhi, the heat and radiation can darken these patches very quickly. This is why melasma often looks worse in the summer and appears to fade slightly during the winter months.

Can You Treat Melasma While Taking Birth Control Pills?

The bright side is that you won’t necessarily have to stop taking your birth control in order to deal with your skin. Although some doctors may recommend that you either switch to a non-hormonal form of birth control or take a lower-dose pill, there are a number of medical treatments that you can pursue in order to lighten the pigment even if you continue to take your medication.

Treating hormonal pigmentation needs a medical approach that goes beyond simple fairness creams. Professional treatments target the deep-seated pigment in the dermal layers of the skin, where topical home remedies cannot reach.

Why Professional Dermatological Care Is Important

Because melasma is a chronic condition, it requires consistent management. A dermatologist can help distinguish between epidermal melasma (surface level) and dermal melasma (deep level) to choose the right technology for your skin type.

Epidermal melasma – located in the upper skin layers

Dermal melasma – deeper pigmentation within the skin

Identifying the type of melasma is crucial because each requires a different treatment strategy. Using the wrong products can often irritate the skin, leading to "rebound pigmentation" where the spots come back even darker than before. Professional diagnosis ensures that treatment is safe, targeted, and effective.

Expert Melasma Treatment at Delhi Wellness Clinic

If you are struggling with melasma, Delhi Wellness Clinic offers an effective treatment. It is considered the best skin clinic in Delhi. The experts at the clinic will create an individualized plan using a variety of treatments such as chemical peels, microneedling or GFC or light therapies, to target melasma.

Dermatology experts may recommend treatments such as:

Medical chemical peels

Microneedling therapies

GFC (Growth Factor Concentrate) treatment

Advanced light-based therapies

The clinic not only treats the spots but also helps you understand your skin so that you can maintain a glowing and even-toned skin for the rest of your life. To get effective treatment, visit the clinic now. 

Original Source:- https://froodl.com/can-birth-control-pills-cause-melasma

[delhiwellnessclinics]

Melasma: Causes, Treatment, Benefits and Risks

Melasma is a common yet often misunderstood skin condition that affects millions of people around the world. It presents as brown, grey-brown, or even blue-grey patches of discoloration, primarily on the face. Although melasma is not harmful and doesn’t cause physical pain, its psychological impact can be significant, leading to self-consciousness and frustration, especially since it tends to be stubborn and prone to recurrence. In this blog we will learn everything about melasma from what causes it to melasma treatment in Delhi Stay tuned for further information. 

Understanding Melasma?

Melasma is a form of facial hyperpigmentation that appears as irregularly shaped, symmetrical patches on areas of the face frequently exposed to sunlight. The most commonly affected areas include:

Forehead

Cheeks

Upper lip

Bridge of the nose

Chin

What Causes Melasma?

Some of the most common causes and contributing factors include:

Sun Exposure

Ultraviolet (UV) radiation is the number one trigger for melasma. UV rays stimulate melanocytes (pigment-producing cells in the skin), increasing melanin production. Even minimal sun exposure can worsen melasma, which is why strict sun protection is key to both prevention and treatment.

Hormonal Changes

Melasma is strongly linked to hormonal fluctuations. Thus, some of the common triggers includes:

Pregnancy

Birth control pills

Hormone replacement therapy (HRT)

Genetics

If melasma runs in your family, you’re more likely to develop it. Genetic predisposition plays a significant role, particularly among people with darker skin tones and a history of hyperpigmentation.

Skin Irritation or Cosmetic Use

Certain skincare products or treatments that irritate the skin can worsen melasma. Harsh exfoliants, lasers used incorrectly, or fragrance-heavy products can trigger inflammation and increase pigmentation.

Heat and Visible Light

In addition to UV light, infrared heat (from cooking, saunas, or hot climates) and blue light from screens can also stimulate pigment production in sensitive individuals.

Melasma Treatment Options

Treating melasma requires patience, consistency, and a customized approach. It’s important to understand that no single treatment works for everyone, and results take time.

Topical Medications

Topical treatments are often the first line of defense. Common active ingredients include:

Hydroquinone: A powerful skin-lightening agent that reduces melanin production.

Tretinoin (Retinoid): Speeds up cell turnover to help fade pigment.

Corticosteroids: Reduce inflammation and enhance other topical treatments.

Tranexamic Acid: Available topically or orally; helps reduce pigment formation.

Azelaic Acid, Kojic Acid, Niacinamide: Gentle alternatives that inhibit melanin production without irritation.

Chemical Peels

Chemical peels use acids like glycolic, salicylic, or trichloroacetic acid to exfoliate the top layers of skin. Peels can help fade surface pigmentation and improve skin texture, especially when done in a series.

However, aggressive peels can trigger post-inflammatory hyperpigmentation (PIH) in people with darker skin tones, so they must be used carefully.

Laser and Light-Based Treatments

Laser therapy can be effective for some patients but must be approached with caution. Types of lasers used include:

Fractional lasers

Q-switched Nd:YAG lasers

Intense Pulsed Light (IPL)

Oral Treatments

Oral tranexamic acid has shown promising results for treating stubborn melasma. It works by interfering with pathways that stimulate melanin production. It's generally well tolerated but not suitable for everyone—especially those with a history of blood clots or vascular disease.

Sun Protection

Daily sun protection is the foundation of all melasma treatment. Without proper UV defense, other treatments won’t be effective.

Dermatologists recommend:

Apply Broad-spectrum SPF 50+ sunscreen

Physical (mineral) sunscreens with zinc oxide or titanium dioxide

Wearing hats, sunglasses, and avoiding peak sun hours

Reapplying sunscreen every 2 hours when outdoors

Benefits of Treating Melasma

The benefits of melasma treatment include: 

More even skin tone and smoother complexion

Reduced visibility of discoloration

Boosted self-confidence and emotional well-being

Preventing the condition from worsening or spreading

Improved effectiveness of other skincare treatments

Risks and Side Effects of Melasma Treatments

Common risks and side effects of melasma treatment include: 

Skin irritation 

Skin peeling 

Allergic reactions (rare) 

Post-inflammatory hyperpigmentation (PIH)

Hypopigmentation 

Rebound melasma

Hormonal side effects

Get effective melasma treatment at the Best Skin Clinic in Delhi, Delhi Wellness Treatment!

Melasma may be frustrating, but it’s not unbeatable. With patience, consistency, and professional guidance, you can achieve clearer, more even-toned skin. Remember, the key to managing melasma lies in sun protection, personalized treatment, and understanding your skin’s unique needs. For more information, book an appointment with an experienced dermatologist at the best skin clinic in Delhi, Delhi Wellness Clinics!

Original Source:- https://www.apsense.com/article/848873-melasma-causes-treatment-benefits-and-risks.html

[reallovee]

Causes of melasma Melasma, a common skin condition that causes dark, discoloured patches on the skin. However, the condition is believed to be more common in women than men but it can affect men as well.

[homeremedynaturalcure]

Melasma - symptoms, causes and other associated risk factors

Melasma - symptoms, causes and other associated risk factors

This is a very common skin problem. Melasma is causing dark and discolored patches on the skin. It is most commonly affecting the face. There are many people who get melasma on their chin, forehead, bridge of their nose, cheeks and above their upper lip. Also this condition can happen on other parts of the body which get a lot of sun such as the neck and forearms. This condition is also known as chloasma or the “mark of pregnancy” when melasma is happening in pregnant women. Melasma is happening more in women than men but men can also get it. There was one study which was done by the American Academy of Dermatology in which is said that 90% of people who develop melasma are women. The sun protection is one of the most common treatments that is used for melasma. This means that you should wear sunscreen every day and you should re-apply the sunscreen every two hours. Your dermatologist will recommend you to wear a wide – brimmed hat when you are outside because the sunscreen alone will not give you the needed protection.

Melasma symptoms

This condition is causing patches of discoloration. These patches are darker than the typical skin color of some individual. Usually, it is happening on the face and it is symmetrical with matching marks on both sides of someone’s face. Also other parts of the body which are often exposed to sun can develop melasma. Brownish and colored patches are usually appearing on the:

Chin

Bridge of the nose

Forehead

Cheeks

Above the upper lip

Also this condition can happen on the forearms and neck but this is happening less common. This condition is not causing any symptoms (we know that symptoms are something which we feel). The skin discoloration will not do any physical harm but it can lower your self – esteem because you can feel uncomfortable with your look. In the most cases treatment and sun protection can help in the treatment of these patches. If you have noticed some of the mentioned symptoms of melasma, then you should talk with your doctor. Your doctor will look at your skin and your medical history can help him to determine any factors which may have caused melasma. Your doctor may refer you to a dermatologist which is a doctor who is specialized in the treatment of skin disorders.

Melasma causes

It is still not clear what the cause for melasma is. This condition is likely to happen when melanocytes (color – making cells in the skin) produce too much color. People who have darker skin are having bigger chances of getting melasma compared to people who have light skin because people who have darker skin are having more active melanocytes compared with people with light skin. Here are some triggers of melasma:

Skin care products: If some skin care product irritates your skin, then melasma can worsen.

A change in hormones: It is known fact that melasma is affecting pregnant women. When melasma is happening in the pregnancy, then it is known as chloasma or “mark of the pregnancy”. Hormone replacement medicine and birth control pills can also trigger this condition.

Sun exposure: It is known fact that the UV light from the sun can stimulate melanocytes. You should know that even a small amount of sun exposure can make the melasma to return again after fading. Sun exposure is a reason why this condition is often worse in the summer. Also this factor is the main reason why many people who had melasma are getting it again and again.

Risk factors: There are many studies in which are shown that women are having increased chances of getting melasma on their skin compared to men’s skin. It is known fact that only 10% of people who are affected with melasma are men. Also it is known fact that people who are having darker skin are having increases chances of getting melasma and here are included: Mediterranean, Middle Eastern, Indian, Asian, African – American, North African and Latin/Hispanic descent. Also, people who have some blood relative who had melasma, are having increased chances of developing it. Also when you use medications which make you sensitive to the sun, can increase your risk of getting melasma.

[clearskinpune]

What is Melasma & its treatment

Hello everyone,

Melasma is a common skin problem, which appears grey or in brown parch. It is type of Hyper-pigmentation. It is also known as Chloasma faciei or Mask of pregnancy (which is only seen in female during or after pregnancy)

It is characterized by irregular shape which will appear brown or beige in color.

Melasma is more commonly seen in female as compared to male.

Melasma occurs in Fitzpatrick type scale in 4, 5 & 6.

Melasma can occur from the age of 20 to 50 year of age, it mostly occurs on exposed part of body such as Cheeks, Forehead, Upper lip & Nose. 

For more detail about Melasma in pregnancy go through this video link

It can get triggered by sun exposure, UV exposure, pregnancy, oral contraceptive pills or with certain drugs.

In this video i have explained detail about Melasma

Melasma Treatments

In this video i have explained about Melasma treatment in detail

Topical treatment:

Hydroquinone

- It is commonly used as an affected individual’s first step while combating Melasma.

- Hydroquinone comes in form of cream, lotion, gel, or liquid. It works by lightening the skin. This should be applied to the affected spots every night for 2 to 3 month only. Side effects include stinging and redness but this can be seen only in 25% of the people who use it.

Tretinoin and corticosteroids

- These work the same way as hydroquinone. This cream comes in combination of 3 which consist of Hydroquinone, Tretinoin, and a Corticosteroid.

Azelaic acid

Azelaic acid comes in gel & lotion form. It should be applied twice a day for as long as your doctor prescribes. While this is safe to use during pregnancy.

Kojic acid or kojic acid dipalmitate

This is often included in formulations, as it binds copper, required by L-DOPA (a co-factor of tyrosinase). Kojic acid can cause dermatitis in some cases and is a very potent antioxidant.

For more detail about these cream, you can go through this link

Ascorbic acid (Vitamin C)

When Ascorbic acid is combined with copper, it helps in inhibiting pigmentation production. It does not cause much irritation but is highly unstable, which is why it is usually combined with other agents. Ascorbic acid prevent from free radical production, when & ultraviolet radiation , because it has antioxidant properties.

Methimazole (anti-thyroid drug)

This cream reduces melanin synthesis and pigmentation in Melasma that resists hydroquinone.

Procedures

If medicine does not work, procedures to improve your condition include:

Chemical peel

This includes a chemical solution being directly applied to the skin to remove dead cells and allow new skin to form. They can be used to treat Melasma, fine lines, wrinkles.

Mild Peels

A solution containing alpha-hydroxy acid and glycolic acid is the mildest chemical peel available. It brightens dull skin and dulls the appearance of melasma and involves minimal pain. It gives the skin even pigmentation. Dark spots are lightened.

Your skin should take two days to a week to recover. Side effects include swelling, redness and peeling.

2) Medium Peels

Trichloroacetic acid (TCA) is a medium-strength peel that causes second-degree burns on the skin. It is quite painful on application and side effects include intense redness, peeling and swelling. But the effect appears sooner and lasts longer.

3) Intense Peels

Intense peels use phenol and also cause second-degree burns on the skin. This peel has long lasting & most noticeable result. This is used on light skinned people since it could cause permanent lightening on dark skinned individuals.

Microdermabrasion

A handheld microdermabrasion machine blasts abrasive crystals at your skin at a high speed, thereby removing the top layer of your skin. Dirt or dead skin is scraped off by the motion of the crystals, thereby rejuvenating your skin.

This microdermabrasion treatment works better when combined with a chemical peel, Electroporation. Since microdermabrasion targets the uppermost layer of your skin, it can only improve your condition if it is not too severe.

Electroporation

- The effect of electroporation helps via an increase in local blood flow.

- The intensity or power density of the electroporation can be adjusted depending on the skin’s sensitivity.

- This is an non-invasive way of administering solution to tissues below the skin to deep dermis.

- Electroporation waves that pass through the skin causes a vibration of the local soft tissues. This vibration can cause a deep heating locally though usually no sensation of heat will be felt by the patient.

Micro needling / Dermapen

- A cable-driven dental motor roller unit that has the capability of driving a dermabrasion fraise at a maximum speed of 20,000 rpm is used. The abrasive surface scrapes the skin. A protective fender is attached to the hand-piece to prevent the spray of blood and tissue particles. A grease pencil is used to mark the area which is affected while the rest of  the face and neck were are prepped and draped. Local anesthesia is usually administered.

Q switch Nd:Yag laser

- It is always advised Laser treatment in melasma.

- But we can try to treat with Q Switch Nd:Yag laser in low parameter, in this it will target your excess Melanin.

- Several sessions will have to be conducted to see the desired results.

Preventing Melasma

Apply sunscreen daily 2-3 time in a day or 15-20 min before exposing to sun rays.

Wear wide-brimmed hats and sunglasses when you go out.

Try to avoid sun-exposure on peak hours 10 am to 6 pm.

Use cosmetic product with little or no alcohol.

Avoid waxing your face.

Use Retinol based products.

To assess which method of treatment fits you, contact us on 7888091118 for video consultation

[homeremedynaturalcure]

Melasma - symptoms, causes and other associated risk factors

Melasma - symptoms, causes and other associated risk factors

This is a very common skin problem. Melasma is causing dark and discolored patches on the skin. It is most commonly affecting the face. There are many people who get melasma on their chin, forehead, bridge of their nose, cheeks and above their upper lip. Also this condition can happen on other parts of the body which get a lot of sun such as the neck and forearms. This condition is also known as chloasma or the “mark of pregnancy” when melasma is happening in pregnant women. Melasma is happening more in women than men but men can also get it. There was one study which was done by the American Academy of Dermatology in which is said that 90% of people who develop melasma are women. The sun protection is one of the most common treatments that is used for melasma. This means that you should wear sunscreen every day and you should re-apply the sunscreen every two hours. Your dermatologist will recommend you to wear a wide – brimmed hat when you are outside because the sunscreen alone will not give you the needed protection.

Melasma symptoms

This condition is causing patches of discoloration. These patches are darker than the typical skin color of some individual. Usually, it is happening on the face and it is symmetrical with matching marks on both sides of someone’s face. Also other parts of the body which are often exposed to sun can develop melasma. Brownish and colored patches are usually appearing on the:

Chin

Bridge of the nose

Forehead

Cheeks

Above the upper lip

Also this condition can happen on the forearms and neck but this is happening less common. This condition is not causing any symptoms (we know that symptoms are something which we feel). The skin discoloration will not do any physical harm but it can lower your self – esteem because you can feel uncomfortable with your look. In the most cases treatment and sun protection can help in the treatment of these patches. If you have noticed some of the mentioned symptoms of melasma, then you should talk with your doctor. Your doctor will look at your skin and your medical history can help him to determine any factors which may have caused melasma. Your doctor may refer you to a dermatologist which is a doctor who is specialized in the treatment of skin disorders.

Melasma causes

It is still not clear what the cause for melasma is. This condition is likely to happen when melanocytes (color – making cells in the skin) produce too much color. People who have darker skin are having bigger chances of getting melasma compared to people who have light skin because people who have darker skin are having more active melanocytes compared with people with light skin. Here are some triggers of melasma:

Skin care products: If some skin care product irritates your skin, then melasma can worsen.

A change in hormones: It is known fact that melasma is affecting pregnant women. When melasma is happening in the pregnancy, then it is known as chloasma or “mark of the pregnancy”. Hormone replacement medicine and birth control pills can also trigger this condition.

Sun exposure: It is known fact that the UV light from the sun can stimulate melanocytes. You should know that even a small amount of sun exposure can make the melasma to return again after fading. Sun exposure is a reason why this condition is often worse in the summer. Also this factor is the main reason why many people who had melasma are getting it again and again.

Risk factors: There are many studies in which are shown that women are having increased chances of getting melasma on their skin compared to men’s skin. It is known fact that only 10% of people who are affected with melasma are men. Also it is known fact that people who are having darker skin are having increases chances of getting melasma and here are included: Mediterranean, Middle Eastern, Indian, Asian, African – American, North African and Latin/Hispanic descent. Also, people who have some blood relative who had melasma, are having increased chances of developing it. Also when you use medications which make you sensitive to the sun, can increase your risk of getting melasma.