Melasma, the brown or grey patches that appear on the cheeks, forehead and upper lip, is one of the most common and most frustrating skin concerns in Egypt’s sunny climate. It is treatable, but it needs a medical plan and realistic expectations. Here is a clear guide from Dr. Maha Fathy, Consultant of Dermatology, Aesthetics and Laser at DermaSpot Clinic.
The short answer
Melasma is driven by a mix of sun exposure, hormones and genetics, which is why it is stubborn and prone to coming back. The most effective approach combines strict sun protection, prescription-strength topical treatments, and carefully chosen in-clinic procedures such as certain peels or lasers, tailored to your skin. There is no overnight fix, but real improvement is achievable.
Why it happens
- Sun: UV light triggers pigment cells, so uncontrolled sun makes melasma worse.
- Hormones: pregnancy and hormonal changes are common triggers.
- Genetics and skin type: it is more common in Middle-Eastern and darker skin tones.
What actually helps
Effective melasma care is layered: daily broad-spectrum sunscreen (the single most important step), medical-grade topical treatments to fade pigment, and, when suitable, gentle procedures done cautiously, because aggressive treatment can make melasma darker. This is precisely why melasma should be treated by a dermatologist, not with random over-the-counter creams or strong salon peels.
Dr. Maha Fathy’s take: “With melasma, sunscreen is not optional, it is the treatment. I have seen the best in-clinic results undone by a few weeks of unprotected sun. We treat it patiently and protect it daily.”
Frequently asked questions
Can melasma be cured?
It is controlled rather than cured; with the right plan it fades and stays lighter, but it can return without maintenance.
Is sunscreen really that important?
Yes, it is the foundation of every melasma plan and prevents relapse.
Can laser treat melasma?
Certain lasers can help in the right hands, but the wrong settings can worsen it, so it must be medically supervised.
How long does improvement take?
Usually weeks to months of consistent treatment; there is no instant fix.
Key takeaways
- Melasma comes from sun, hormones and genetics.
- Daily sunscreen is the most important step.
- It is controlled, not cured, and needs maintenance.
- It should be treated by a dermatologist to avoid making it worse.
Dealing with melasma or dark patches? Book an assessment with Dr. Maha Fathy at DermaSpot Clinic. See our services or contact us.
This article is for general education and is not a substitute for a medical consultation.