Not every brown spot is melasma
Patients often use "melasma," "dark spots," and "hyperpigmentation" interchangeably. But pigment can come from melasma, sun damage, post-inflammatory hyperpigmentation, medication effects, irritation, or other causes.
The American Academy of Dermatology describes melasma as brown or gray-brown patches, often on the face, and notes that sun exposure and hormonal factors can play a role.
Why pattern changes treatment
Melasma often appears in larger patches and can be stubborn. Post-inflammatory hyperpigmentation often follows acne, rash, irritation, or skin injury. Sun spots may reflect cumulative ultraviolet exposure. Each pattern has different treatment considerations.
Sun and irritation matter
The American Academy of Dermatology notes that sunlight can darken existing melasma and cause new patches, and recommends sun protection as part of melasma care.
Using strong brightening products without controlling irritation and light exposure can make pigment harder to manage.
How CutisRx fits
CutisRx gives patients a pigmentation pathway built around pattern recognition, photos, history, and dermatology review when clinically appropriate.
Available in eligible U.S. states except Alaska, Mississippi, and New Jersey.
FAQ
Is melasma the same as post-acne dark marks?
No. Melasma and post-inflammatory hyperpigmentation can both look like discoloration, but they often have different triggers and treatment strategies.
Can melasma be reviewed online?
Many pigmentation concerns can be reviewed with clear photos and history, but some lesions or unclear patterns need in-person evaluation.
Should I treat all dark spots the same?
No. Pigment treatment should match the pattern and cause whenever possible.