Topic hub
Melasma
Melasma on melanin-rich skin — evidence-based guidance.
Topic module prepared. Record-level research pending.
This hub is prepared but not yet populated
The topic module exists and its evidence anchors are recorded, but the record-level research for this topic has not been supplied to the repository yet. We publish nothing here until it is.
See what is in the libraryWhen to see a clinician.Seek medical evaluation for worsening melasma, post-inflammatory hyperpigmentation that has not responded after 3–6 months of consistent care, and any suspected skin cancer. Prescription treatments — tretinoin, hydroquinone 4%, azelaic acid 20%, oral tranexamic acid — require appropriate medical supervision and are not routine first-line recommendations.