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Are Brown Spots a Sign of Melasma?

I have some brown spots that have formed high on my cheek bones, underneath my eyes in the past few years. Is this a sign of melasma, or is it just freckles? How can I tell?

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Brown spots are a sign of melasma; Hyperpigmentation of the facial skin

Facial skin is prone to brown spots and uneven pigmentation. From a cellular level, the melanocytes, or pigment cells, have specific receptors on their surface that are genetically programmed to be hypersensitive to hormones, sun exposure, and inflammatory modulators. If you are developing uneven brown spots that are progressive and chronic, then you may have a condition known as melasma. Of note, development of uneven brown spots should also be examined by an experienced physician to... more
Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon
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