Diagnosing Melasma in African American Patients

I've researched lots and I can only find pictures of Melasma of people who are hispanic or caucasian. I've been having this problem since I was 15. I'm female and above my upper lip is really dark. The picture actually makes it look better. I don't know what it is and I'm getting tired of hiding it now. What could it be?

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1 Doctor Answer | Asked by SColex in birmingham

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Melasma occurs in all races and skin tones

Melasma occurs in all skin hues; in some it may be more noticeable or bothersome than others. Melasma, however, is not the only cause of darkening of the skin in various areas, and I would encourage you to see a dermatologist for a definitive diagnosis and plan for treatment. As you have mentioned in your question, it is very difficult to determine the type and extent of darkening in your picture; I would recommend an in-person evaluation.