Melasma in Pregnancy

What to Know About the 'Mask of Pregnancy'

Pregnancy is a time of incredible change, and your skin is no exception. One of the most common skin concerns during pregnancy is melasma, also known as chloasma or the mask of pregnancy. It appears as dark, blotchy patches, often on the face, and while it's harmless, it can affect confidence and self-esteem.

Let’s break down what melasma is, why it happens during pregnancy, and how to manage it safely.

What Is Melasma?

Melasma is a type of hyperpigmentation where patches of skin become darker than the surrounding area. During pregnancy, it usually shows up on:

• Cheeks

• Forehead

• Upper lip

• Chin

These patches may look like a mask, which is why it's commonly called the mask of pregnancy.

Why Does Melasma Occur During Pregnancy?

Pregnancy hormones—estrogen, progesterone, and melanocyte-stimulating hormone (MSH)—increase significantly during pregnancy. This hormonal surge stimulates melanocytes, the pigment-producing cells in the skin, leading to increased melanin production and patchy discoloration.

Other contributing factors include:

• Sun exposure (even mild sunlight)

• Genetic predisposition

• Skin irritation from certain cosmetics or treatments

  
  

Is It Permanent?

In many cases, melasma fades after childbirth, especially once hormone levels return to normal. However, for some women, it may persist and require dermatological treatment after pregnancy or breastfeeding ends.

Melasma in pregnancy

How to Manage Melasma During Pregnancy (Safely)

Since many skin treatments aren't safe during pregnancy, managing melasma is mostly about prevention and protection until you can explore stronger treatments postpartum.

✅ 1. Sun Protection Is Non-Negotiable

• Use a broad-spectrum SPF 30+ sunscreen daily — even indoors or on cloudy days.

• Reapply every 2 hours if outdoors.

• Wear a wide-brimmed hat and sunglasses.

• Seek shade whenever possible.

  
  

✅ 2. Use Pregnancy-Safe Skincare

• Gentle cleansers and fragrance-free moisturizers

• Look for vitamin C, niacinamide, or azelaic acid — safe, brightening ingredients during pregnancy

• Avoid retinoids and hydroquinone — not recommended during pregnancy

  
  

✅ 3. Avoid Irritating Products

Anything that causes inflammation or stings can make melasma worse. Skip harsh scrubs, chemical peels, or strong exfoliants unless advised by your doctor.

Post-Pregnancy Treatment Options

If melasma lingers after delivery, more intensive options may become available:

• Topical treatments like hydroquinone or tretinoin (after breastfeeding)

• Chemical peels and laser therapy (only under dermatological supervision)

• Prescription-strength creams or combination therapies

  
  

Final Thoughts

the right care. While you may not be able to eliminate it immediately, you can minimize its appearance and prevent it from worsening.

Pregnancy brings so many changes—some visible, some invisible—but every mark is part of your journey. And when it comes to melasma, a little extra care can go a long way.

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