Yes, chemical peels can be effective for treating melasma when performed by an experienced dermatologist. They work by gently exfoliating the pigmented layers of skin, helping to lighten dark patches and improve overall skin tone over multiple sessions. However, chemical peels are not a permanent cure and are most effective when combined with medical creams, strict sun protection, and a customized skincare routine. Since melasma-prone skin can be sensitive, peels should always be tailored to the patient’s skin type to avoid irritation or worsening pigmentation.

Melasma usually appears as symmetrical brown, dark brown, or greyish patches on the face, most commonly on the cheeks, forehead, upper lip, nose, and chin. The patches are flat, not raised, and often become darker with sun exposure, heat, or hormonal changes. It does not cause pain or itching but can gradually worsen over time without treatment, especially in people with medium to darker skin tones.

Sunscreens with SPF 50 or higher and PA+++ or more, along with added infrared and blue light filters, are the preferred choice in cases of melasma. The addition of a tinted sunscreen provides extra benefit by offering cosmeceutical coverage over pigmented patches.

If done under the proper guidance of a dermatologist, they are safe. However, continued use of prescribed products such as hydroquinone, topical steroids, or Kligman’s formula for a prolonged period without a doctor’s guidance can lead to skin damage, including thinning, redness, and further pigmentation. Hence, prescription medicines should always be used under proper medical supervision.

Yes, it can occur in males too. Although the percentage is lower, it is usually associated with chronic sun exposure.

Melasma has a high chance of recurrence due to hormonal effects.