Melasma can be stubborn, especially during periods of high sun exposure, and there is no single treatment that works for everyone. The most effective approach usually combines rigorous sun protection with carefully selected topical treatment, with procedures or other medical treatments added when appropriate.

Many people are frustrated when pigmentation improves after treatment, only to return a few months later. In most cases, the problem is not that the treatment failed. Rather, pigmentation is often driven by underlying factors that continue to trigger pigment production over time.

Melasma often appears as mask-like pigmentation on the face, and many people are surprised when it doesn’t improve during winter. In North India, especially during the colder months, certain habits and skin changes can quietly make melasma more noticeable.