Melasma is a common skin condition where affected individuals develop splotchy, irregularly shaped, brown patches on the face. Common areas of involvement include the forehead, cheeks, nose, jawline, chin, and upper lip. It typically affects women between the ages of 20 and 40, and is more common in medium to darker skin tones. The exact cause is unknown. However, sunlight and UV exposure as well as hormones (such as those related to pregnancy or birth control pills) seem to contribute to or exacerbate the condition. Treatment options include: strict sun avoidance and sun protection, various topical medications, oral supplements and/or oral medications, as well as procedures (chemical peels, lasers, intense pulsed light, microneedling, etc.).