We see so many patients for this condition, which develops when the skin’s pigment-producing cells start working over time. Melasma’s brown patches typically show up on the cheeks, forehead, above the upper lip, and across the nose. It’s more common in women than in men, often striking during pregnancy or other periods of hormonal shift. Certain ethnicities (such as Latin, African-American, and Asian) seem especially predisposed. Since sun exposure will worsen melasma, daily sunscreen use and sun protective clothing can help stave it off. Once you’ve got those patches, a prescription brightening cream, like Triluma, or an in-office chemical peel, can help fade them.