Melasma in Men: What It Is and How to Handle It

If you’ve noticed dark patches on your face that won’t fade, you might be dealing with melasma. Most people think of melasma as a women’s issue, but men get it too. The condition shows up as brown or gray‑brown spots, usually on the cheeks, forehead, or upper lip. It’s not dangerous, but it can be frustrating and affect confidence.

What Causes Melasma in Men?

Hormones are a big part of the story. Even though men have lower estrogen levels than women, certain situations—like hormone therapy, anabolic steroids, or even natural hormonal shifts in middle age—can trigger melasma. Sun exposure is the other major culprit. UV rays stimulate melanocytes (the cells that make pigment), and the more you’re in the sun without protection, the more likely you are to see those stubborn patches.

Other factors can add fuel to the fire: genetics (if a close relative has melasma, you’re at higher risk), certain medications like anti‑seizure drugs or antidepressants, and skin irritation from harsh scrubs or aggressive shaving. All of these can make the pigment cells overreact.

How to Manage and Treat It

The first step is protecting your skin. Use a broad‑spectrum sunscreen with at least SPF 30 every day, even when it’s cloudy. Reapply after sweating or swimming. Look for formulas that contain zinc oxide or titanium dioxide because they sit on top of the skin and block UV better than chemical filters alone.

Topical treatments are the next line of defense. Over‑the‑counter creams with ingredients like hydroquinone, azelaic acid, or niacinamide can lighten spots over weeks to months. If those aren’t strong enough, a dermatologist can prescribe a higher‑dose hydroquinone or a combination cream that includes tretinoin and a mild steroid.

For faster results, consider professional procedures. Chemical peels, microdermabrasion, and laser therapy target pigment directly and can show improvement in a few sessions. Talk to a skin specialist about what’s safe for your skin type and the depth of your melasma.

Don’t forget lifestyle tweaks. Limit time in direct sunlight, wear a wide‑brimmed hat, and avoid heat‑producing activities that make you sweat a lot. If you use any hormonal supplements, discuss alternatives with your doctor. And keep your skin routine gentle—avoid rough exfoliants that can inflame the area and make spots darker.

While melasma can be stubborn, most men see noticeable fading with consistent sunscreen use, proper topical treatments, and occasional professional care. Stay patient—lightening takes time, but sticking to a simple, daily plan usually pays off.