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Melasma is a skin condition which occurs often in women and less in men. It is defined by a tannish brown or gray discoloration that can occur on the cheeks, forehead, chin, and upper lip. Usually caused by sun exposure, external hormone use such as birth control, and internal hormonal changes such as seen in pregnancy. It can become worse during the summer and with increased sun exposure. Melasma is carefully treated with topicals and common in office procedures depending on skin type and severity of the pigmentation.