Melasma
For symmetrical facial patches that darken again with sun, heat, hormones or inconsistent protection.
If a brightening cream helped briefly, a peel made the area sensitive, or dark patches became more visible with sun exposure, hormones or acne, the first step is to identify the type of pigmentation.

Tell Dr Maria when the pigmentation began, what makes it darker and which creams or procedures you have already tried. This helps separate melasma, post-acne marks and irritation-related darkening.
For symmetrical facial patches that darken again with sun, heat, hormones or inconsistent protection.
For brown, grey or red marks that remain after acne settles.
For lip or knuckle darkening where friction, irritation or other factors need to be considered.
For underarm darkening that may be affected by friction, hair removal, irritation or other causes.
A peel may be discussed only when the diagnosis, skin sensitivity and risk of further pigmentation are considered.
Laser is not automatically the right answer; suitability depends on the type of pigmentation and how your skin responds.
Text for appointment and mention where the pigmentation appears, how long it has been present and what you have already tried.