It appears that you have a brown to grey-brown patch starting from the side of the ear, which extends in a reticular (lacy) pattern over the cheek. This could be melasma, pending further history and a thorough examination of your skin. There also appear to be some solar lentigo (“sun spots”) on the cheeks.
Several factors can contribute to an individual developing melasma, such as pregnancy, certain medical conditions e.g. thyroid problems, medications, and genetic factors.
I would suggest you make an appointment with a trusted doctor for a consultation. Firstly, we would have to come to a diagnosis, before we determine whether you may need further tests/investigations and finally, a treatment plan for you.
In general, melasma treatments can be categorized as follows and most doctors use a combination approach to best target melasma:
1. Avoiding known triggers e.g birth control pills, hormonal therapy
2. Evidence-based medications and creams - medications in this category may include trans retinoic acid (a vitamin A derivative), hydroquinone, tranexamic acid
3. Medical-grade lasers and associated procedures
4. Sun protection!
Medications/Creams and lasers/procedures should only be performed under strict medical supervision; in the meantime, like what Dr. Justin has mentioned, do remember to sun block and sun protect as one of the most important things you can do to prevent melasma from worsening is to protect yourself frm UV radiation.
Hope this helps! :)
Regards,
Dr. Joanna Chan
