Hormones really affect melasma. If you take estrogen or use a birth control pill, please be extra careful about not burning or tanning. If you notice brown blotches starting, see your dermatologist right away for prescriptions to help. If you're pregnant in the summer, the same thing applies. Hats are a girl's best friend!!

See Dr. Irwin's article Melasma in Depth.

One of the best treatments for brown spots is the IPL or Photorejuvenation laser.  See Dr. Irwin's Guide to IPL/Photorejuvenation Laser.

See Dr. Irwin's article on Color and Texture issues, including brown spots, redness, and broken blood vessels.