Facial Melasma

Description

Adult male facial skin is shown in lateral profile, with irregular brown to gray-brown hyperpigmented patches spanning the central facial convexities of the malar (zygomatic) cheek and extending toward the lateral nasal sidewall and nasolabial fold. Patch borders appear mottled rather than sharply demarcated, following the contour from the infraorbital region inferiorly toward the upper lip and oral commissure, with background facial erythema and scattered inflammatory papules consistent with concurrent acne. The nasal dorsum and tip are prominent in profile, providing clear landmarks for assessing the distribution of pigmentation across sun-exposed planes versus shaded recesses. Facial melasma in men is less common than in women, so documenting pattern and morphology matters for differential diagnosis and counseling. A centrofacial distribution on the cheek and nose raises the practical question of epidermal versus dermal pigmentation, which guides expectations for response to topical lightening agents and the role of Wood lamp examination, dermoscopy, and strict photoprotection. Pigment accentuation on convex surfaces also helps separate melasma from postinflammatory hyperpigmentation related to acne, fixed drug eruption, or early lentigines, and it anticipates where recurrence is most likely after treatment. Dermatology educators can use this profile view to teach melasma pattern recognition in darker and fairer complexions, with emphasis on male presentations and mixed diagnoses when acne coexists. Editors will find it suitable for chapters on acquired facial hyperpigmentation, cosmetic dermatology, and patient-facing materials on sun avoidance, visible light protection (tinted mineral sunscreen), and treatment planning. Anatomical accuracy verified by SciePro's Medical Advisory Board.