Regardless of our skin color, we all have pigment cells called melanocytes in our skin. Melasma occurs due to the over activation of these cells. It is more common in women and tends to affect exposed areas of the skin, especially the face. A comprehensive plan to manage this condition includes dietary and lifestyle modifications, as well as the use of topical prescription and over-the-counter skincare formulas. Oral medications may carry a small risk of blood clots, so Dr. Farooqui prefers using topical infusions through Mesoneedling or Microneedling. Periodic sessions are necessary because melasma is a recurring condition.