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Melasma is a dark skin discoloration that occurs on sun-exposed areas of the face. It is generally characterized by a brown color over the cheeks, forehead, nose and/or upper lip. It is often symmetrical, matching on both sides of the face.
There's a range of reasons for skin discoloration. When the body's immune system attacks the skin's pigment cells, pigment is lost -- a common skin disease known as vitiligo. Acne or a wound may cause post-inflammation pigmentation. Brown spots, also known as liver spots or age spots, are caused by sun exposure.