Indications of melasma are consistent from one person to another. Gray or brown patches typically develop on areas of the face, including the cheeks, chin and jaw line, upper lip, and the bridge of the nose. Sometimes, patches may occur on the neck, forearms, or other area that has suffered extensive sun exposure.
Hyperpigmentation is the only symptom of melasma. Patients do not experience discomfort, flaking, or any other indication of excess melanin.