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Diagnosing Complex Pigmentation: Freckles, Sunspots, or Melasma?
1 month ago
I’m noticing freckles, sunspots, and uneven patches on my cheeks all at once. Is this a mix of melasma and sun damage? How do dermatologists diagnose complicated pigmentation cases before starting treatment?
Answers (1)
Answered 24/10/2025
Many people develop mixed pigmentation after years of sun exposure. Freckles sit on the top layer, while melasma develops deeper, and the combination makes the patches look irregular.
Dermatologists use tools like dermoscopy and Wood’s lamp, along with your history to map the pigmentation layers. This helps create a safe, targeted plan that treats each layer correctly without irritating the skin.
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