Facial melanoses (FM) is one of the most common skin pigmentation problems in Indian patients, causing aesthetic disfigurement along with considerable psychological impact.
There are well-defined causes of facial melanoses such as Melasma, Lichen Planus Pigmentosus, Erythema Dyschromicum Perstans(EDP), Riehl’s melanosis, Erythroisis and Poikiloderma of Civatte.
Diagnosis of this generally depends on the clinical features.
Etiology in most of the cases is unknown, but some contributory factors are UV radiation, hormonal imbalances, exposure to chemicals and other allergens.
There is no universal specific therapy for pigmentation. We need to use photoprotection, avoid
provoking factors and use topical skin lightening agents.