MELASMA A condition in which brownish patches appear on the face. It can be due to hormonal changes during pregnancy, sun exposure or stress. Birth control pills , stress , thyroid and hormone therapy can also cause MELASMA. SYMPTOMS: Brownish or darkening is the skin patches can appear most often on the cheeks forehead , nose & skin. Any form of ointments or topical creams can only give temporary relief. One needs to ascertain the underlying cause & to treat it with internal medicine so as to get relief. We @ The hair & skin Dr clinic help you to ascertain the cause & treat it accordingly with MEDICINES with no side effects.