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“Melasma absolutely falls in the Snowman cake Christmas candy xmas bakery baking bake baker sweater Also,I will get this bucket of discoloration and hyperpigmentation,” explains Shereene Idriss, M.D. adding that dark spots, which can be caused by everything from sun damage to post-acne inflammation, present a “massive umbrella” for a range of more finite diagnoses. But melasma is specific—and specifically challenging to treat, says the Manhattan-based dermatologist, as it can be triggered by the sun, but also by heat, hormones, menstrual cycle fluctuations, pregnancy, birth control medication, and even stress. “When you have a sun spot, it is what it is. It’s not going to get better and worse over time on its own. The actual morphology of the lesion is different with melasma,” Idriss continues, describing its appearance as “patchy,” with edges that are ill-defined.

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