Along with hormonal acne melasma is one of the most common concerns women are writing to us about. This super stubborn skin conditions manifests on the face as brown or gray spots and the biggest misconception about melasma is that it is triggered mainly by sun exposure.
However, melasma has one of the strongest hormonal links of any skin condition, and estrogen is the central hormonal driver. While sunlight is indeed an external trigger, estrogen is the internal “fuel” that amplifies pigmentation.
Why Estrogen Is Strongly Linked to Melasma
Research shows that up to 50–70% of pregnant women develop melasma. Women using hormonal contraception or hormone therapy also see higher rates. This points to estrogen’s direct role.
Estrogen:
Essentially, estrogen “sensitizes” the pigment-making cells (melanocytes), so even small triggers create exaggerated pigmentation.
How Estrogen Affects Melanocytes (Pigment Cells)
A) Estrogen Increases Tyrosinase Activity
Tyrosinase is the main enzyme required for melanin synthesis.
Estrogen binds to estrogen receptors (ER-α and ER-β) on melanocytes →
this upregulates tyrosinase, causing overproduction of melanin.
This means:
B) Estrogen Increases Melanocyte Proliferation
Estrogen encourages melanocytes to:
More melanocytes + more melanin transferred = stronger pigmentation patterns.
C) Estrogen Makes Skin More Photosensitive
High estrogen increases:
This makes skin respond to UV more aggressively — even indirect sunlight, heat, or visible light.
This is why melasma darkens:
Why Some Women Get Estrogen-Driven Melasma and Others Don’t
Several factors increase susceptibility:
Genetic predisposition
People with more active estrogen receptors in their skin are more prone.
Skin phototype
Fitzpatrick III–V have higher baseline melanocyte activity.
Sluggish detox pathways (liver metabolism)
If estrogen is not efficiently metabolized (poor methylation, impaired Phase II detox), circulating estrogen remains higher → more melasma flares.
Hormonal fluctuations
Thyroid dysfunction
Hypothyroidism often coexists with melasma because:
Why Melasma Often Flares in Perimenopause
People expect estrogen to drop in perimenopause — but early and mid-perimenopause often causes relative estrogen dominance due to falling progesterone.
So even if total estrogen is not high, unopposed estrogen becomes higher.
Effects:
This is why melasma often worsens in:
Estrogen Receptors in Melasma Skin
Research shows that melasma patches have:
This means the affected areas are literally more responsive to estrogen, which explains:
✔ why melasma is patchy
✔ why the same person may only get melasma on cheeks/forehead
✔ why it’s so persistent
Can Balancing Hormones Help Melasma?
It can, especially when melasma is hormonally driven.
Improvements often seen with:
But even with hormonal balancing, UV/heat protection and topical therapy remain essential.
Why Hormonal Melasma Needs Gentle, Barrier-Supporting Skincare
Estrogen-driven melasma is highly reactive.
When estrogen is high, the skin becomes:
This is why harsh actives, over-exfoliation, and skin irritation make melasma dramatically worse — the hormonal environment amplifies the inflammation → melanin cycle.
Here is our routine for melasma control
🌞 Morning Routine (Protect, Calm, Brighten)
1. Ray gel cleanser OR water only
2. Pep Talk – Youth Serum
Main Ingredients:
How it works for melasma: These actives support skin renewal and pigment regulation without irritating the skin.
3. Aura – All-in-One Moisturizer
Main Ingredients:
4. SPF (Essential)
🌙 Evening Routine (Repair + Pigment Control)
1. Keep Calm
2. Reviver – Exfoliating Serum
Main Ingredients:
How it works: These ingredients combine to brighten skin, reduce dark spots, and smooth texture, all while minimizing irritation.
Frequency: Start 2–3 nights/week and adjust based on tolerance.
3. Pep Talk – Youth Serum
4. Aura – All-in-One Moisturizer
Main Ingredients: