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hey guys itamp;#39;s Dr Daniel suay board certified dermatologist in Seattle welcome to my channel weamp;#39;re going to talk about a very common and stubborn condition today melasma hyperpigmentation is very very common amongst my patients who are skin a color I have a lot of patients with latino Latina Asian African-American background and also fair skin individuals and we all deal with hyperpigmentation but especially in my skin of color patients is very debilitating very noticeable at times and very distressing to my female patients who are on oral contraceptive pills and they get the hyperpigmentation on their upper lip Okay what is melasma melasma is usually symmetric hyperpigmentation of the face itamp;#39;s just flat darker brown spots on the face can affect the cheeks the upper lip like we mentioned lower parts of the cheek and jawline Iamp;#39;ve even seen it extend down to the neck I donamp;#39;t see it in males as often but I have seen it itamp;#39;s more on the rare