What lifestyle modifications should I advise patients with melasma to help manage their condition?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 22 August 2025Updated: 22 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

Lifestyle modifications for patients with melasma to help manage their condition include:

  • Strict sun protection: Advise patients to minimise exposure to sunlight, especially during peak UV radiation times, as UV exposure exacerbates melasma pigmentation. This includes seeking shade, wearing protective clothing made of close-weave fabrics, and using broad-spectrum sunscreens regularly.
  • Use of suitable clothing: Recommend wearing hats and clothing that cover the skin to reduce UV exposure, which can worsen melasma.
  • Consistent sun safety messaging: Provide clear, culturally appropriate information tailored to the patient’s skin type and lifestyle to ensure understanding and adherence to sun protection measures.

These lifestyle changes aim to reduce UV-induced pigmentation and prevent worsening of melasma while balancing the need to avoid vitamin D deficiency.

Note: While specific melasma guidelines were not provided, these recommendations are extrapolated from NICE guidance on sunlight exposure risks and benefits, which emphasises sun protection for pigmentary conditions and skin health.

References:

Educational content only. Always verify information and use clinical judgement.