International Journal of Homoeopathic Sciences

Melasma is a chronic hyperpigmentary disorder presenting as symmetrical brown to gray-brown patches on the face, predominantly affecting women of reproductive age. Its development is associated with genetic predisposition, hormonal influences, pregnancy, medications, thyroid disorders, and prolonged sun exposure. The condition is classified into epidermal, dermal, and mixed types, with treatment outcomes varying accordingly. Conventional therapies, including topical agents, photoprotection, and chemical or laser procedures, often provide only temporary relief with frequent recurrences. Homeopathy offers an individualized and holistic approach, addressing not only pigmentation but also the patient’s constitutional background. Remedies such as Sepia, Natrum muriaticum, Lycopodium, Sulphur, and Berberis aquifolium are frequently indicated and have shown encouraging results in case reports. While evidence suggests potential improvement in both skin symptoms and overall quality of life, further clinical research is needed to validate the role of homeopathy in melasma management.