Hyperpigmentation is a frustrating a chronic problem that may arise from many different factors. Hormones, certain long term antibiotic usage, oral contraceptives, genetics, post inflammatory and sun exposure can all cause this very distressful darkening of the skin around the cheeks, forehead and upper lip. While more common in skin of Mediterranean or Hispanic descent, it can occur in most any skin type. There is no one effective therapy for hyperpigmentation or melasma, though most agree that a combination of different approaches can make it better. Different laser systems and facial peels can be used. In addition to certain products, as well as a consistent use of a good sunblock, which all work together to address the over-production of melanin that is driving your hyperpigmentation or melasma.