Facelift surgery does not resolve, improve or make worse melasma. Melasma is a hyperpigmentation of the skin and is related to a number of medical conditions such as pregnancy. Treatment is difficult, but is non-surgical. Topical medications and skin lighteners can be helpful. Other treatments include chemical peel and laser resurfacing. Nonetheless, a physician skilled with quick identification of the problem and instructions to minimize the potential for worsening of the melasma or recurrence of the melasma after treatment is important and valuable.