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The Reasons Behind MelasmaNumerous internal and external variables contribute to melasma. For instance, you might get melasma if you have a genetic predisposition to it. The marks are more likely to appear on Latino, Hispanic, Middle Eastern, and Asian individuals whose genes produce a darker or olive complexion. You can get them if some members of your family are predisposed to developing them. Hormonal changes in your body that take place during pregnancy or if you take birth control pills might cause melasma. The risk of having me... more