I have been angry all my life, and the brown spots on my face are deep

Emotional fluctuations may indeed exacerbate the color of melasma, but they are not a direct cause. The pigmentation of melasma is mainly related to hormone changes, UV exposure, and genetic factors. Emotional stress may indirectly exacerbate symptoms by affecting endocrine function.

Melasma is a common acquired pigmentary skin disease that often occurs on the face. When a person is in an emotional state of anger, anxiety, etc., the level of stress hormones in the body increases, which may stimulate the activity of melanocytes and temporarily deepen the original color of melasma. This change usually gradually recovers after emotional calm, but long-term repeated emotional fluctuations may cause persistent pigmentation.

Due to their sensitive physical constitution, some people have more obvious emotional stress reactions. These patients may observe significant changes in the color of melasma in the short term, even accompanied by symptoms such as skin sensitivity and flushing. This situation is often related to autonomic nervous system dysfunction and requires comprehensive regulation of physical and mental state. Maintaining a regular daily routine can help stabilize the endocrine system, and it is recommended to ensure adequate sleep every day. When going out, it is necessary to do physical sun protection and choose sunscreen products with an SPF of 30 or above. Vitamin C and vitamin E can be supplemented appropriately, as these two nutrients have antioxidant properties. If melasma continues to worsen, it is recommended to seek professional treatment from a dermatologist and avoid using spot removing products on your own to irritate the skin.