Background: Face is the most prominent part of the body. Facial blemishes and disorders directly reflect on patient’s physical appearance, cosmesis and self-image. They may contribute to dysmorphism and even lead to depressive illness in susceptible individuals, especially in women. Therefore, it is important for early identification and management of facial skin disorders. Aims: To study the clinical patterns and their epidemiological determinants of pigmentary dermatoses among female patients above the age of 10 years. Materials and Methods: This cross-sectional hospital based study, conducted in a tertiary centre over a period of 18 months from January 2015 to July 2016, involving 355 female patients with facial pigmentary dermatoses.After taking their informed consent, assessment using detailed history taking, clinical examination, demographic and etiological data in pre-designed proforma,relevant investigations including the skin scrapings for KOH mount, woods lamp examination and skin biopsy, wherever required were done.