Melasma is a very dynamic condition which needs a thorough examination and of course with a detailed history (past, present medical history).

Undergo laser removal therapy.. otherwise few creams also available...for detailed prescription do direct online consultation by sending photos.

Hi there... You mention many doctors have treated you to no avail. Have these been Dermatologists? Firstly some clear pics from different angles of the affected portions of face and neck will be much appreciated (inbox 📥 these to preserve privacy) Second at 50 you are perimenopausal and a detailed medical history with co-morbidities if any and some hormonal blood tests will most definitely be needed to offer you a definitive treatment. Thirdly, there are different grades of Melasma and without the above two pieces of the 🧩🧩, one cannot hope to treat Melasma as it is one of the toughest to resolve in Dermatology care. Keeping all the above in mind, it is probably best to connect directly Online using this App's INSTANT ONLINE Consultation 🙏 This will enable us to write out a clear prescription for you. Here's wishing you a clear skin. 🥂

Melasma can sometimes worsen despite treatment, especially if the skin becomes irritated from strong creams or excessive treatments. Irritation itself can stimulate more pigmentation, which may be why the patches seem to be spreading. At age 50, hormonal changes, sun exposure, and skin sensitivity can also make melasma more persistent. Helpful Tips / Word of Caution: • Avoid direct sun exposure, heat, and harsh cosmetic procedures, as these can worsen melasma. • Use gentle skincare (mild cleanser and moisturizer) to reduce irritation. • Melasma is a chronic condition, so improvement usually takes consistent treatment over several months, rather than quick results. Kindly book an online consultation with me through the app for detailed evaluation and treatment.

Kindly visit or consult online for better understanding, detailed history is important with photographs . There are so many treatments available for melasma but firstly it needs to be checked . Meanwhile reapply your sunscreen every 3 hourly

Kindly consult online with pictures for proper assessment. Specific medication will treat your concern.

Visit a dermatologist to get examined and diagnosis confirmation

Melasma is a recurring problem It increases with hormonal changes and darkened with skin irritation due to photo exposure and strong products

See melasma apart from aggrevation by sun, also has multiple causes like thyroid disorder, hormonal changes etc. Kindly share a clear picture in good lighting of affected area Also detailed medical history needs to be assessed before starting you on your personalised treatment

No need to worry.specific treatment is available.it depends on severity of the disease . Complete medical history is required.. Pls do online consultation with Dermatologist for detailed prescription & guidance.