This is a work in progress (about 1 month in). Melasma is a stubborn and chronic skin condition. It takes a lot of effort to get it clear and even more to keep it clear. Even with the strongest and strictest regimen it’s likely to come back. It’s good to use a rotational method of different key ingredients to tackle melasma from different angles. This patient did a triple blended formula with the active ingredient hydroquinone and we will cycle her on to a non HQ cream called Cyspera. All the while, strict sun protection and NO lasers allowed.