<s>[INST] Hello Doctor, I am suffering from Facial pigmenation problem (due to hormone imbalance) for the last 2 years. As per the Dermotologist, used Melacare for a month at night times with Suncross sunscreen during the day time for every 3 hours, pigmentation vanisheed completely, but when I stopped Melacare, pigmentation patches became worst than before. Dermotologist advised to go for 6 Glycolic peels + 2 TCA peels to be continued with Banatan cream in the night and Sunscreen during the day. Till now, underwent 3 Glycolic peels for about 35% concentration, after every peel have PIH problem, its looking very dark, worst than then pigmentation. I was asked to use Clearway cream by the Doctor, on the new patches for 2 weeks and then again to continue with peels. I am really confused now and lost hope to continue this treatment. I feel very low to go out and face people or meet office friends as everybody questions about marks on my face. I am requesting your best advise and medicine to treat this pigmentation, with permanent cure is really appreciated. [/INST] Hello, Thanks for writing to healthcare magic.You are having melasma.It is somewhat resistant to treatment.It is a common cosmetic problem in females and it will subside as age advances.Treatment which you are reciving is correct and continue with that.Only thing I want to add is get your thyroid checked.Also if you are taking any birth control pills stop that.I hope this will solve your problem ,to some extent. </s>