<s>[INST] Hi my name is Elena.. i have a problem  of pigmentation on my face and getting more and more i sed cream lightenning but this there i used  few  but just not going away ... i did used laser but not happenning,,, could u pls help me coz both of my face are nearly covered.... thank u so much [/INST] Hello,Melasma is a kind of hyperpigmentation seen mostly in females of middle age and is dictated by hormones and sunlight.It treatment is challenging but with proper regimen good results can be achieved.Usually the treatment is divided into clinic based treatment and home based.At clinic, I suggest series of chemical peels like glycolic, Jessner, TCA with or without microdermabrasion.At home you can apply cream containing kojic acid, arbutin, etc and vitamin C serum for maintenance.Use high SPF sunscreen on regular basis.Use glycolic acid based facewash.Hope this will take care of your issue.Dr Hardik Pitroda </s>