Hi.. Welcome to HEALTHCARE MAGIC.. I have gone through your query and can understand your concerns. As per your complain Lomela cream contains hydroquinone, tretinoin and a steroid.. Steroid when used for long term has severe side effects over the skin leading to skin thinning, pigmentation, rashes, extra hair growth on face and swollen veins under skin.. As you used it for 5 years the symptoms of pigmentation and darkening are due to side effects of the steroid and you should not use the cream anymore and completely stop its use.. You should wash your face multiple times a day with cold water and do cold compresses on face to reduce inflammation.. You can use salicylic acid and glycolic acid containing face wash. You can apply benzoyl peroxide and clidamycin containing intments over the black moles that seems to be clogged pores.. Apply adapelene containing gel once at night.. Scrub your face twice a day with a gently face scrub.. Take Vitamin C supplements.. Limit sun exposure as it can further lead to darkening due to Photosensitivity.. Apply aloevera gel for lubrication of face.. Drink plenty of water, take nutritious diet and avoid junk food.. Keep the face dry and clean and avoid all kinds of chemical cosmetics.. You can also go for microdermabrasion, photofacial and chemical peels.. Hope this information helps.. Thanks and regards. Dr.Honey Nandwani Arora