Hello Thank you for posting on HCM. Melasma is a condition where pigmentation develops in patches over exposed areas of face dictated by hormones and sunlight. Rarely, some drugs like OC pills can also trigger melasma. For Melasma, the management begins with proper history like menstrual history, use of OC pills etc and investigations for diabetes, thyroid or any other hormonal imbalance. I usually advocate oral antioxidants combined with topical therapy. Topical therapy includes use of triple combination containing cream (Hydroquinone, tretionoin , flucinolone acetonide). Other agents like kojic acid , azelaic acid, glycolic acid can also be tried. Also enquire from your dermatologist about procedures like chemical peeling, microdeermabrasion or laser therapy which definitely work better than just home-based treatment. Use broad spectrum sunscreen (SPF 30 and above) for regular use. Take plenty of fruits and vegetables in your diet. Hope this answer will take care of your issue. Kindly spare some time to rate my answer and drop your valuable review at the following link: http://doctor.healthcaremagic.com/doctors/dr-hardik-pitroda/67169 If you require any further assistance in future, you can reach me directly through the above mentioned link. Thank you Dr Hardik Pitroda