hi. i have read your question and understand your concern. meladerm contains steroids and any steroid should only be applied under medical supervision. short duration of topical steroids are usually safe but long term use can cause side effects like: excessive hair growth acne skin thinning infections rosacea my suggestion is that you see your dermatologist, know the cause of hyperpigmention and then get treated accordingly. hope this helps. for any further questions please get back to us. thanks.