Hello Dear. Your condition is called Melasma. To tell you in brief- Laser therapy can be a permanent solution for you. To answer you in detail: Melasma is a condition in which areas of the skin become darker than the surrounding skin. Doctors call this hyperpigmentation. It typically occurs on the face, particularly the forehead, cheeks and above the upper lip. The dark patches often appear on both sides of the face in a nearly identical pattern. The darker-colored patches of skin can be any shade, from tan to deep brown. Rarely, these dark patches may appear on other sun-exposed areas of the body. Prevention: The best way to prevent melasma is to limit skin exposure to the sun. If you go out in the sun, take these preventive measures: 1. Wear a hat with a brim to shade and protect your face. 2. Apply sun block (such as zinc oxide or titanium dioxide) to vulnerable areas. 3. Use sunscreen that protects against both ultraviolet A and ultraviolet B radiation. The sunscreen should have a sun protection factor (SPF) of at least 30. Treatment: A few options may help fade or treat dark patches: 1. Hydroquinone is a cream that takes pigment out of the skin. It blocks the natural chemical process that leads to the creation of melanin, the substance that makes skin dark. 2. Tretinoin is a type of vitamin A that helps to increase the rate at which dead skin cells fall off and new ones appear. This makes the melasma patch fade more quickly as the pigmented cells are shed. 3. Azelaic acid cream appears to work by slowing down or stopping the production of pigment, the substance that makes the skin darker. 4. Chemical peels are liquid solutions applied to the skin to provide a mild chemical burn, similar to sunburn. Over time, the burned layers peel off, leaving fresh, new skin. Chemical peels vary in strength. Glycolic acid is among the mildest, and therefore has a lower risk of causing scarring or skin discoloration. Chemical peels may be used if melasma does not respond to other treatments. 5. Intense Pulsed Light therapy utilizes certain wave lengths of light to target and remove pigmented areas of skin. Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you. All the best With warm regards Dr Sanjay Kini