Creams containing tretinoin, kojic acid, and azelaic acid have been shown to improve the appearance of melasma. Occasionally, your doctor may recommend chemical peels or topical steroid creams. In severe cases, laser treatments can be used to remove the dark pigment.
Avoiding the sun and using sunscreen are key to preventing melasma.
Melasma often fades over several months after stopping oral contraceptives or hormone replacement therapy or after delivering a child. It may return with additional pregnancies or use of these medications.
Call your health care provider if you have persistent darkening of your face.