Hi!
Melasma is difficult to treat but not impossible to improve.
In fact, there are many available treatments to improve melasma. For resistant melasma ( like yours), oral tranexamic acid and low energy thulium lasers are procedures that we will recommend at our practice.
Sun protection is so important. Ensure you are using generous amount of sunblock (Broad spectrum, SPF 50) and practise sun avoidance.
Some energy devices and IPL will worsen the melasma so always speak to a doctor who is experienced in treating this condition.
Btw, you should definitely not use hydroquinone beyond 6 months. A break of a few months will ensure you do not develop the rare complication of exogenous onchronosis.
Regards
Dr Yanni
