I suffer from acne and related melasma and acne hyperpigmentation on face from 8 years acne controls but the small acne and melasma come on cheeks just due to eating chicken and sorry to say but yes alcohol consumption don't know how to deal tried creams but it worse don't know what is internal problem plc helps..

Dr. Shaurya RohatgiDermatologist8yrs exp

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Melasma is difficult to treat but a lot of options are there. First and foremost, you have to follow strict sunprotection. Do not move out of house without sunscreen application 20 mins prior. Creams can be prescribed for melasma. Chemical peels also work a great deal in the initial stages to reduce the pigmentation which can later be maintained with creams. Laser peel or skin toning can also be tried. Please send photos for accurate diagnosis and treatment. Please don't use over the counter steroid containing skin lightening creams.  

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