I am suffering from melasma from last two years, many creams used but no effect, kindly suggest me suitable treatment.

Prevention of melasma is the best strategy The catch? No melasma treatment offers permanent results, so Morales recommends maintenance therapy that can prevent melasma from coming back. Certain common-sense tactics can also help avoid melasma from developing in the first place, he says. These include: Daily sunscreen use. Since sunlight is one of the biggest triggers for melasma, daily sunscreen use is non-negotiable to keep it at bay. Outdoor hats. Broad-brimmed hats help keep rays off vulnerable parts of the face. Seek shade whenever outdoors, as well. Gentle skin care. Since products that irritate the skin exacerbate melasma, use gentle products that don't sting or burn. "Melasma may not be completely preventable, even with the best skin care and precautions, Morales says. "But in the vast majority of cases, efforts to prevent it or treat it are successful at keeping those annoying spots away. TO prevent furthr spreding of melasma there are two main therapies described in ayurved the first one is VIRECHAN-KARMA & second I BASTI-KARMA. Safrron paste should be applied rather than heavy stroid containing cream For further communicaation you may chat with me in private chat.