I'm using melacare creme from last one year, if once I stop this cream im getting dark pigmented skin, red ness, itching, etc. So that I'm again continue using this cream. So please give permanent solution for improve little bit whiting of my skin (face).

Dr. Abhishek VijayakumarCosmetic/Plastic Surgeon4yrs exp

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Hello, Melacare should not be used for so long as the steroid and hydroquinone are harmful. The pigmentation are of two types superficial and deep. The superficial pigmentation respond to creams. The deeper ones need chemical peels and lasers and additional depigmentation creams. You can start initially on milder depigmentation creams which contain kojic acid, arbutin, niacinamide like Melaglow at night and use sunscreen (SPF 35 and above) three times a day. There is options of glutathione injections to oral tablets with vitamin C, also laser toning also gives good results. Laser toning using Q switch Nd Yag laser is an option but results variable. You may need 6-8 sessions at 3 weeks gap. And depending on type of skin whether oily or dry you can choose a face wash. It need examination and personalised plan. Consult a dermatologist who will taper the steroids and put you on safer alternatives.  

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