Q. What is the treatment for hyperpigmentation on cheeks and forehead that reoccur, once tablets are stopped?

Answered by
Dr. Dilip Meena
and medically reviewed by Dr. Infanteena Marily
This is a premium question & answer published on Dec 13, 2021

Hello doctor,

I have hyperpigmentation on cheeks and forehead and have spots on it. I took medications for it before and when I stopped taking it, the condition came back. Why do they occur? I am attaching the photographs. Can you please provide me with internal treatments. Kindly help.



Welcome to

Thanks for writing in, and I understand your concern.

This condition can be melasma. Melasma is a hyperpigmentation disorder characterized by dark patches over cheeks, nose, forehead, and rarely on hands. It usually happens due to some hormonal causes and can get worse with sun exposure. The treatment is based on reducing the pigmentation and preventing further pigmentation. Treatment is given for four weeks initially. So it is advisable to follow up after four weeks. Please do not continue treatment after four weeks without a doctor's consultation.

I suggest you take the following medication.

1. Melalite forte cream (Hydroquinone) for local application on spots at night.

2. Aziderm 20% cream (Azelaic acid) for local application on spots in the morning.

3. Photostable gold gel apply all over the face before going out in the sun once in the morning. Apply it 30 minutes after the Aziderm 20% cream application without washing Aziderm.

4. Tablet Limcee (Vitamin C) once a day after breakfast.

I suggest reviewing after four weeks. If you have any doubt, kindly revert.


Hello doctor,

Thank you for the reply.

I need some oral tablets. Do they have any side effects? Should I avoid any food items when I am on treatment? If I stop the treatment after four weeks, will it increase? If the cream you suggested has any side effects like itching, what can I do? Could you suggest some anti-aging and wrinkle-free cream? Can I apply anti-aging cream with this treatment?




Welcome back to

The oral medicine I suggested above is Tablet Limcee (Vitamin C). It does not have many side effects, if taken once a day. There is no need to avoid any food while taking these medicines. I suggest you consult after four weeks. Change of medication can be suggested accordingly. Stopping abruptly might lead to recurrence. If irritation or itching due to cream is too much, I suggest you withhold it for two to three days and apply only sunscreen and any moisturizer. I suggest you use Epilyno lotion as an anti-aging cream and moisturizer with this treatment.


Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Is there any way to get rid of post acne hyperpigmentation?

.. acne hyperpigmentation lasting for so long is not very common. 2. There are two kinds of options for post inflammatory hyperpigmentation. Either using creams at home which I will prescribe you below or going for cosmetic procedures like microderm...   Read full

What should I do to reduce the hyperpigmentation and dark circles under my eyes?

I am using Bepanthen and sunscreen ... Use a broad-spectrum sunscreen throughout the day ...   Read full

I have melasma on my face for the last 16 years. Why does not any cream help?

If melasma remains resistant even after taking treatment, then it is good to do chemical peels ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Monkeypox Virus - Symptoms, Diagnosis, Treatment, Complications, and Prevention
Monkeypox is a zoonotic viral disease. This virus got its name as it was first noticed in laboratory monkeys in the late...  Read more»
Tomato Fever - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Tomato fever is an unidentified and fast-spreading type of viral infection seen in young children. Scroll down to know m...  Read more»
Histrionic Personality Disorder - Causes, Signs, Symptoms, Diagnosis and Treatment
Histrionic personality disorder causes variations in the thinking ability of a person. Read this article to know more.  Read more»

Ask your health query to a doctor online?

Ask a Dermatologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.