Pigmentation Dark Patches Uneven Tone Recurrence Sun Sensitivity

Cheeks Forehead Upper Lip Jawline Other & None

Lighten Discoloration Prevent Recurrence Reduce Inflammation

Tretinoin or Retinoids Hydroquinone Azelaic Acid Kojic Acid Tranexamic Acid (oral or topical) Corticosteroid creams Vitamin C or Niacinamide Chemical peels or microneedling Laser treatments or IPL Sunscreen (SPF 30+) regularly Other

Red light therapy Infrared sauna or heat therapy Frequent sun exposure or tanning beds Hormonal changes (e.g., pregnancy, birth control, HRT) Stress or sleep disturbances Photosensitizing medications or supplements e.g., antibiotics, St. John’s Wort, doxycycline, isotretinoin) Other & None

Sensitive skin or allergic reactions to skincare products Eczema, rosacea, or chronic skin inflammation History of post-inflammatory hyperpigmentation (PIH) Autoimmune skin conditions (e.g., lupus) Hormonal imbalances or endocrine conditions (e.g., PCOS, thyroid issues) Liver disease (affects melasma metabolism) Pregnancy-related melasma (chloasma) Known allergies to hydroquinone, tretinoin, or sulfites Other None of These

Birth control or hormone replacement therapy Topical steroids or retinoids Any supplements that affect hormones, inflammation, or pigmentation None of these