<human>: What medication should you suggest for hyper-pigmentation on the face, on a specific area in a female patient of 20 years....(Its not the dark circles , it is on the left upper part of cheek....a dermatologist prescribed melaglow to apply it.....it got very fade after applying it for 2 months but later it got worsened.....it turned red...and scaly....and started itching....so the cream was stopped....now there is no itching but the pigmentation is still present)....please help
<bot>: Hi, Welcome to Chat Doctor.Hyperpigmentation on upper part of left cheek-it needs a proper clinical diagnosis before starting treatment. Common cause of this type of spot is plasma. For management of plasma you could apply a sunscreen cream /lotion (e.g. Spectra ban) at morning and a 4% HY Chat Doctor. You might require laser surgery if your diagnosis would nevus of OTA or other conditions.Therefore, I suggest you to visit a dermatologist before starting any treatment. With regards.