I have hyperpigmentation all on my forhead and sides of my cheeks. I get two photfacials every early spring and two every fall. It fades all the dark spots and evens out my skin. I have tried all kinds of treatments and this works expecially well for me.
It does come back..thats what hyperpigmentation does, its a lifetime issue once you get it. All it takes it just the reflection of sun... if your not happy with the photofacial, maybe try it somewhere else, machines vary.