I am currently using strong hydroquinone cream that made my skin very sensitive and red. I will use this for next six weeks.But, this is my last attempt at correcting this problem. I plan to learn how to properly cover this darkening with makeup so that I look good. I will start using vitamin c in the morning and retin a and outstanding diet forever along with some natural fading creams. Plan is to stop seeing any dermatologists and accept that there is no effective treatment for deep melasma.