Pigmanorm cream for 8 months didn't work for my melasma. Now, my doctor wants me to try hydroquinone 4% cream. Can this work?

Question

I used pigmanorm for 8 months, but I wasn't very diligent about sun protection. So, I never wore hat or tried to cover myself, just used the sunscreen once in the morning.I also didn't used any exfoliation scrubs etc either.My melasma was induced due to using obagi nuderm for small acne spots and going out in sun without sunscreen plus use of birth control pills. Does hydroquinone work for everyone? why wouldn't it work for me? how can i make it work for me?

Raffy Karamanoukian, MD, FACS · Answer

Dark pigmentation on the skin can be due to melasma, age spots, and sun damage. Melasma is a specific hormonally-influenced skin condition in which pigmentation is deposited by overactive pigment cells in your skin. 
  
In our office, we individualize treatments for melasma and skin discoloration based on skin type, skin complexion, hormonal influences, and ethnicity. 
  
Treatments for melasma begin with Melarase creams as follows: 
  
MelaClenz
  Melarase AM
  Melarase PM
  Melapads
  Replenish Retinoid Cream
  Additional therapies include fractional laser, fractional RF, Covalent peels, and LED microneedling with Replenish serum. The video demonstrates the clear and brilliant laser that is used alongside Melarase creams. 
  
Best, 
  
Dr. Karamanoukian
  
Realself100 Surgeon

Pigmanorm cream for 8 months didn't work for my melasma. Now, my doctor wants me to try hydroquinone 4% cream. Can this work?

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