Thank you for your question. The glutathione injections are growing more popular in Africa and Asia but have not quite became popular in the United States. I would recommend having a consultation with dermatologist or facial plastic surgery. However some options that could help with dark patches are laser fraxel treatments, chemical peels, or a prescribe cream of that helps with hyper-pigmentation.
Melasma and Sun Spots -- Best Treamtent Is Clear + Brilliant / Fraxel 1927 with Microneedling PRP, Pro Yellow is Useful
There is no "cure" for melasma but there are great treatments. We are doing a clinical trial now on clear + brilliant with bleaching and microneedling and getting amazing results. I suggest you see an expert. You will need lifelong treatment, sun protection, skin care. But these treatments can give you improvement and then you maintain. Best , Dr. Emer.
Hi Shawie, we use up to Hydroquinone 8% for our Melasma cases. To see examples for our Los Angeles patients, click on the before and after photos at the link below.