If TriLuma is making your skn darker and more sensitive, use a gentler product like Melarase (see below).Daily good habits with topicals may well help you chieve your goals with a good skin system like the Brightening Kit from KareSkin (see link). You may want to start with Melarase and...
Titrate the dose. This means use 1/5 of a pea size drop, 4/5 bland moisturiser, then increase from there. If you can not tolerate this use Meladerm, or stand alone HQ 2-5 %, once again with titration. I normally prescribe a stand alone tretinoin cream based upon irritation- universally seen in...
Melasma needs a combination approach to get the best improvement and will need a series of treatments. In our practice, we combine Clear + Brilliant, peels, microneedling/PRP, Aerolase, and sometimes Erbium (Cool Laser) to get the best results. See an expert for a formal evaluation. Best, Dr. Emer