What is the best way to get rid of melasma?

Our office sees patients with melasma from all over the world. We specialize in it. Melasma requires a comprehensive cream program, chemical peels, and sun avoidance. We have great success treating melasma this way and then maintaining creams to prevent the pigmentation from returning. Our controlled depth peel is one great modality used to control melasma for patients who seek perfection. We also have the 3 step peel which significantly helps pigment control when used with the cream program. 

Melasma is a multi-functional, complicated and often very
frustrating condition.  I always stress
to patients that it will not go away overnight and often times may not totally
go away. However, there are a few key things that will make it better.  Proper skincare is essential and a physical
sunscreen of 30 or higher is a must. I also always stress the importance of reapplying
sunscreen if you are out in the sun every 60 minutes. I also recommend a
compound cream of Hydroquinone, retinol and hydrocortisone. Note that this
should only be used for 8 weeks on, and then a 4 week break in which you can
use a HQ free cream. In my experience, the best way to treat stubborn melasma
has been with medium depth chemical peels. You will usually need between 3-5
peels spaced 1 month apart.

Melasma has multiple causes and therefore has multiple treatments.  It is likely a lifelong condition but can be held under control.  Steps to successfully treat melasma include:-Avoid UV light and exposure and wear daily sunscreen-Investigate hormonal causes -Use of topicals (skin lighteners, retinols, etc)-Use of chemical peels (i.e. melanage, etc)-Use of LASERS (i.e. IPL, erbium, Nd:YAG, ablative treatments)