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Creams containing tretinoin, kojic acid, and azelaic acid have been shown to improve the appearance of melasma. Occasionally, your doctor may recommend chemical peels or topical steroid creams. In severe cases, laser treatments can be used to remove the dark pigment. Avoiding the sun and using sunscreen are key to preventing melasma. Often when Birth Control, menapausal supplemental hormones, or pregnancy resolve, it fades away naturally.
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