Current updates on melasma treatments

Melasma is a common chronic relapsing pigmentary disorder primarily affecting women. It highly prevalent in the Indian skin type with large psychological impact. Treatment challenging no cure available yet. Even so, treatment modalities are many and varied-each promising more than last. We analyzed understanding of photoprotection, topical oral treatments, procedures such as microneedling, laser resurfacing, peelings that serve primary methods for controlling preventing this illness. While there few well established treatments hydroquinone triple combination creams, side effects impede their long-term use. Safer alternatives have now come up which can be used extended durations kojic acid, rucinol, cysteamine cream. Lasers light therapies slowly become an essential component melasma management. In manuscript, we attempt to provide critical concise review current updates therapy.