How I manage resistant melasma?

Melasma is a cosmetic disorder with profound psychological impact. Multiple therapies are available for melasma but no therapy the gold standard. The most of patients suffer from relapses and recurrences which force patient to opt over-the-counter medications containing topical steroids or indigenous medications. Use these has led emergence complicated cases refractory treatment. Along hyperpigmentation, such also have steroid-induced side effects as rosacea, atrophy skin, telangiectasia. Many develop exogenous ochronosis due prolonged use hydroquinone-based therapies. present article focuses on management melasma.