What is causing these brown spots? Why can’t I get rid of them?
I recently returned from the IMCAS European conference on skin that was in Paris. There were excellent talks on pigmentation problems. There were several good points that were made. One point had to do with the importance of considering a small biopsy for accurate diagnosis in a situation where pigment is not responding or is getting worse.
One problem with hydroquinone based skin care systems (like some Obaji systems) that are used for years and not just months, is that the hydroquinone itself can cause more pigment. This is called exogenous ochronosis. Is your diagnosis really melasma? You don’t really know if a biopsy has not been done. Please see a really good board certified Dermatologist and get help with this key question. Dr. I