Hello. Thank you for writing to us
You seem to have a condition known as Melasma.
Melasma presents as brownish patches/
hyperpigmentation on sun exposed skin of face commonly on cheeks, dorsum of nose.
Melasma may affect other areas like chin, forehead and
upper lip area as well.
Though you initially showed good response to the cream that you were using but you seem to have developed irritation to the topical cream and which possibly may have led to post-inflammatory hyperpigmentation Or a recurrence of melasma.
Sunscreen is an essential part of treatment any facial hyperpigmentation.
I suggest you to use a broad spectrum sunscreen, throughout the day. Reapply every 2-3 hours, specially when outdoors.
At night you may apply a pigment reducing cream containing one or more of the following ingredients like
kojic acid, hydrioquinone,
glycolic acid, azaleic acid etc.
Along with the topical treatment you may also opt for a few sessions of chemical peeling from a
dermatologist. Glycolic acid peel is particularly good for pigmentation.
Regards