Hello,
Melasma is a kind of hyperpigmentation seen mostly in females of middle age and is dictated by hormones and sunlight.
It treatment is challenging but with proper regimen good results can be achieved.
Usually the treatment is divided into clinic based treatment and home based.
At clinic, I suggest series of chemical peels like glycolic, Jessner, TCA with or without microdermabrasion.
At home you can apply cream containing kojic acid, arbutin, etc and vitamin C serum for maintenance.
Use high SPF sunscreen on regular basis.
Use glycolic acid based facewash.
Hope this will take care of your issue.
Dr Hardik Pitroda

Hi Dear,

Welcome to HCM.

Understanding your concern. As per your query you have symptoms of skin pigmentation on cheeks which could be due to hyperpigmentation of skin due to extreme skin sensitivity and due to hormonal changes in body. Need not to worry. I would suggest you to use metarub on daily basis to wash face as it will prevent pigmentation and avoid exposure to sun whenever possible and if you have to go out cover your skin with wet cloth and apply medicated sunscreen TAN CARE on skin rich in spf 30. Apply tea tree oil on skin dipped in cotton on daily basis to lighten pigments. Use creams rich in kojic acid at night time and rich in azealic acid at day time. At home mashed potatoes can be applied for 10-15 mins. as they will absorb dark pigments of skin. Drink plenty of water and fluids to nourish body and keep hydrated yourself. If you need chemical treatment go for chemical abrasion and peeling. Laser therapy is another effective way of regaining natural skin color.

Hope your concern has been resolved.

Get Well Soon.

Best Wishes,
Dr. Harry Maheshwari