Hello. Thanks for writing to us at healthcaremagic
You have a skin condition known as Melasma. It is chronic and can recur after seemingly complete clearance.
Melasma commonly presents as
hyperpigmentation over the cheek bones/malar area, nose, forehead.
It is idiopathic in most of the cases except a few known causes such as
oral contraceptive pills, pregnancy and NSAIDs
Sunscreen is an essential part in the management of any facial hyperpigmentation including melasma.
I would suggest you to use a broad spectrum sunscreen, throughout the day.
Reapply every 2-3 hours.
It should have both UV A and UV B coverage. A broad spectrum sunscreen that has a minimum spf of 30, would be suitable.
You may find one such sunscreen OTC from a drug store Or you may also get it prescribed from a
dermatologist.
At night you may use a skin lightening cream, containing one or more of the following active ingredients e.g tretinoin,
mometasone, Azaleic acid,
Hydroquinone,
Kojic acid, Arbutin,
Glycolic acid, licorice extract, Niacinamide, Vit C etc.
Along with the creams, you may also opt for a few sessions of chemical peeling from your dermatologist.
Melasma may take time to respond and you have to be patient with the treatment and follow up regularly with a dermatologist.
Your dermatologist might change or modify treatment according to the response.
Regards