For melasma, many people have suffered a lot in the process of seeking treatment, sometimes not only did not eliminate the melasma, but also made the spots bigger and more obvious. To treat melasma, you should first look for the cause of the disease and change your previous bad lifestyle, such as staying up late and being irritable, etc. At the same time, you should start to protect yourself from the sun, avoid sun exposure and develop the habit of applying sunscreen. Adjust your emotions, avoid anxiety and keep a healthy mind. Get these right first, and then start thinking about treatment. In terms of treatment methods, laser is definitely not the only way to remove melasma. In fact, the combination of topical, internal and laser treatments can maximize the elimination of melasma and reduce the rebound. Topical whitening drugs Topical whitening drugs are essential to remove melasma. Jingjing Zhao said, for example, topical hydroquinone cream, retinoic acid cream, levulinic acid serum, or chemical peeling or basic treatment with fruit acids, which can make the pigment lighter and lighter. Internal medication Take vitamin C and vitamin E orally daily under medical supervision, and remember not to take vitamin E orally or topically in the morning (this medication has a photosensitizing effect). In addition, administer glutathione intravenous drip (once a day for 15 days, then once a week thereafter) as prescribed by your doctor. Glutathione is a reducing agent, which can have a whitening and pigmentation effect because it can remove toxins and metabolic waste from the body. There are also tranexamic acid (torsemide), Chinese herbal medicine, Chinese patent medicine, etc. Laser/Intense Pulsed Light Treatment Many melasma patients are especially afraid of laser treatment, worrying that laser will stimulate the pigmentation to become more and more serious, and in clinical practice, there are indeed some patients who make melasma more and more serious because of laser treatment. In fact, the treatment result of melasma is good through comprehensive treatment. After clinical statistics, the effective rate is about 77.5%. Reminder: No matter what kind of treatment method is used, it should be carried out under the guidance of professional doctors.