instruction: hello doctor I am a 46 year old female I have been suffering from melasma for the last four years it is only small patches on the cheekbones but very dark I have been told it is dermal which is very stubborn and does not go easily I took lots of treatment from good dermatologists like used topical creams like hydroquinones retinoids etc few chemical peels are done but no effect and that area became thin and wrinkled what treatment should I go for currently I am using only kojitin is it safe to use it for a long time I hope it will not make my skin thinner
output: hi welcome to iclniq com I have seen your query with your descriptions it seems you have developed dermal melasma kojivit is safe and it is non asteroidal it does not cause thinning of skin and safe for long term use beside this must use sunscreen like blinds sunscreen daily during morning and use dermadew glow face wash twice daily also take antioxidants tablet once daily protect from uv ultraviolet radiation and repeat sunscreen after four hours if you are going out