The treatment of melasma and dark spots can be challenging and frustrating with recurrences being the rule. There are various topical and in-office treatments to treat these troubling dark patches on the face. In addition, it is important to use adequate sunscreen and discontinue the use of any oral medications that may be contributing to the problem. Treatment options can include special custom order topical creams and chemical peels. After a thorough evaluation a strict treatment plan will be implemented based on a personal analysis.