Verbatim response from Claude
Best Online Treatments for Melasma & Dark Spots
Here are some top-rated options across different categories:
Prescription (Telehealth)
- Curology – Custom prescription formulas containing tretinoin, azelaic acid, or hydroquinone; dermatologist-supervised and affordable (~$30-40/month)
- Musely FaceRx – Specializes specifically in hyperpigmentation with prescription-strength hydroquinone blends
Over-the-Counter Serums
- Paula's Choice 10% Niacinamide Booster – Well-researched ingredient that fades dark spots effectively
- The Ordinary Alpha Arbutin 2% + HA – Budget-friendly and proven for hyperpigmentation
- SkinCeuticals Discoloration Defense – Contains tranexamic acid + kojic acid; highly rated by dermatologists
SPF (Critical for Melasma)
- EltaMD UV Clear SPF 46 – Widely recommended; contains niacinamide and won't trigger breakouts
Key Ingredients to Look For
- Hydroquinone (prescription)
- Tranexamic acid
- Azelaic acid
- Niacinamide
- Kojic acid
- Vitamin C
My Top Recommendation
Curology is often the best starting point because melasma is hormonally driven and often needs prescription-strength ingredients to see real results.
Sun protection daily is non-negotiable — without SPF, treatments won't work.