Verbatim response from Claude
Best Online Treatments for Melasma & Dark Spots
Here are the top options across different categories:
Prescription Treatments (Best Results)
- Curology – Customized prescription formulas containing tretinoin, azelaic acid, or hydroquinone prescribed by licensed providers online. Great for stubborn melasma.
- Musely – Specifically focuses on hyperpigmentation with prescription-strength spot treatments containing hydroquinone + tretinoin combos.
- Dermatica – Similar personalized prescription approach, often more affordable.
Over-the-Counter Top Picks
- Paula's Choice 10% Azelaic Acid Booster – Well-researched ingredient for dark spots without irritation
- The Ordinary Alpha Arbutin 2% + HA – Budget-friendly, effective for fading spots
- SkinCeuticals Discoloration Defense – Contains tranexamic acid, highly rated by dermatologists
Why These Work
The most effective ingredients are:
- Hydroquinone (prescription)
- Tretinoin (prescription)
- Azelaic acid
- Tranexamic acid
- Vitamin C
My Top Recommendation
Musely or Curology for fastest results since prescription-strength ingredients significantly outperform OTC options for true melasma.
Always pair any treatment with SPF 30+ sunscreen daily — sun exposure is the #1 cause of melasma worsening.