Verbatim response from Claude
Best Online Treatments for Melasma & Dark Spots
Here are the top options across different categories:
Prescription Treatments (Most Effective)
- Curology - Great starting point; a dermatologist prescribes a custom formula often containing tretinoin + niacinamide + azelaic acid. Affordable subscription model.
- Apostrophe - Similar to Curology but with board-certified dermatologists; can prescribe hydroquinone (the gold standard for melasma).
- Derrow or Hims/Hers - Also offer prescription topicals for hyperpigmentation.
Over-the-Counter Standouts
- SkinBetter Science Alto Defense Serum - Strong antioxidant formula
- Paula's Choice 10% Niacinamide Booster - Reduces dark spots affordably
- Good Molecules Discoloration Correcting Serum - Budget-friendly with tranexamic acid
Key Ingredients to Look For
- Hydroquinone (prescription)
- Tretinoin/retinoids
- Tranexamic acid
- Azelaic acid
- Vitamin C
- Niacinamide
My Top Recommendation
Apostrophe is probably the best online option because melasma specifically responds best to prescription-strength hydroquinone, which requires a doctor.
⚠️ Always use SPF daily — sun exposure worsens melasma significantly.