melasma
"Due to hormonal changes and reduced levels of melanin, I have increasingly witnessed spots on my cheeks and on my nose. I used various Vitamin C serums and other over-the-counter lightening creams. They only had minimal effect and seemed to take a lot of time to achieve anything. The Tri Luma cream requires a prescription and is not covered by insurance (I paid $107.20 for it with a discount card...think it was originally $148.99). Yes, it is pricey, but may I say, upon using it, it is absolutely worth it!! I saw diminished darkness and spotting after the first night of use and upon each night's use. I have used it for 4 nights now and it has faded the splotches significantly!! Wow!"