Melasma can be stubborn, but please don't lose hope. Standard medical treatments include prescription creams containing hydroquinone, tretinoin, and a mild corticosteroid?often used together as a highly effective triple-combination cream. Other successful generic options include azelaic acid, kojic acid, or topical vitamin C. For resistant cases, oral tranexamic acid or clinical chemical peels can be considered. Crucially, daily application of a broad-spectrum physical sunscreen containing zinc oxide is essential, as even minimal UV exposure triggers melasma. I highly recommend consulting a dermatologist to discuss these specific, prescription-strength options safely.