Dark neck , dark  underarms 

Multiple reasons. for dark neck 

Most common 

Acanthosis nigricans

Insulin resistance 

Frictional dermatitis

Deodorant allergy 

Treat underlying cause 

Use pigmentation reduction creams 

Sunscreen 

Life style changes to reduce weight

Winter skin care 

Use mild soap with PH 5.5 

Mild cleansers fir sensitive & atopic ( dry ) skin

Moisturize skin continuously 

Avoid harsh cleanses & harsh weather which makes your skin

There is no one best treatment for melasma goals of treatment are to:

* Decrease pigmentation & sun protection           

*  Modes of treatment 

1. Melasma medication

2. Sunscreen

3. Camouflage

* Medication and procedures:

* Hydroquinone

* Triple combination cream under supervision 

* Other medications:that’s gentler on your skin like azelaic acid, kojic acid, or vitamin C. 

Procedures: 

* Chemical peel: help to remove excess creates microscopic tears, As the skin heals, gives  a more even skin tone. 

* Laser and lights , meticulously done procedure helps in even skin& texture  improvement 

* Platelet-rich plasma: injecting PRP, can help even your skin 

* Tranexamic acid:. In studies, tranexamic acid has been shown to decrease the patches of melasma when other treatments fail to work.