<s>[INST] Hi, I came off Yasmin a few months ago, it was great for my skin but seemed to be giving me a dark patch around my mouth (cholasma), which I have since been to a dermatologist to get lasered off. My GP has now put me on Cerazette , but I m really worried about what it will do to my skin- in the time I have been off the Yasmin I do seem to be getting the odd breakout of cystic acne on my chin , usually hard lumps under the skin which really hurt, the rest of my skin is fine though. What would you advise? I know everyone reacts differently, but if its a toss up between a dark mark on my upper lip or big lumps under my skin im not sure which is worse! Would really appreciate your help. [/INST] Hi, Melasma and acne both are distressing because of their occurrence over face. Had I been suffering from these diseases, I would have gone for the treatment of acne first, because Alaska is a notorious disease which frequently relapses and takes long time for treatment. Acne, most of the time show early improvement and is more predictable. Another option is to use the medication which helps in both acne and plasma like retinoids, peeling agents, Aramaic acid etc. Visit a dermatologist, so that he/she can decide which Chat Doctor.   </s>