<s>[INST] I have been having pigmentation on my forehead and cheeks for about 12 years now. Have tried several creams, peels, dermabrasion etc but nothing has worked.  In fact it seems to be darker now.  No doctor has suggested any blood tests or hormone tests.  Could this be a problem due to hormones if so can it be treated with medications.  Is there no solution for this problem? [/INST] Hello, Thanks for the query. This hyperpigmentation can be removed by using skin lightening creams. Various creams are available like Melanie XL, lookalike, Bungalow etc. You can take any of them. The following should be procedure to use it.1. Wash your face in evening around 7.2.  Chat Doctor. 3. Keep it for one hour.4. Wash face again.5. Apply some moisturizing cream and sleep.6. In morning apply a sunscreen with SPF at least 30. Do this for a month, you will see the results. Let me know if you have any other doubts. Thank you </s>