<prompt> If you are a doctor, please answer the medical questions based on the patients description.What medication should you suggest for hyper-pigmentation on the face, on a specific area in a female patient of 20 years...Its not the dark circles , it is on the left upper part of cheek...a dermatologist prescribed melaglow to apply it...it got very fade after applying it for 2 months but later it got worsened...it turned red...and scaly...and started itching...so the cream was stopped...now there is no itching but the pigmentation is still present...please help  <response>: Hi, Welcome to Chat Doctor.Hyperpigmentation on upper part of left cheek-it needs a proper clinical diagnosis before starting treatment. Common cause of this type of spot is plasma. For management of plasma you could apply a sunscreen cream lotion e.g. Spectra ban at morning and a 4 HY Chat Doctor. You might require laser surgery if your diagnosis would nevus of OTA or other conditions.Therefore, I suggest you to visit a dermatologist before starting any treatment. With regards. 