Hi Dr. Samuel, this is Upender Due to photomelanosis, I am prescribed to use Triglow cream (Glenmark). As soon as I stop applying the cream, my problem again continues. I am looking for a remedy other than applying alopaethic creams and something in natural ways. Please suggest me regarding this.
**1. Photomelanosis/hyperpigmentation: is increased pigmentation due to sun exposure on exposed area particularly face-neck-limbs. 2. Initially contact a  dermatologist, who will clinically evaluate [who will differentiate it from sun burn (tanning) or post inflammatory hyper pigmentation due to secondary disease] and help you.3. avoid the sun by using sun-protective clothing and sunscreen to decrease the likelihood of pigmentary changes induced by UV light.PS. whatever improvement you get with peels and lightening cream, it should be maintained by regular skin care and avoidance of sunlight as much as possible. Sunscreen should be a routine for the rest of your life.4.  In Triglow [Fluocinolone,hydroquinone, tretinonin],side effect of hydroxyquinone itself is hyper pigmentation thus could be cause of your recurrent problem. [On its prolonged use it can cause thinning skin with red irritated skin or even hair growth]5. chemical peel which are affordable/effective and can be made/use at home are: with the help of tomato, orange peel paste, sandal wood paste, fresh milk, honey with curd , rose water and banana paste.6.you may go for combination peel which are safe on skin and give excellent cosmetic results.7.  A face wash containing glycolic acid will help in decreasing pigmentation.PS. . reduce your consumption of fats,sugar, salt and preservatives, all of which have a drying effect on the skin. . Remember to drink at least eight glasses of uncarbonated, unsweetened water every day, or substitute for green tea, which delivers both hydration and antioxidant power.