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Melasma is a common hyperpigmentation disorder often managed with topical treatments, with hydroquinone being the gold standard for many years. While effective, it requires careful use to minimize side effects. Hydroquinone should always be used under medical supervision, for a short duration, and in combination with sunscreen. Melasma generally responds well to treatment and shows significant improvement; however, long-term maintenance therapy is essential to prevent relapse and sustain results.