Even though Sarah stuck to every dermatologist rule—SPF 50, wide-brim hat, no midday sun—those coffee-brown patches crept back. Eight weeks after she stopped prescription creams, the constellation on her cheeks was almost as dark as day one.
Sadly, her case is typical.
- 61 % of women give up prescription hydroquinone or peel regimens within the first three months.
- The dropout rate rises to 71 % after a year and 79 % after two years.
- Fewer than 1 in 10 keep their skin clear once they stop treatment.
The reasons are painfully predictable: burning, flaking, cost, plateauing results—and the simple exhaustion of a twice-daily, no-sun-ever routine.
Sarah’s own words say it best:
“I DID follow the rules. I wore sunscreen. I skipped beach days. I even switched to UV-blocking curtains. Two months later the spots were back—mocking me in the mirror.”
And her husband?
“The warmth disappeared with the first smudge on my cheek. The silence at breakfast returned right along with the blotches.”
That’s the cruel math of melasma rebound: the patches don’t just resurface—they drag old pain back with them.