Topical Treatments for Melasma and Their Mechanism of Action
This systematic review analyzed 348 studies, with 80 meeting inclusion criteria, to evaluate the efficacy, safety, and mechanisms of topical agents used in melasma treatment. The review reaffirmed triple combination (TC) therapy—comprising hydroquinone, a retinoid, and a corticosteroid—as the gold standard due to its superior efficacy and patient tolerability. Hydroquinone