Spots around the hands, legs, and eyes are often due to pigmentation, sun exposure, or conditions like Melasma, so the most important step is daily sunscreen use along with gentle skin care and avoiding harsh products. You can use doctor-advised creams containing agents like kojic acid or azelaic acid to gradually lighten spots.

Apply a thin layer of Melalite Forte cream to the affected areas with clean, dry hands, and gently massage it into the skin. Use only a small pea-sized amount or the quantity advised by your doctor. Avoid contact with the eyes and mouth.

You may use creams containing skin-lightening agents such as mild hydroquinone, kojic acid, or niacinamide. Apply only to the affected areas, use sunscreen on exposed skin, and avoid long-term unsupervised use. Please consult your doctor before using these creams to rule out any underlying conditions.

Dark patches on the face in a 45-year-old woman are most commonly due to conditions like melasma, sun-related pigmentation, or post-inflammatory pigmentation, and the treatment depends on the exact cause. The most important step is strict sun protection using a good sunscreen every day, wearing a scarf or hat outdoors, and avoiding direct sun exposure as much as possible, because the sun is the main trigger for worsening pigmentation. Topical treatments prescribed by a dermatologist, such as depigmenting creams (for example, combinations containing hydroquinone, retinoids, or azelaic acid), can gradually lighten the patches when used correctly. Chemical peels or laser treatments may also be options in stubborn cases under specialist care. It is also helpful to check for contributing factors like hormonal changes or thyroid issues if pigmentation is widespread or worsening. Since many treatments need supervision, it is best to consult a dermatologist for proper diagnosis and a safe, tailored treatment plan.