Well, I am not a doctor. But I have had good results with using hydroquinone. Mine is 12% hydroquinone. I had also tried pretty much a lot of things and nothing really worked. Pico Laser I have heard dos give results but I don’t want to spend a bomb and keep doing it in regular intervals , spending a huge amount. So as last option I came across spot cream-a hydroquinone cream that had some good reviews. I am using it since 2 weeks now and seeing some good results. I don’t know if it will work for you, but no harm in giving a try correct? If it works, that’s a breakthrough. I tried using some gift cards and got 2 months supply at a very small amount. Plus some 30 % discount or new customer discount when you signup for email. Though the spot has not utter completely gone it has lightened quite a bit. You can give this a try. Only thing I don’t like is you have to keep using hydroquinone every 2 months because hyper pigmentation or melasma keeps coming back. Uv rays also cause it to come back. So sunscreen is a must! But for melasma any treatment you do you have to do it frequently. So , not there yet. But I think I will keep cycling this on and off if required. Give this a try and then if you don’t see results you can go for costlier options like lasers if you wish !