UK-based dermatologist online survey on the current practice and training in the management of melasma and post-inflammatory hyperpigmentation.

Skin hyperpigmentary disorders, commonly including melasma and post-inflammatory hyperpigmentation, are frequent dermatologic problems with higher prevalence in people with darker Fitzpatrick skin type.^1,2 The current gold standard treatment is triple combination cream containing hydroquinone, retinoid and topical steroids³ but concerns over its long-term use including exogenous ochronosis, along with the lack of guidelines on the management of hyperpigmentary disorders, have contributed to the inconsistent practice amongst dermatologists.