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Treatment summary, melasma during pregnancy The top two skin care ingredients in pregnancy are azelaic acid 20% & vitamin C 15% Glycolic acid peels can be effective & safe when performed conservatively & correctly, max concentration is 25% for home use SPF 50+ tinted sunscreen can reduce pigment flares Postpartum, the use of pico lasers & clinical peels can effectively treat remaining pigment Retinol & retinoids are not advisable during pregnancy Understanding Melasma During Pregnancy Melasma is a common skin condition characterized by the development of dark, irregularly shaped patches on the skin, primarily on the face