Melasma/chloasma, post inflammatory hipigmentation, acne marks, freckles, discolorations, birthmarks, age/liver spots/sun spots tans, sun damage, old scarrs, dark elbows, knuckles, dark underarms, other hyperpigmentation, general skin lightening. Direction to use: Wash face with mild soap & pat dry. Apply cream on the affected areas. Do not massage . Use twice daily or as directed by the physician .