Complete your eNurse Check-Ups to guide you during your first 60 days of treatment.
Always prioritize any instruction received directly from your prescribing dermatologist.

Expectations:

Visible results can take up to 6-8 weeks. For those with stubborn melasma, your dermatologist might suggest a few cycles of HQ (hydroquinone) on and off to upkeep your results long-term.
HQ Safety Notice: check with your dermatologist for when you should take breaks from using HQ. Rare possibility of ochronosis if the HQ is overused.
There are multiple formulas of this treatment. Discuss with your dermatologist if you would like to request a stronger or a more mild formula depending on your results and/or any side effects you experience. Make sure to wait 6-8 weeks before requesting a stronger formula.
There can be a temporary darkening effect prior to the pigment improving, especially if there is irritation or dryness. Keep going.
Side effects include peeling, redness, dryness and irritation. For information about how to manage side effects, please use eNurse Check-Ups in the Musely app.

Do’s:

Use SPF 30+ daily. We recommend The Day Cream.
Start slowly! Apply every other day until your skin adjusts. If you are not experiencing excess irritation, you can increase usage to daily and then, twice daily.
Apply only on the face.
Add The Anti-Aging Night Cream, The Spot Pill and/or The Spot Peel to boost results from this treatment.
Shake the bottle before each use.

If you have the M+ formula:
1. Do not wax.
2. Do not apply during daylight hours.
3. Apply before bed to minimize UV exposure.
Do not use benzoyl peroxide and other acids.
It is not recommended to do cosmetic procedures (laser, peel, microneedling) for 4-7 days before or after using The Spot Cream.
Do not apply more than instructed.
Do not apply around the mouth and eyes or the neck..
Do not apply to damaged or broken skin, including sunburn or open wounds.
Stop using if you notice extreme itching, stinging or pain. Consult with your dermatologist.
Stop use or switch to the HQ Free formula if pregnant or nursing.

Cleanse

Thoroughly wash your face with a gentle cleanser and gently pat dry. Allow skin to dry for 2-4 minutes.

Apply The Spot Cream

Use upward-lifting motions to gently massage 1 full pump of The Spot Cream to the treatment area, or as directed by your doctor. M+ should only be applied at night, before you go to bed, to minimize UV exposure.

Moisturize

Wash hands to remove any remaining medication.
Apply a thick moisturizer to the entire face 5 minutes after application of The Spot Cream. We recommend CeraVe Moisturizing Cream or Aquaphor Healing Ointment.
The next morning, cleanse the skin and pat dry. Apply SPF 30+ while using The Spot Cream, as any sun exposure can result in damaged skin and/or recurrence of dark spots. Reapply sunscreen every two hours when spending time outdoors.

For more Frequently Asked Questions with answers from our team of Board-Certified dermatologists: please visit our DOCTOR FAQ page.

Application

Wet the face with warm water.
Dispense a coin-sized amount of The Cleanser to the palm of your hand.
Lather The Cleanser between your wet hands until small bubbles start to form.
Spread and gently massage across the face, avoiding direct contact with the eyes and mouth.
Rinse face and hands with warm water.
Gently pat dry with a soft towel.

Application

Gently wash your face with The Cleanser and gently pat dry.
Dispense a dime-sized amount of The Day Cream to the palm of your hand.
Use upward-lifting motions to apply The Day Cream to the face, making sure to cover the entire face and neck.
Since FaceRx medications increase sensitivity to sunlight, make sure to reapply sunscreen every two hours as needed. Failure to do so can result in irritated or damaged skin.