The Dark Spot Solution is a prescription cream built around four active ingredients that fade melasma and uneven pigmentation — without hydroquinone:

  • Tranexamic acid — calms the signals that cause skin to overproduce pigment, helping fade existing dark spots and prevent new ones
  • Kojic acid — inhibits melanin production to brighten uneven areas and support a more balanced, even tone
  • Tretinoin — accelerates cell turnover to lift surface pigmentation and improve clarity and texture
  • Niacinamide — reduces the transfer of pigment to skin cells and helps even out tone while keeping the actives comfortable

It's rounded out with two supporting ingredients: Centella Asiatica extract, which soothes reactive skin, and ceramides, which reinforce your barrier through treatment.

The cream comes in three strengths, each combining the four actives at different levels:

  • 8% tranexamic acid / 3% kojic acid / 0.025% tretinoin / 2% niacinamide
  • 8% tranexamic acid / 3% kojic acid / 0.05% tretinoin / 2% niacinamide
  • 8% tranexamic acid / 3% kojic acid / 0.1% tretinoin / 2% niacinamide

You don't pick the strength yourself, and there's no upcharge for a higher one. After you complete your medical intake, a board-certified dermatologist reviews your case and decides which strength fits your skin, your history, and how much your skin can handle from the start.