Prescription-strength treatment for stubborn hyperpigmentation and melasma.
A potent, professionally supervised topical treatment formulated to target epidermal hyperpigmentation, including melasma, post-inflammatory hyperpigmentation and other persistent areas of discoloration.
This formulation combines Hydroquinone, Kojic Acid, Tretinoin and Dexamethasone with antioxidant and skin-conditioning ingredients to provide a targeted approach to stubborn pigmentation.
Prescription required. Professional assessment required before use.
WHY THIS TREATMENT IS DIFFERENT
Some pigmentation responds well to cosmetic skincare. Some pigmentation requires a more intensive, medically guided approach.
Modified Kligman’s Formula is designed for the latter. It combines multiple active ingredients that work through complementary pathways:
- Hydroquinone — inhibits tyrosinase activity and reduces melanin production.
- Kojic Acid — supports pigment reduction by inhibiting tyrosinase.
- Tretinoin — promotes epidermal cell turnover and enhances penetration of topical agents.
- Dexamethasone — a corticosteroid included in the formulation to help reduce inflammatory response associated with the stronger active ingredients.
Combination therapy containing hydroquinone, tretinoin and a topical corticosteroid has long been used in the management of melasma, with supervised triple-combination therapy remaining an important treatment option.
WHO IS IT FOR?
This treatment may be considered for clients with:
- Persistent epidermal hyperpigmentation
- Melasma
- Post-inflammatory hyperpigmentation
- Stubborn dark patches
- Uneven skin tone that has not responded adequately to cosmetic skincare
- Pigmentation requiring a more intensive treatment approach
It is not intended to be a general brightening cream or an everyday skincare product.
Whether it is appropriate for you depends on your skin, the type and depth of your pigmentation, your current routine and your treatment history.
HOW TO GET THIS TREATMENT
This product cannot be purchased directly from the website.
Because it contains prescription-strength active ingredients, it should only be used following a professional skin assessment and individualized treatment plan.
Your treatment pathway:
- Book your Skin Strategy Session™
We assess your skin and pigmentation.
- Receive your personalized treatment plan
Your practitioner determines whether this formulation is appropriate for you and how it should be incorporated into your routine.
- Use only as directed
Application frequency and treatment duration are determined according to your individual needs and response.
- Follow your maintenance plan
Pigmentation management doesn’t end when the pigmentation improves. Your long-term routine and photoprotection matter too.
HOW TO USE
Use only according to your individualized prescription or treatment plan. Unless otherwise directed by your practitioner:
- Apply at night to the affected areas after cleansing.
- Use only the amount and frequency prescribed.
- Avoid the eyes, corners of the eyes, nostrils and mouth.
- Do not combine with other potentially irritating active treatments unless specifically instructed.
- Use broad-spectrum sunscreen every morning.
- Do not increase frequency or application amount in an attempt to accelerate results.
This is not a “more is better” treatment.Book a Skin Strategy Session™




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