Chief Concern / Complaint
The patient presented with:
* Long-standing facial melasma
* Persistent pigmentation resistant to previous treatments
* Uneven skin tone
* Dull and tired-looking skin
* Visible signs of skin aging
She reported feeling frustrated by the recurrent nature of melasma and was particularly concerned that the pigmentation continued to darken despite repeated treatments. She wished to achieve clearer, brighter skin and a more youthful appearance.

