55H+ Paris Efficacite Extreme Strong Toning Cream 1.7 oz 55H+ Ultra Efficacite Extreme Strong Toning Treatment 1.7 oz Very effective treatment for brown spots on the skin(Scars, sunspots, age spots, marks caused by pregnancy). Only the 55H+ Efficacite Extreme Cream is specially designed and adapted to all types of hyper pigmentation problems. Directions: Apply a small amount to desired area and rub in gently, morning and evening daily.