Does lightning skin cream really works? and if yes, to what degree?

Cream: It depends if the pigmentation is superficial, mixed or deep, Do you have facultative or constiutive pigmentation? Some pigmentation may be related to an imbalance of hormones. Your Dermatologist can actually guide you and provide you information whether the condition you have is actually amenable and likely to respond to skin lightening creams or if you need additional modalities of treatment.