Hi
Thanks for your query.

Your concern is regarding the pigmentation that you have developed over your face.

First of all, you have been using a triple combination cream others your face for a period as long as two years which is not at all recommended. I am sure that yet must have surfei on your own without consulting anyone for such a long time.
Long term usage of this combination itself has various side effects. Also increased skin pigmentation is also a known side effect.

Now as far as kojic acid is concerned, it is a good and a mild lightening agent which can be continuously used for a long period of time.
But it needs continuous application for many months together to show its effect.

If however you feel that you are not getting the desired results, then the next available option for you is either chemical peels, dermabrasion or laser treatment.
If your dermatologist is advising you for laser treatment then I am sure you can move forward with the same.
But with laser also you will need a few sittings together in order to have visible results.
And as far as maintenance of the results is concerned, you should make sure that you regularly use a sunscreen with spf atleast more than 26 .

Hope it helps.

If you have any other query, please let me know.

Dr Geetika Paul

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Hi XXXXXXX

I can completely understand your concern especially as your marriage is nearby.

Now it is clear that what we need is immediate effect.

We do have many treatment options but most of them take their time to return the original glow to the skin.
Now among the options that we have at hand, the best would be combination treatments which can include a combination of laser with either dermabrasion or with chemical peels.
I am sure that you can discuss the same with your dermatologist clearly.

Laser treatment is on doubt expensive and depending upon the quality of laser that is being used, these treatments can be costly.
For a single sitting, one can be charged anywhere between three to ten thousand per sitting of laser facial. This cost varies greatly.

But you also need to understand that usually such sittings are given either fortnightly or monthly and one may require something between three to four sittings for a good long lasting effect:

Other than proper Care of the face after the sittings in the form of regular application of sunscreen, nothing much is required to be done.

And laser has no role in enlarging skin pores. Infact Laser is a treatment option for large skin pores.

I am sure that you safely continue with the above treatment to get the desired results. But make sure to visit a good and trained dermatologist for the same.

Hope it helps.

If you have any other query, please let me know.

Dr Geetika Paul

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Hi XXXXXXX

I would like you to be relaxed first of all as XXXXXXX clinic has a good reputation all over especially in terms of the laser that they use.
XXXXXXX mostly uses nd yag lasers in most of its centres and these are on doubt the best lasers at present especially for Indian skin.

So I am sure you can move forward with the treatment.
Now as far as dermabrasion is concerned, it is popular by the name of skin polishing all over.
There is a technique where they combine laser treatment with skin polishing and it is called laser photofacials.

This procedure gives very good results but then I think the dermatologist who has examined your face and the kind of pigmentation that you have , is the best person to guide you as to what is best for your skin.
You can surely discuss with your doctor about the need to combine laser with other options in your case, but then the assessment of your doctor has to be more reliable.

Hope I have addressed all your concerns.

Dr Geetika Paul

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