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Dr. Andrew Rynne

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Pigmentation On Arms And Back, Dark Patch In Middle. Prescribed Hyclean, How Long To Apply This? Treatment?

Hello Sir, I am a 32 year old female. My arms and back are extremly pigmented. I can assume that the pigmentation on my arms is because of sun exposure but i have never exposed my back to sun but still it is deeply pigmented and it also has a big dark patch in the middle. I consulted a dermatologist for my arms and she gave me Hyclean cream. I want to know that for how long i have to apply this cream and is there any other treatment available for my problem.
Sat, 1 Jun 2013
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Dermatologist 's  Response
Hi,
Welcome and thanks for posting your query to HCM.

It appears from your query that your pigmentation can be either due to simple tanning part or the other important cause is known as "lichen amyloidosis".

If it is due to simple tanning then your cream - Hyclean would be beneficial to improve the pigmentation. It contains sunscreen and skin bleaching agents so giving you dual benefit. It is to be applied thinly, preferably at night time but can be applied at day time also. One pea size amount over the finger tip is sufficient for palm size of skin. Do not rub it over the affected area or direct exposure to sun, otherwise can cause irritation.
If it is lichen amyloidosis then all the treatments actually are less effective. You take guidance from your dermatologist regarding exact cause of the pigmentation. She would guide you for the same. It has to be applied at least for 2-3 months to see visible results. There are many a treatments available but before that we need to clarify the exact cause.

Along with it eat a lot of vitamin C and Vitamin A containing fruits and present sun exposure.
Hope these informations will help.
With good health wishes"
Dr Sanjay Kumar Kanodia
MD (Dermatology)
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Dermatologist Dr. Dr. Rahul Kumar's  Response
Hello,
Thanks for the query,

hyclean is a depigmenting agent but is not that effective on skin as that of back.

Probably microdermabrasion will be a better option.

Even peeling agents can be used.

Let me know if you have any other doubts.

Please meet a dermatologist

you can ask a direct question to me on this forum, following the below link.

http://www.healthcaremagic.com/doctors/dr-rahul-kumar/64818

Wishing you good health.

Thank you
I find this answer helpful

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Pigmentation On Arms And Back, Dark Patch In Middle. Prescribed Hyclean, How Long To Apply This? Treatment?

Hi, Welcome and thanks for posting your query to HCM. It appears from your query that your pigmentation can be either due to simple tanning part or the other important cause is known as lichen amyloidosis . If it is due to simple tanning then your cream - Hyclean would be beneficial to improve the pigmentation. It contains sunscreen and skin bleaching agents so giving you dual benefit. It is to be applied thinly, preferably at night time but can be applied at day time also. One pea size amount over the finger tip is sufficient for palm size of skin. Do not rub it over the affected area or direct exposure to sun, otherwise can cause irritation. If it is lichen amyloidosis then all the treatments actually are less effective. You take guidance from your dermatologist regarding exact cause of the pigmentation. She would guide you for the same. It has to be applied at least for 2-3 months to see visible results. There are many a treatments available but before that we need to clarify the exact cause. Along with it eat a lot of vitamin C and Vitamin A containing fruits and present sun exposure. Hope these informations will help. With good health wishes Dr Sanjay Kumar Kanodia MD (Dermatology)