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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Hyper Pigmentation On The Forehead And Cheek

IAM 44/F.I HAVE HIPERPIGMENTATION ON MY FOREHEAD AND CHEEK ,AROUND THE EYES.LAST 8 YEARS.USING LOTS OF CREAM. MELACARE,NILTON,MELALITE,MELACARE SERUM,VICHY,ect........lots.no use sir.i am very very sad about my face. sir pls tell me a truthfull cream. i have dryskin. medium colour.pls help me.i am working in hospital.
Mon, 17 Nov 2014
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Dermatologist 's  Response
Hello. Thanks for writing to us at healthcaremagic

You have a skin condition known as Melasma. It is chronic and can recur after seemingly complete clearance.
Melasma commonly presents as hyperpigmentation over the cheek bones/malar area, nose, forehead.
It is idiopathic in most of the cases except a few known causes such as oral contraceptive pills, pregnancy and NSAIDs
Sunscreen is an essential part in the management of any facial hyperpigmentation including melasma.
I would suggest you to use a broad spectrum sunscreen, throughout the day.
Reapply every 2-3 hours.
It should have both UV A and UV B coverage. A broad spectrum sunscreen that has a minimum spf of 30, would be suitable.
You may find one such sunscreen OTC from a drug store Or you may also get it prescribed from a dermatologist.
At night you may use a skin lightening cream, containing one or more of the following active ingredients e.g tretinoin, mometasone, Azaleic acid, Hydroquinone, Kojic acid, Arbutin, Glycolic acid, licorice extract, Niacinamide, Vit C etc.
Along with the creams, you may also opt for a few sessions of chemical peeling from your dermatologist.
Melasma may take time to respond and you have to be patient with the treatment and follow up regularly with a dermatologist.
Your dermatologist might change or modify treatment according to the response.

Regards
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Suggest Treatment For Hyper Pigmentation On The Forehead And Cheek

Hello. Thanks for writing to us at healthcaremagic You have a skin condition known as Melasma. It is chronic and can recur after seemingly complete clearance. Melasma commonly presents as hyperpigmentation over the cheek bones/malar area, nose, forehead. It is idiopathic in most of the cases except a few known causes such as oral contraceptive pills, pregnancy and NSAIDs Sunscreen is an essential part in the management of any facial hyperpigmentation including melasma. I would suggest you to use a broad spectrum sunscreen, throughout the day. Reapply every 2-3 hours. It should have both UV A and UV B coverage. A broad spectrum sunscreen that has a minimum spf of 30, would be suitable. You may find one such sunscreen OTC from a drug store Or you may also get it prescribed from a dermatologist. At night you may use a skin lightening cream, containing one or more of the following active ingredients e.g tretinoin, mometasone, Azaleic acid, Hydroquinone, Kojic acid, Arbutin, Glycolic acid, licorice extract, Niacinamide, Vit C etc. Along with the creams, you may also opt for a few sessions of chemical peeling from your dermatologist. Melasma may take time to respond and you have to be patient with the treatment and follow up regularly with a dermatologist. Your dermatologist might change or modify treatment according to the response. Regards