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Dark patches on face due to hyperpigmentation - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Pigmentation Problems
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
Doctor :   Hi
User :   hello doctor
Doctor :   How can I help you?
User :   i have some skin problem
User :   can u help me reg that
Doctor :   Please explain your problem.
Doctor :   I shall help you within my expertise.
User :   Some black patches on face for past 5 to 6 years
User :   i consulted many skin doctors
Doctor :   Ok
User :   some told its vitamin black patches on face and some told its sun alergy
Doctor :   Ok
User :   but its not cleared . that patches remain the same.
User :   my question is shall i consult any beautician or need to consult any good doctor
User :   laser treatment is preferable?
Doctor :   may I know the location of these black patches?
Doctor :   How big are the patches?
User :   double side of the mouth and edges on the eyes
User :   its around 1 cm
Doctor :   Ok
Doctor :   Do you wear glasses?
User :   its spoiling my face doctor.
User :   yes but its not due to that
User :   because before wearing the glasses itself that patches are there
Doctor :   Ok
User :   not only on face
Doctor :   Do you have any other symptoms such as itching?
User :   middle of my hand and my shoulder also
User :   no
User :   no itching
Doctor :   Ok
Doctor :   Let me explain to you.
User :   sure doctor
Doctor :   Dark spots referred to as hyperpigmentation occurs due to varied reasons/conditions.
User :   s
Doctor :   Some are non concerning conditions such as sun exposure, increased areas of sweating, vitamin deficiencies, allergies and so on.
User :   yes. i think it may due to increased areas of sweating..
Doctor :   However few such conditions such as acanthosis nigricans can also cause of such hyperpigmentation
Doctor :   which needs regular monitoring.
User :   ok
Doctor :   You can discuss with your dermatologist who after physical examination and probably biopsy can help in diagnosing it.
Doctor :   As far as the treatment options, the following can be used for the treatment.
User :   ok doctor
Doctor :   1. Skin lightening products along with moisturisers and sun screen lotions can be used regularly.
Doctor :   2. These along with good nutrition and vitamin pills can help in reducing the hyperpigmentation and thereby helping the symptoms.
Doctor :   3. If these products do not help, then you can try dermaabrasion
Doctor :   before going for laser surgeries.
Doctor :   Dermaabrasion is a relatively cheaper procedure and can be done on OPD basis.
Doctor :   they can help in treating the cosmetic disfigurement
User :   i used light cream for a week . but it cause some white patches over the black mark on the next day.
Doctor :   Skin lightening products reduce the hyperpigmentation by working on the melanin concentration gradually
Doctor :   and symptoms improve gradually.
Doctor :   You can continue them, if they aren't helpful, then probably can discuss with your dermatologist and decide on dermabrasion.
User :   how long i can continue doctor.
User :   i month is ok?
User :   1 month
Doctor :   If you meant the skin lightening products,
User :   yes
Doctor :   then the effectivity of the products depend on the present situation.
Doctor :   If the pigmentation is severe
Doctor :   and if your are finding changes, then you can continue using them.
User :   ok.
Doctor :   However, if you are not finding any changes inspite of a month and half usage, then you need to consider changes in the treatment option.
User :   sure doctor.
Doctor :   Have you followed what I have suggested?
User :   s doctor.
Doctor :   Do you have any other query?
User :   yes one more thing.
Doctor :   Proceed.
User :   for pimble mark ,applying lemon with cucumber is ok..?
Doctor :   Pimple marks usually fade away slowly over a period of time.
Doctor :   usually they do not leave behind a permanent mark.
User :   ok
Doctor :   lemon and cucumber can help in improving, however in some individual(depending on skin type and presence of other skin condition)
Doctor :   the changes can be insignificant.
Doctor :   So you may try lemon and cucumber.
Doctor :   If they are helpful, then good.
User :   ok doctor.
Doctor :   If they aren't you can use the skin lightening products.
Doctor :   Again if these products are not helpful, and if the disfigurement is very significant,
Doctor :   you can try the dermabrasion too.
User :   sure doctor
Doctor :   Dermabrasion will help in skin dimpling and other after effects of pimples apart from the pigmentation marks too.
Doctor :   Hope it is clear.
Doctor :   Do you have any other query?
User :   no other queries doctor.
User :   thank u.
Doctor :   Thanks for consulting me.
Doctor :   Wish you good health and Have a nice day!!
Doctor :   Bye for now.
User :   thank u
User :   bye.
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