Brief Answer:
Broad spectrum sunscreen+Skin lightening cream

Detailed Answer:
Hello and welcome to healthcaremagic

I am Dr. Kakkar. I have gone through your concern and I have understood it.

It is not possible to change the skin type (the content of melanin which is genetically determined)of an individual. Your main concern seems to be tanning.

UV A part of the electromagnetic spectrum is mainly responsible for tanning.

Therefore, a good sunscreen should have broad spectrum UV A coverage in addition to UV B coverage, in order to be able to prevent tanning and it needs to be applied in sufficient quantity and every 2-3 hourly.

A sunscreen with minimum 30 SPF would be adequate. It should mention both UV B and UV A coverage. Therefore it is important to select the right sunscreen for desired effects

It should be applied in the following quantity:

--3ml for face and neck(a little more than 1/2 teaspoon)
--3ml for each arm(a little more than 1/2 teaspoon).

A sunscreen should be applied every 2-3 hours.

At night you can use a cream containing one or more of the Skin lightening agents e.g kojic acid, glycolic acid, arbutin or hydroquinone etc once daily to gradually fade away the XXXXXXX

Demelan cream is one such cream, MARKETED by gracewell/glenmark pharmaceuticals in XXXXXXX It contains glycolic acid, kojic acid and arbutin as main active ingredients.

You can also opt for a few peeling sessions from a dermatologist e.g Glycolic peel Or Retises CT peel (Yellow peel, also known as Skin lightening peel)

Oral glutathione capsules are also available online. Oral glutathione intake results in a lightening of skin color.


I hope you will find this information useful.
regards

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Brief Answer:
Skin lightening treatments

Detailed Answer:
Hi.

I am sorry but you have just encountered the most misleading articles ever. The desire to have white skin makes people believe that it is possible. These articles are so promising but not even close to truth:
"http://www.etopical.com/skin-lightening-surgery-cost-before-after-permanent/"

and I am sorry but I don't agree with Dr. XXXXXXX Heijebu. I don't know what is he talking about in "http://doctor.healthcaremagic.com/premiumquestions/What-are-the-side-effects-of-skin-melanin-surgery/121317". I am appalled by Dr. XXXXXXX and to be XXXXXXX I am not aware of what is he talking about inspite of myself being a dermatologist. May be you can ask him a direct query and clear all your doubts. Laser may rather cause further darkening of skin in XXXXXXX skin because of Post-Inflammatory hyperpigmentation.

I ll give you a well known example of the great "Michel Jackson". He was black and became totally white (vitiligo like) later in life. Some say he was suffering from a skin disease called Vitiligo but actually what most think he did was chemical bleaching in which the skin loses all its melanin to become chalky white and becomes prone to sunburn and all that. The product he used was monobenzyl ether of hydroquinone, which irreversibly destroys melanocytes, mind you "Irreversibly" and it is not possible to control the degree to which you destroy your melanocytes thus instead of lightening the skin colour it may totally de-pigment it and sometimes in patches and that would look worse than ever.

Regarding Glutathione, your knowledge is correct. A low dose e.g 500mg, may not work as expected since most of the glutathione is metabolised before absorption. Therefore it is recommended to take a dose of glutathione i.e 1000 - 2000 mg per day in 2 divided doses to produce desirable results. IV glutathione is not an option and mind you, it is not for permanent fairness!!

I would still stick to my earlier advice and you may apply a broad spectrum sunscreen every 3-4 hours and practice other general measures like avoiding outdoor activities between 10 Am and 3 Pm, wearing full sleaved clothes, using broad brimmed hats and using Umbrella etc

Regards

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Brief Answer:
Skin Treatment

Detailed Answer:
Hi.

Skin care regime should be according to the skin type. Males have an oily skin. Moreover, acne prone is usually oily skin. A salicylic acid based face wash (e.g Spongysal foamy face wash) is ideal for oily and acne prone skin because it is exfoliating, comedolytic and unclogs the pores.

Besides, for acne you may use topical clindamycin 1% solution/gel during day time and Adapalene gel/Adaferin gel during night. Since, acne is a recurrent condition and there is no short term solution to it, therefore, once acne activity is under control, Adapalene gel can be used for maintenance of improvement because of it is comedolytic and antiinflammatory, thereby prevents new acne formation.

Hyperpigmentation, if it is post acne, can be improved with skin lightening creams like kojic acid. Apart from kojic acid cream, sessions of chemical peeling with either glycolic acid or Retises CT peel are also helpful. Sunscreens would benefit by preventing further sun induced darkening. However, it should be gel based preferably, so that it does'nt induce new acne formation.

Permanent hair removal is best done with a Diode Laser.

Tinea cruris is recurrent, specially if recurrent can leave behind post-inflammatory hyperpigmentation (PIH) along with lichenification of skin. In recurrent fungal infections due to constant scratching an element of eczema sets in and the skin becomes lichenified (dark and thickened) which itself is an itchy condition and thus it becomes a cycle, the more you scratch the more it itches and the more is the desire to scratch (Itch Scratch Itch Cycle). This cycle is perpetual if the fungal infection is recurrent.

The best way to deal with a situation like this is to treat existing fungal infection and prevent recurrence. You may use a mild-moderately potent topical steroid preferably in combination with an antifungal (e.g Clotrin B cream) twice daily, the antifungal would take care of the fungus and the topical steroid would take care of the lichenified skin. Along with this I would suggest weekly oral fluconazole 150 mg for 4-6 weeks.

Regular use of an antifungal dusting powder in the groin folds even after the condition abates is advisable to prevent the recurrence of fungal infection because it not only keeps the folds dry but also being antifungal exerts inhibitory affect on fungus growth.

An OTC antihistamine e.g cetrizine 10 mg once daily would provide you symptomatic relief from itching.

You may contact Dr. Kalpana Pathak. http://doctor.healthcaremagic.com/doctors/dr-kalpana-pathak/64499

Regards

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Brief Answer:
LHR

Detailed Answer:
Hi.

Laser hair reduction (LHR) is a very safe and reliable way for hair reduction. Apart from mild redness after the sitting which usually resolves in 1-2 hours, there are really no side effects at all, if done by a well trained/experienced expert.

Normally 6-8 sittings will give you a good hair reduction. It is permanent. It is US FDA approved for hair reduction.

The lasers commonly used are Diode Laser and Nd:YAG Laser.

Cost varies from site to site and is more if the treated area is more. For a full body LHR, it would be anywhere between 70k to 100k.

Regards

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