Brief Answer: Skin pigmentation Detailed Answer: Hi I understand your concern regarding your skin problem and I hope I Will be able to help you in the same. Now your problem is that of skin pigmentation. First of all, using a sunscreen regularly is very important for you as any type of pigmentation over the face tends to increase on direct sun exposure. Now as far as the breaks available over the counter at us are concerned, I may not bound much help. But then I can advise you regarding the salts of Tim medicines that will be useful in your case. You need to start using a triple combination cream at night containing tretinoin ,hydroquinone and a topical steroid over the affected areas at night. In addition, you should use a cream containing kojic acid and vitamin c at day time. This can be a comprehensive approach and will lead to better and early results. But it is very important to use a good sunscreen regularly. Apply it atleast 30 minutes before going out in the sun and reapply every three hourly . Use an oil free moisturizer. Also you can take oral vitamin c supplementation along. This also helps in reducing pigmentation. Now as far as chemical peels are concerned, you can take sessions a bit later. This means that you can take the topical treatment for four to six weeks and then can think about chemical peels. Then you can have better results also. Also try to take I diet rich in antioxidants and vitamins especially take citrus fruits. Hope it helps, If you have any other query, please let me know. Dr Geetika Paul.

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Brief Answer: Pigmentation face, regular sunscreen usage Detailed Answer: Hi XXXX, I understand that the sunscreen you are using is quite an oily one. I would advise you to switch over to a less oily one since using a sunscreen is very essential for you. Something like neutrogena dry touch spf 50 should be great for you. Now as far as the application of kojic acid cream is concerned, you can directly apply it to the affected areas in the morning after bath . After about five to ten minutes when the cream is absorbed into skin, you can apply the sunscreen over it. For daily use, all you should use is a sunscreen and use it very generously. I won't recommend you to use any night cream. You only need to use the recommended medicine at night and I think that should work for you. Vitamin c is available as 500 mg tablets. You can initially take it twice a day for a month and then take it once daily for few more months. Bleaching should not cause any problem in you. But take Care to bleach your skin only in the evening or at night. It should not be done during day hours as Sun exposure to skin should not be done immediately after bleaching. Hope it helps, If you have any other query, please let me know. Dr Geetika Paul

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