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Suggest Treatment For Excessive Weight Gain And Acanthosis

Posted on Sat, 3 Dec 2016

Question: Hi.. I am XXXXXXX I am 25 yrs old weighing around 100 kgs. I seem to have a skin problem. My face was initially white in color without any problems till my 16 yrs of age. But after that suddenly probably because of sun exposure i guess, my face and neck started becoming black. So we went to a skin doctor and there was some bad reaction from that doctor and suddenly i started getting pimples and slowly the pimples turned into black spots and seem to cover whole face. From then on i was regularly going to doctors and did not see any results. The main problem is that I get irritation on my face (specifically on both sides between eyes and lips, where my face is very black). In some cases when I used to write ointments, the skin even used to peel mainly from that face position and causes irritation (even now). From around ten years I must have got to at least 10 doctors, but to no avail. Recently I had a fungal infection on my lower back. So I went to doctor and at the same time I asked about the face problem too. He mentioned one of the main problems for both is my over weight. At the same time he gave me a facewash, sun protect cream and couple of other ointments for face. And it has actually become worse. Not sure how to handle this issue. Please help.
I am attaching the recent prescription of the doctor along with my face photos and the face wash the doctor prescribed.
FYI: My whole body is white, only the face and neck part is black.

Answered by Dr. Dr. Rahul Kumar (56 minutes later)

Brief Answer:
Reduce weight

Detailed Answer:
Hello
Thanks for the query.
You have developed acanthosis.
It is related to over weight.
Try to do regular exercise.
The following medication would help you
1. Apply look brite cream in night, keep it for one hour and wash off.
2. Apply ban a XXXXXXX cream and sleep.
3. In morning apply a good sunscreen.
Use ahaglow face wash twice daily.
Take vitamin C tablet daily.
Let me know if you have any other doubts.
Thank you.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Rahul Kumar (27 minutes later)

The previous doc I visited gave me 2 ointments Dermadew glow and Dermadew lotion for night and morning respectively. Should I continue with them or do I have to change them. And I am already using ahaglow face wash. But the irritation seems to continue.

Answered by Dr. Dr. Rahul Kumar (38 minutes later)

Brief Answer:
Use melawash

Detailed Answer:
Hello
Stop the previous medication.
I have advised you a tripple combination medication which is mostly used to treat pigmentation in current practice.
You can start with the medication I have advised.
If you have irritation then stop ahaglow and start using melawash face wash.
Hope this helps.
Let me know if you have any other doubts.
Thank you.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Rahul Kumar (1 hour later)

Hi Doctor... Is this completely curable? One of the doctor mentioned chemical cleaning might be useful. And some beautician mentioned detan facials will be useful. How long do you think it might take to cure this?

Answered by Dr. Dr. Rahul Kumar (32 hours later)

Brief Answer:
It can be cured

Detailed Answer:
Hello
Yes it is curable.
Continue with the medication for at least 3 months.
Chemical peels are helpful.
You can get it done once a month.
Detan facials are not required now.
Let me know if you have any other doubts.
Thank you.

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar