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Suggest Treatment For Pigmentation And Patches On Facial Skin

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Posted on Fri, 13 Feb 2015
Question: I am normal wheatish skin guy, who is suffering from pigmentation and patches all over my facial skin.
To improve my skin colour. One of my friend has suggested me to use glutathione capsules along with vitamin C capsule for fairer skin
May I know the dosage of glutathione capsules along with vitamin C capsule respectively and when to have and how many mg should I have ? (I am 86kg men)
And the best brand of glutathione and vitamin C capsule in market to buy.
doctor
Answered by Dr. Dr. Kakkar (47 minutes later)
Brief Answer:
I'm not in favor of glutathione; sunscreens+topical pigment reducing agents

Detailed Answer:
Hello. Thank you for writing to us at healthcaremagic

I have gone through your query and I have understood it.

Hyperpigmentation in the form of patches on face is also known as Melasma and is idiopathic in most males.

Glutathione is not yet approved for Melasma/ patches of hyperpigmentation on face.
It is a strong antioxidant though and may achieve overall skin lightening to an extent but whether it works specifically for Melasma/ patchy hyperpigmentation on face remains unclear.
There are no controlled studies and dose standards for oral glutathione.
The reviews and doses mentioned online are individual and cannot be relied upon.
Glutathione is not a magical treatment for pigmentation but it does have some lightening effect on hyperpigmentation.
Please don't go just by a friends advice.

The best way till date to manage facial hyperpigmentation is by using topical pigment lightening agents.
Sun protection is an essential part in the management of facial hyperpigmentation.
Recommendation is to use a broad spectrum sunscreen throughout the day. Reapply every 2-3 hours.
You may find a broad spectrum sunscreen OTC e.g L'oreal, Neutrogena, Garnier are all good brands of sunscreens that are available OTC.
A sunscreen should be broad spectrum i.e have both UV A as well as UV B coverage.
A sunscreen with minimum spf of 30 and above would be suitable.

Besides this you may use a pigment lightening cream containing ingredients like glycolic acid, kojic acid, hydroquinone, arbutin etc.
The mechanism of action of these agents is either by exfoliating existing melanin/ pigment Or by preventing new melanin/pigment synthesis Or both.

Glycolic acid exfoliates existing pigment. It is available in various creams and also used as a chemical peel by dermatologists.
Unlike glycolic acid, Kojic acid, hydroquinone and arbutin are inhibitors of synthesis of new melanin.

These ingredients are available in various combinations and help fade away pigmentation.

I suggest you to visit a dermatologist. Your dermatologist will assess the severity of pigmentation and advice accordingly.

Pigmentation may take time to improve and you have to be patient and complaint with the treatment.
Your doctor may modify treatment depending on the response.

Regards
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. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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Suggest Treatment For Pigmentation And Patches On Facial Skin

Brief Answer: I'm not in favor of glutathione; sunscreens+topical pigment reducing agents Detailed Answer: Hello. Thank you for writing to us at healthcaremagic I have gone through your query and I have understood it. Hyperpigmentation in the form of patches on face is also known as Melasma and is idiopathic in most males. Glutathione is not yet approved for Melasma/ patches of hyperpigmentation on face. It is a strong antioxidant though and may achieve overall skin lightening to an extent but whether it works specifically for Melasma/ patchy hyperpigmentation on face remains unclear. There are no controlled studies and dose standards for oral glutathione. The reviews and doses mentioned online are individual and cannot be relied upon. Glutathione is not a magical treatment for pigmentation but it does have some lightening effect on hyperpigmentation. Please don't go just by a friends advice. The best way till date to manage facial hyperpigmentation is by using topical pigment lightening agents. Sun protection is an essential part in the management of facial hyperpigmentation. Recommendation is to use a broad spectrum sunscreen throughout the day. Reapply every 2-3 hours. You may find a broad spectrum sunscreen OTC e.g L'oreal, Neutrogena, Garnier are all good brands of sunscreens that are available OTC. A sunscreen should be broad spectrum i.e have both UV A as well as UV B coverage. A sunscreen with minimum spf of 30 and above would be suitable. Besides this you may use a pigment lightening cream containing ingredients like glycolic acid, kojic acid, hydroquinone, arbutin etc. The mechanism of action of these agents is either by exfoliating existing melanin/ pigment Or by preventing new melanin/pigment synthesis Or both. Glycolic acid exfoliates existing pigment. It is available in various creams and also used as a chemical peel by dermatologists. Unlike glycolic acid, Kojic acid, hydroquinone and arbutin are inhibitors of synthesis of new melanin. These ingredients are available in various combinations and help fade away pigmentation. I suggest you to visit a dermatologist. Your dermatologist will assess the severity of pigmentation and advice accordingly. Pigmentation may take time to improve and you have to be patient and complaint with the treatment. Your doctor may modify treatment depending on the response. Regards