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Suggest Treatment For Pigmentation Marks On Cheek

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Posted on Tue, 29 Mar 2016
Question: hi i am 33 years old female.I have fair skin and a tendency to freckel and have faint pigmentation on my cheek.I am a regular user of sunscreen(spf 50),i have also been using auriga melaclear serum for the past 2 months,although it has lightened the pigmentation but not completely reduced it.my skin is very thin and many small blood vessels are visible under the eyes and upper cheek.My mother has struggled with melasma all her life.I want to completely eliminate the pigmentation to make my skin tone even.Also want to know how can i prevent future recurrence.(I am not on any OCP or any other medication and do not suffer from any hormonal issues.
doctor
Answered by Dr. Dr. Kakkar (36 minutes later)
Brief Answer:
Sunscreen &either azaleic acid 20%Or kojic acid 2%along with chemical peel

Detailed Answer:
Hello. Thank you for writing to us

I have read your question and I have noted your concern.

Apart from using a sunscreen, throughout the day (reapply every 2-3 hours), which is a good preventive measure and should be continued in order to prevent a recurrence of melasma, you must use a more potent pigment reducing cream containing ingredients e.g either azaleic acid 20% or kojic acid 2%, twice daily.
Also you may take a few sessions of chemical peeling e.g 35% glycolic acid chemical peel Or 15%-20% Trichloroacetic chemical peel to augment the action of peels.
Once pigmentation abates, regular use a of a sunscreen and a maintenance pigment reducing cream e.g glycolic acid 10% cream would be ideal to prevent a recurrence.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (54 minutes later)
Thanks.Is melaclear not as potent as kojic 2%??.can you suggest any cream/ lotion with azelic 20%??


And can i use melaclear(10%vit c + phytic acid ) along with azelac....will the drugs act in synergy?
doctor
Answered by Dr. Dr. Kakkar (45 minutes later)
Brief Answer:
Azaleic acid 20%

Detailed Answer:
Hi.

Azaleic acid is used for rosacea as well. It is available as various brand names like Finacea, Azelex etc. You may try if you can get one of these otc.

You may use your regular product along with azaleic acid but at seperate times e.g use azaleic acid at night and melaclear during the day. Of course they would work additively (add up) but there is a risk of irritation, therefore you have to be cautious and if you notice any irritation you need to discontinue your regular product. A better option would be just use azaleic acid gel/ cream 20%, twice daily along with a sunscreen.

Ideally your routine should be azaleic acid 20% during day followed by sunscreen over it, every 2-3 hours and then in evening azaleic acid again.

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
doctor
Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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Suggest Treatment For Pigmentation Marks On Cheek

Brief Answer: Sunscreen &either azaleic acid 20%Or kojic acid 2%along with chemical peel Detailed Answer: Hello. Thank you for writing to us I have read your question and I have noted your concern. Apart from using a sunscreen, throughout the day (reapply every 2-3 hours), which is a good preventive measure and should be continued in order to prevent a recurrence of melasma, you must use a more potent pigment reducing cream containing ingredients e.g either azaleic acid 20% or kojic acid 2%, twice daily. Also you may take a few sessions of chemical peeling e.g 35% glycolic acid chemical peel Or 15%-20% Trichloroacetic chemical peel to augment the action of peels. Once pigmentation abates, regular use a of a sunscreen and a maintenance pigment reducing cream e.g glycolic acid 10% cream would be ideal to prevent a recurrence. Regards