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What Could Cause Facial Skin Darkening While Using Face Wash, An Intense Moisturizer And Night Cream

Posted on Mon, 9 Oct 2023

Question: Greetings Doctor,

Subject:
- I want to lighten my facial skin to the maximum extent possible or at least to my neck line skin color.

Daily Routine:
- Morning (Before going out) : LA Shield Sunscreen on XXXXXXX Rich Intense Moisturizer.
- Evening :
- Derive CMS for 2 hours followed by
- Aha Glow FaceWash followed by
- Melalite Forte (Leaving overnight)
Medicines :
- 1 Limcee/Day
- 1 AtoD Vitamin

The problem i have is am experiencing facial skin darkness(Screenshot Attached- please observe facial skin color vs neckline color) day by day. Could you please let me know where i am going wrong in following the process, its been 2 weeks since i started this schedule.

Also i wanted to understand if its part of improvement process.

Thanks in advance!

Answered by Dr. Dr. Kakkar (49 minutes later)

Brief Answer:
Regarding skin darkening

Detailed Answer:
Hello. Thank you.
I am Dr kakkar (Dermatologist and Venereologist). I have noted your concern and I have viewed the image.
Perhaps you have postinflammatory hyperpigmentation due to irritation to the topical cream and face wash that you are using. You may discontinue the night cream and face wash. However, continue with the sunscreen. At night you may use a Glycolic acid based cream. In addition you may take glutathione tablets for skin whitening. These are prescription medications and I advice you to talk to your local practitioner for a prescription of the same.

Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Kakkar (21 minutes later)

Thanks for responding back.

Is this caused due to usage of Deriva CMS or Melalite Forte?

Could you please share the schedule to be followed along with its name to be followed from now in order to lighten skin and reduce acne.

Answered by Dr. Dr. Kakkar (14 hours later)

Brief Answer:
Regarding your skin complaints

Detailed Answer:
Yes, it could be due to irritation from the products you are using.
I suggest you to continue with the sunscreen. Reapply every 2-3 hours. At night you may use Glyco A 12 % cream.
In addition I suggest you to take tab. Gludase 500mg, thrice daily.
These are prescription medications and I advice you to talk to your local practitioner for a prescription of the same.

Regards

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Dr. Kakkar (12 hours later)

Thanks dr for answering to query. Another query now is how long i would need to use glutathione tablets and will there be reversal effect when we stop back.

Answered by Dr. Dr. Kakkar (7 hours later)

Brief Answer:
Regarding skin complaints

Detailed Answer:
Hi.

You need to take glutathione for at least 3-4 months. Thereafter you may use a skin lightening cream for maintenance of improvement along with the sunscreen.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (53 minutes later)

Also I consulted 1 reputed dermatologist here, she suggested be to take isotretinion 10mg for an year for PERMANENT RESULTS . But am little skeptical about, as per our last discussion isotretinion should be taken for a month and it will have 3-4impact and there after repeating the cycle again. Also dr said i cannot plan pregnancy or blood donation during this medication. Could you please clarify both , i have little confusion about it.

Answered by Dr. Dr. Kakkar (23 hours later)

Brief Answer:
Regarding isotretinoin

Detailed Answer:
Hi.
Isotretinoin can cause fetal malformations so it should not be taken during pregnancy. Of course the results are not permanent. You may require repeat courses or the improvement has to be maintained with topical therapy after you stop isotretinoin. It is an potion. You may try it.

Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. Kakkar (4 hours later)

What would be the best schedule to be followed for IsoTretenoin And could you please share in detail.

Answered by Dr. Dr. Kakkar (21 hours later)

Brief Answer:
Regarding skin lightening

Detailed Answer:
Hi.
There is no ideal schedule for isotretinoin in skin lightening. Some may give it in a low dose of 5-10 mg/day for a 3-6 month period. Others may give it as intermittent therapy of 10-20 mg/day for a month or 2-3 months. Thereafter improvement can be maintained with skin lightening /exfoliating agents like Glycolic acid or Lactic acid.

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. Nagamani Ng