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Having spots and patches under eyes and on cheekbones. What is the cause and cure?

I m 66-yr-old Black female. My facial skin is very mottled under eyes and on cheekbones. Used to enjoy the sun quite a bit @ beach and also played women fast pitch when much younger. Don t want to bleach my skin; just want to even it out. The appearance is almost as if I m wearing a mask but i don t have any of the syndromes that would have that as a symptom. Any suggestions?
Wed, 24 Jul 2013
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Dermatologist 's  Response
Thanks for writing to us.
It seems you could be having melasma ( a type of facial pigmentation seen commonly in females and aggravated by sun).
Treatment involves use of a sunscreen with SPF atleast 50 in morning and application of hydroquinone tretinoin and steroid combination cream in night. Chemical peel sessions and in some cases lasers too offer good response.
Hope that helped.
Take care
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