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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Dark Spots On Face Be Treated?

hi sir,i m 19 year old,female,i have dark spots on my face in a circle form around mouth,they start to dark when i was 13 years old,i m using cosvate cream for 3 years,2 times in a week but when i not use this cream then it begans more dark,plz help me and tell me the complete treatment.....plz
Wed, 8 Oct 2014
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Dermatologist 's  Response
Hello. Thanks for writing to us at healthcaremagic

Perioral hyperpigmentation is constitutional in a lot of individuals, specially in those who are atopics/have a dry skin. The cream that you have been using is a potent topical steroid (clobetasol propionate) and is contraindicated on face. I would suggest you to discontinue it as soon as possible.

Common side effects of using a potent topical corticosteroid on face are: acne, skin thinning and photosensitivity, facial hair growth (specially of concern in females).

You should rather consult a dermatologist for a prescription of a steroid free skin lightening cream. The active ingredients present in these creams are e.g kojic acid, glycolic acid, arbutin etc. These can even be used over a longer duration because they are steroid free.

You may also opt for a few sessions of chemical peeling from a dermatologist e.g yellow peel (retices CT peel) would be beneficial in your case.

A dermatologist in your region would be able to assess and guide you better after having a look at your concern

Regards
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How Can Dark Spots On Face Be Treated?

Hello. Thanks for writing to us at healthcaremagic Perioral hyperpigmentation is constitutional in a lot of individuals, specially in those who are atopics/have a dry skin. The cream that you have been using is a potent topical steroid (clobetasol propionate) and is contraindicated on face. I would suggest you to discontinue it as soon as possible. Common side effects of using a potent topical corticosteroid on face are: acne, skin thinning and photosensitivity, facial hair growth (specially of concern in females). You should rather consult a dermatologist for a prescription of a steroid free skin lightening cream. The active ingredients present in these creams are e.g kojic acid, glycolic acid, arbutin etc. These can even be used over a longer duration because they are steroid free. You may also opt for a few sessions of chemical peeling from a dermatologist e.g yellow peel (retices CT peel) would be beneficial in your case. A dermatologist in your region would be able to assess and guide you better after having a look at your concern Regards