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Hyperpigmentation on the face, turned red and scaly, itchy on using melaglow. Help?

What medication should you suggest for hyper-pigmentation on the face, on a specific area in a female patient of 20 years....(Its not the dark circles , it is on the left upper part of cheek....a dermatologist prescribed melaglow to apply got very fade after applying it for 2 months but later it got turned red...and scaly....and started the cream was there is no itching but the pigmentation is still present)....please help
Asked On : Thu, 13 Dec 2012
Answers:  2 Views:  385
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Dermatologist 's  Response
Welcome to HCM.
'Hyper-pigmentation on upper part of left cheek'-it needs a proper clinical diagnosis before starting treatment. Common cause of this type of spot is melasma. For management of melasma you could apply a sunscreen cream /lotion (e.g Spectraban) at morning and a 4% Hydroquinone preparation (Eldopaque/ Eldoquinn forte) at every night on affected area.
You might required laser surgery if your diagnosis would nevus of Ota or other conditions.
Therefore i suggest you to visit a dermatologist before starting any treatment.
With regards.
Answered: Thu, 13 Dec 2012
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Dermatologist Dr. Kalpana Pathak's  Response
For your pigmentation, use a good sunscreen with SPF more than 30 and take vit c and oral antioxidant supplements. As you developed some kind of skin reaction with melaglow, use another mild depigmenting cream like kojivit in morning and Glycolic acid based cream in night. However use these creams in a very small amount and do not rub them over your skin. You can also take spot glycolic peels or trichloroacetic acid peels too. Hope that solves your query. Take care.
Dr kalpana
Answered: Thu, 13 Dec 2012
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