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Uneven facial skin tone. Black spots, darker face and neck than body, sunburns. Increase in sensitivity to sun after skin lightening peeling treatment. Suggest skin care regimen

hello doctor I am nusrat from dhaka, BangIadesh.I am 23+.My problem is my face & neck is darker than rest of the body. In my face in some places there are some black spots, and my facial skin tone is uneven. one thing is sun exposure effects my face badly and it becomes even darker in some places in the face. and my eye counter always remains dark. I am bit tensed about my uneven tone and also I lack glow in my face. I also like to mention that from a clinic I have done skin lightening peeling(chemical peeling) but it was not fruitful and I thing after doing it sensitivity to sun has become huge. I have a combination skin. I will be grateful if u suggest me a proper treatment. I am very much tensed about the fact.
Thu, 13 Jun 2013
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Dermatologist 's  Response
Hi, Nusrat
Thanks for your query.
Your face and neck is darker than rest of the body that is the sun exposed parts indicates that you have sun tan. It seems you have significant sun exposure or your skin is sensitive to sun. You have uneven tone and black spots.
Don't be tensed.
You may do as follows:
-Avoid sun exposure as much as possible especially from 11am to 3pm when sun rays are most damaging.
-Use a sunscreen during the day even if indoors and repeat every 3-4 hours.
-Use a hydroquinone, tretinoin, momatosone cream on the black spots at night under dermatologist's supervision for 1-2 months then shift to milder cream like kojic acid based for maintainance.
-Take a diet rich in fruits and green vegetables.
-Take oral beta carotene, Vitamin C and antioxidants.
-drink plenty of water say 2-3 litres per day.

You have got chemical peeling done which will actually takes care of all your concerns ,black spots, sun tan, uneven tone. You require multiple sessions of it spaced 15-20 days.
It does increase sensitivity to sun but that can be taken care by avoiding sun exposure as much as possible and liberal use of sun screen during the day.

Hope this helps you.
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