Hi!,

Thank you for posting your query,

You have provided with good information regarding your skin problem and it is a very good description. I appreciate it.
I understood your problem however it would be good if you can answer few of my queries:
1) Are you using any hair XXXXXXX or hair color ?
2) What cosmetics do you use on face and since when ?
3) Did this pigmentation start after you have started taking tablets for cholesterol?

Answer to these questions would help me understand your problem better.

I shall address your concern based on your current given information.
But with history what you have submitted ,there seems to be two possibilities.

There is a possibility that it is due to some external agent like a hair XXXXXXX oils or some cosmetic .In such cases it is known as Toxic melanoderma or Riehl's melanosis.
The other possibility could be of Lichen planus pigmentosis(LPP).
Both these conditions are not easy to treat and it takes long time to show results.

I doubt that chemical peels would have any effect on this .But since the options are less you can try it out .There are various medications also available for the same which your dermatologist can prescribe you .Even if you get some results following chemical peels ,it may not be permanent .Avoidance of causative agents is very important & to find the exact cause is even more important.I have seen some good results with Lasers too (esp Q-Switched Nd:yag laser) .So you need to consult a competent dermatologist who has all these above facilities .May be that you may need to go for a skin biopsy to find the exact cause.

In chemical peels various chemical like glycolic acid or salicylic acids are used as a peeling agent .They are applied on the skin and left for few minutes and then washed off. After few days you may observe that your skin is gradually peeling off.If your pigmentation is superficial you may see some results.

In Bangalore there are many dermatologist who are doing chemical peels .But it would be better that you visit a skin department in a good hospital for your problem. St.Jhons Medical college,koramangala have good and competent dermatologist ,but I am not sure weather they have facilities for a peel or not.You can google your search for dermatologist who is doing a peel.

If you can reply me with the answers , I would be able to suggest you better.

Awaiting for your reply.

Regards,
Dr.Bharat chawda XXXXXXX specialist, Dermatology.

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Hi!,

Thank you for the reply.

The possibility of Lichen planus pigmentosis(LPP) is more according to your answers .Even though the other condition cannot be ruled out so easily.You would probably need to undergo a skin biopsy for confirmation.The other possibility could be that it is just a XXXXXXX from excess sun exposure .

Sunscreen play a very important role in reducing the pigmentation and XXXXXXX from the face & that is the reason I guess you are showing improvement (after you have started using sunscreen).

Laser I would say would be a very good option if you can get one in Bangalore.You need to google your search for the same.

Vitamin A tablets are also prescribed in LPP ,but it is a prescription based drug and should only be taken after consulting a dermatologist .

To reduce the XXXXXXX you can use hydroquinone cream (2-3%) at night over face.

I thank you again for submitting your question. I hope you found my response to be helpful and informative. If you have any additional concerns I would be happy to address them.

Please accept my answer in case you do not have further queries.
Regards,
Dr.Bharat chawda XXXXXXX specialist, Dermatology.

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