Hi

Kindly send me clinical photograph for further assessment and advise

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Brief Answer:
Cause needs to be treated to prevent hyper pigmentation recurrance

Detailed Answer:
Dear Mr. XXXX,

Thanks for writing to Healthcare-Magic.

For sure there is hyper pigmentation on your face. Before I could advise you on managing this, there are few important points I want to provide you with.
1. Hyper pigmentation due to light need not be always direct exposure to sunlight. Even when people stay indoors , they can get tanned. Hence sunscreen has to be applied generously both during indoors and outdoors.
2. Presence of dandruff could be one of the major cause of hyper pigmentation of face. If cause is not treated, it reappears.

Here are few advises to follow :
1. Use ketoconazole shampoo twice weekly for scalp and wash hairs thoroughly
2. You may use any skin lightening creams containing hydroquinone and glycolic acid. To be applied only during nights. Good amount of good SPF sunscreen to be used during day time
3. Wash face frequently and mosturize it
4. Drink lemon water regularly as it contains Vitamin C. Also antioxidant containing capsules of Vitamin E and C can be taken.

Please do let me know for any additional information anytime.

Take care.

Best regards
Dr T Shobha Deepak
MBBS, MD

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