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Suggest Treatment For Post-inflammatory Hyperpigmentation On Nose?

Posted on Thu, 6 Nov 2014

Question: I have pigmentation on my nose and chin from past 6-7 years. I got this coz of bleach which i had applied on my face. I also used to take contraceptive pills.
Kindly advise how do i reduce these marks on my face. Kindly suggest which face wash and creams I can use

Answered by Dr. Hardik Pitroda (1 hour later)

Brief Answer:
Pictures requested

Detailed Answer:
Hello
Thank you for posting on HCM.
From your description it seems that you have either post-inflammatory hyperpigmentation due to bleach or melasma.
Its very difficult to reach conclusive diagnosis in absence of clinical examination.
Therefore I request you to post some good clinical pictures for better understanding
You can mail pictures to YYYY@YYYY with the subject titled 'Attn : Dr Hardik Pitroda'.
Thank you
Dr Hardik Pitroda

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Hardik Pitroda (53 minutes later)

Dear Dr.

I have sent my pictures from my personal ID.

Request you to get the same checked and help me in clearing my skin.

Regards
XXXX

Answered by Dr. Hardik Pitroda (6 hours later)

Brief Answer:
Triple combination at night

Detailed Answer:
Hello XXXXXXX
Thank you for the pictures.
It seems the pigmentation you have developed is not due to bleach but infact its melasma, a form of pigmentation dictated by horomonal fluctuations and sunlight exposure.
I would like to treat you in a step wise manner for perfect results.
For the start, I would suggest you application of cream containing combination of hydroquinone, mometasone, and tretinoin (COSMELITE cream) very gently over dark areas at night time only.
In morning apply cream containing combination of licorice extract, Kojic acid, tetrahydrocurcumin etc (MELAGLOW cream).
Make sure you use good quality high SPF sunscreen everytime before going out in sun.( PHOTOSTABLE sunscreen gel)
Use good moisturiser like Cetaphil moisturizing lotion as and when required.
After 2 weeks of therapy, post me your follow up condition with pictures so that we can plan the further line of management.
I am sure you will be much better with the treatment highlighted above.
Wish you best of health,
thanks
Dr Hardik Pitroda

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Hardik Pitroda (24 hours later)

Thank you for your reply Dr.
I wanted to know whether i can use any foundation or compact powder or normal powder while going to work everyday along with the creams suggested by you.
Can you suggest any foundation or powder for me
Thanks

Answered by Dr. Hardik Pitroda (5 minutes later)

Brief Answer:
--

Detailed Answer:
Yes you can always use good cosmetics to cover up before going out for occasion or work.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Hardik Pitroda (18 days later)

Hi Dr. XXXXXXX
I have sent you my recent pictures. There is a slight improvement.

Answered by Dr. Hardik Pitroda (11 hours later)

Brief Answer:
Continue same treatment

Detailed Answer:
Hi XXXXXXX
I have reviewed your recent pictures and it seems your melasma is resolving.
I would suggest you to use COSMELITE cream for 2 more weeks then substitute it with a cream containing hydroquinone and tretionoin ( MELAPIK EVER) to be applied in similar fashion ar night time.
Also take some oral antioxidants like ANTOXID- HC once daily after breakfast.
Keep continuing the rest of the treatment like MELAGLOW cream, Sunscreen, and moisturiser.
Now you can update me after 1 month of regular treatment.
Thank you and wish you good health,
Dr Hardik Pitroda

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar