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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Dark Skin Tone, Dark Circles. Prescribed Lomela Cream, Contains Steroid. Should I Proceed With It?

I am having dark circles around the eyes for long time, almost 5 years and my face look very dark as my complexion was fair before. Last week, I visited a dermatologist and he prescribed me Lomela cream to be used in the night, Sunban Forte Cream in the morning. He advised me to use the cream till the dark patches clears from the face. I have gone through the web site and found the prescribed cream contains steroid. Hence, could you please let me know how to proceed with this treatment.
Fri, 4 Oct 2013
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Dermatologist,  's  Response
Hi,

You are having periorbital and facial melanosis.

There may be some cause or idiopathic i.e. unknown cause.

It may be hereditary.

Thorough history and clinical examination may be needed.

Your dermatologist might have done that.

Lomela cream contains steroid and hydroquinone .

Both the molecules can not be used for long time.

Steroid can cause atrophy,depigmentation ,telangiectasis ..etc

And hydroquinone can cause dotted depigmentation and ochronosis .

I do not prescribe such combination in my patients.

I usually prefer kojic acid and vitamin c containing cream or gel.

Orally glutathion may improve your look.

Oral vitamin C and nicotinic acid are also helpful.

I hope you may be benefitted.

Thanks.

Dr. Ilyas Patel MD
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Dark Skin Tone, Dark Circles. Prescribed Lomela Cream, Contains Steroid. Should I Proceed With It?

Hi, You are having periorbital and facial melanosis. There may be some cause or idiopathic i.e. unknown cause. It may be hereditary. Thorough history and clinical examination may be needed. Your dermatologist might have done that. Lomela cream contains steroid and hydroquinone . Both the molecules can not be used for long time. Steroid can cause atrophy,depigmentation ,telangiectasis ..etc And hydroquinone can cause dotted depigmentation and ochronosis . I do not prescribe such combination in my patients. I usually prefer kojic acid and vitamin c containing cream or gel. Orally glutathion may improve your look. Oral vitamin C and nicotinic acid are also helpful. I hope you may be benefitted. Thanks. Dr. Ilyas Patel MD