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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pigmentation All Over The Face

Hello Doctor, Im 33+ indian girl. I have this pigmentation spreading all over my face in dark patches. And I live in india beach side, understand sun does effect but i use sunscreamand I eat all kind of vegetables, i do take care of my health and try and eat healthy food. But I need some serious advice as its getting worst day by day and my skin is opening up into pours. Please recommend me some supliments or face wash or cream or even a certain kind of diet and is amway really worth using, ?
Fri, 26 Dec 2014
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Dermatologist 's  Response
Hello. Thanks for writing to us at healthcaremagic

You seem to have a condition known as Melasma.

Melasma presents as hyperpigmentation commonly over the cheek bones/malar area; other areas like nose, forehead, upper lips may also be involved.
It is idiopathic in most of the cases. However, there are a few well known causes of melasma such as oral contraceptive pills, pregnancy and NSAIDs.

Sunscreen is an essential part in the management of any facial hyperpigmentation including melasma.
I would suggest you to use a broad spectrum sunscreen, throughout the day.
Reapply every 2-3 hours.
It should have both UV A as well as UV B coverage.
A broad spectrum sunscreen that has a minimum spf of 30, would be suitable.
You may find one such sunscreen OTC from a drug store Or you may also get it prescribed from a dermatologist.

At night you may use a pigment lightening cream, containing one or more of the following active ingredients e.g Tretinoin, Mometasone, Azaleic acid, Hydroquinone, Kojic acid, Arbutin, Glycolic acid, licorice extract, Niacinamide, Vit C etc.

Along with the creams, you may also opt for a few sessions of chemical peeling from your dermatologist.

Melasma may take time to respond and you have to be patient with the treatment and follow up regularly with a dermatologist. Your dermatologist might change or modify treatment according to the response.

Regards
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Suggest Treatment For Pigmentation All Over The Face

Hello. Thanks for writing to us at healthcaremagic You seem to have a condition known as Melasma. Melasma presents as hyperpigmentation commonly over the cheek bones/malar area; other areas like nose, forehead, upper lips may also be involved. It is idiopathic in most of the cases. However, there are a few well known causes of melasma such as oral contraceptive pills, pregnancy and NSAIDs. Sunscreen is an essential part in the management of any facial hyperpigmentation including melasma. I would suggest you to use a broad spectrum sunscreen, throughout the day. Reapply every 2-3 hours. It should have both UV A as well as UV B coverage. A broad spectrum sunscreen that has a minimum spf of 30, would be suitable. You may find one such sunscreen OTC from a drug store Or you may also get it prescribed from a dermatologist. At night you may use a pigment lightening cream, containing one or more of the following active ingredients e.g Tretinoin, Mometasone, Azaleic acid, Hydroquinone, Kojic acid, Arbutin, Glycolic acid, licorice extract, Niacinamide, Vit C etc. Along with the creams, you may also opt for a few sessions of chemical peeling from your dermatologist. Melasma may take time to respond and you have to be patient with the treatment and follow up regularly with a dermatologist. Your dermatologist might change or modify treatment according to the response. Regards