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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do Dark Patches On The Forehead And Cheeks Indicate?

Hy . I am a 26 year old girl and have dark patches just on my forehead and both side of cheeks rest of the face is fine and I started getting peels and laser sessions for that but they lighten up a little after the session but tends to come back again . And I have started getting acne too echo how I never had and they are leaving marks on my skin so with these sessions I am applying many creams too but I see no results as such my doc says I have a problem of PCOD does this have to do something with my discolouration on face because rest of my body is fair just blackness on forehead and near cheeks . What should I do ?
Wed, 19 Sep 2018
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Dentist 's  Response
Hi,

It looks like melasma. Melasma leads to the formation of brownish to black patches over the face and occurs commonly due to hormonal imbalances. As PCOD is also a cause of hormonal imbalance it can be related to your black patches.

It can occur due to some other causes like:
- Intake of birth control pills.
- Pregnancy and childbirth.
- Hormone replacement therapy.
- Hypothyroidism.
- Exposure to UV rays is overexposure to the sun.

I would suggest you consult a dermatologist and get evaluated and he can do a thorough clinical evaluation and investigations like Wood Lamp's test, hormonal assay and at times biopsy to confirm the diagnosis.

Melasma is slow to respond to treatment and generally, the depigmentation creams can lighten the pigmentation and does not resolve it completely. In case if it is due to hormonal imbalances correction of the same can help. Cessation of hormone replacement therapy if you take any can be helpful in improvement.

Limit sun exposure and always apply sunscreen lotion when exposed to the sun. As a part of treatment, you can be advised Hydroquinone containing creams. Azelaic Acid and Kojic Acid containing creams are helpful.

Vitamin C oral as well as topical can helpful. Metamizole containing ointments can also help.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Honey Arora,
Dentist
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What Do Dark Patches On The Forehead And Cheeks Indicate?

Hi, It looks like melasma. Melasma leads to the formation of brownish to black patches over the face and occurs commonly due to hormonal imbalances. As PCOD is also a cause of hormonal imbalance it can be related to your black patches. It can occur due to some other causes like: - Intake of birth control pills. - Pregnancy and childbirth. - Hormone replacement therapy. - Hypothyroidism. - Exposure to UV rays is overexposure to the sun. I would suggest you consult a dermatologist and get evaluated and he can do a thorough clinical evaluation and investigations like Wood Lamp s test, hormonal assay and at times biopsy to confirm the diagnosis. Melasma is slow to respond to treatment and generally, the depigmentation creams can lighten the pigmentation and does not resolve it completely. In case if it is due to hormonal imbalances correction of the same can help. Cessation of hormone replacement therapy if you take any can be helpful in improvement. Limit sun exposure and always apply sunscreen lotion when exposed to the sun. As a part of treatment, you can be advised Hydroquinone containing creams. Azelaic Acid and Kojic Acid containing creams are helpful. Vitamin C oral as well as topical can helpful. Metamizole containing ointments can also help. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora, Dentist