Doctor insights on:
Sudden onset of diffuse hyperpigmentation since 2 years that used to reduce greatly during menstrual cycle. Pcos as well in 19 year old girl. Help!?
Consider endocrine: An endocrinologist may be able to address both issues -though without knowing your medical history. ...Read more
Skin darkening: Unfortunately there are many types of hyperpigmentation, so the answer is difficult. Post-inflammatory (after a rash or injury) types are common, but there are also endocrine (hormonal), syndromic (genetic), and metabolic or disease associated types. This is, however, a very brief list. More information would help. ...Read more
Avoid sun, peels, ++: There are a variety of techniques to address hyperpigmentation with avoidance bing the best approach using sunblocks. Certain hormone therapies or oral contraceptives may predispose vulnerable individuals. Minimizing inflammation is also key to preventing hyperpigmentation. ...Read more
Sunscreen, Retinols: In treating hyperpigmentation, it is extremely important to minimize sun exposure through sun protection and sunscreen. Products containing retinols may help to even pigmentation. There are a number of prescription medicines that help reduce excess pigment. A newer product called elure contains lignin peroxidase a natural chemical found in trees that bleaches the color of tree bark. ...Read more
Following irritation: The body forms increased amounts of pigment from a variety of mechanisms. Some are hormonal like melasma or related to endocrine diseases like adrenal gland dysfunction or liver disease. Other causes are side effects from medications or genetic diseases. Most of what we see clinically is caused by sun damage. ...Read more
Go away dark spots: Hyperpigmentation may be caused by chronic inflammation. I al ways imagine that any time there is inflamm, the melanocytes (pigment cells) flock to the area thinking there is a party going on and just dont leave. I like rx hydroquinone and retinoids plus sunscreen. Sunscreen and hats are the most important thing. I love obagi nuderm for this and there are botanicals too but don't work as well. ...Read more
Dark Spot Treatment: First of all, there are several causes for dark spots. Dark spots caused from skin injury, post-inflammatory hyperpigmentation, can be treated with the following: - hydroquinone 2% (available without a prescription) to 8% (prescription only) - tretinoin (retin a), which works best in conjunction with hydroquinone - Azelaic Acid (azelex)- used in pregnant woman as an alternative to hydroquinone. ...Read more
I'm afraid i may have hyperpigmentation due to squeezing blemishes. Is this possible and if so how can it be solved. ?
Improve not remove: Many options exist for cosmetic improvement and include anti-inflammatories, peels, exfoliation, lasers, resurfacing, bleaching, excision, grafting, fillers, and much more, scars vary in their severity and so do the treatments. See a plastic surgeon, dermatologist or ENT for options. ...Read more
How long does it take for hyperpigmentation marks to disappear completely? What can I use to eliminate them much faster?
Weeks to months: Hyperpigmentation marks can take several weeks to months to disappear and vary depending on the cause for the pigment changes such as sun damage or post inflammatory changes whether from surgery or trauma for example. A good skin care regimen with moisturizers, gentle cleansers and exfoliants with the addition of quality sunblocks can expedite the process. ...Read more