Suggest Treatment For Pigmentation On Both My Cheeckbones

Posted on Mon, 30 Mar 2015

Question: Hello Doctor

I do night shift and I rarely go directly under sun even then I have pigmentation on both my cheeckbones. Someone has suggested me to use mellacare. Can you please suggest. Do I need to apply sunscrren also while applying mellacare. Can I use it on my whole face or on the area affected. One last question can I use mellacare at night when I go to my office?

Thanks

Answered by Dr. Ilyas Patel (3 hours later)

Brief Answer:
Please answer and post the photos

Detailed Answer:
Hi,

After reading history it seems that you may be having hypermelanosis on the face. Before answering of your queries,I have to come to some diagnosis.

To come to perfect diagnosis, I would like to have answers of few questions. And also please post the photos affected parts.

- please tell about your gender and age.
- are you married?
- if married, do you have child?
- what is your job?
- from how many days you have hypermelanosis?
- do you apply any cosmetics?
- any history of drugs or pills you take?
- any history of systemic disease?

Please answer above queries and post the photos of affected parts.

Awaiting your reply..

Thanks.

Dr. Ilyas Patel MD

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Ilyas Patel (1 hour later)

I m a female with 2 kids. One is 12 yrs nd other is 4 years old. I am working as a web developer. I do night shift and it starts 8:30 and ends at 5:30 in the morning. I am taking thyronorm 88 mcg because I have hyperthyroidism. I rarely apply any cosmetics on my screen on daily basis. Occasionally I do makeup. I thing after my second baby brown spots started emerging on my face below eyes on cheeckbone area. But now a circular patch is getting visible on left area of my face just below the left eye.
Waiting for your reply doctor....

Answered by Dr. Ilyas Patel (17 hours later)

Brief Answer:
Melasma most probably

Detailed Answer:
Hi,

Welcome back..

And thanks for history and photos. After reading history and seeing photos, I deeply feel that most probably you may be having melasma.

Melasma is a chronic skin disorder that results in symmetrical, blotchy, brownish facial pigmentation. It can lead to considerable embarrassment and distress.

There may be some triggering factors. In your case, hypothyroidism, sunexposure, pregancy etc may be the triggering factors.

I would like to suggest as follow..

- sun protection.. Please use sun screen lotion more than 50 SPF daily on whole face. Repeat the application at every 2 hours.
- apply kojic acid containing gel daily at night on patches.
- avoid hydroquinone containing cream as it may produce irreversible depigmentation.
- tab glutathion 100 mg daily
- tab vitamin C 500 mg thrice day
- cleanse the face with glycolic acid and kojic acid containing face wash

Above treatment may be taken for long time to have good result. Other mode of treatments are laser and peeling. You consult dermatologist and have proper discussion for the best treatment.

I hope this would help you in managing your skin disease.

If you have any more query, you are welcome.

Wishing you healthy life..

Thanks.

Dr. Ilyas Patel MD

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Ilyas Patel (3 hours later)

Thanks for your kind advise.

Can you please tell me any specific face wash and gel which can be easily available in XXXXXXX medical stores.

Thanks & Regards
XXXX

Answered by Dr. Ilyas Patel (2 hours later)

Brief Answer:
Melasma

Detailed Answer:
Hi,

Thanks for your satisfaction by my answer.

There are many facewashes and gel or cream available in XXXXXXX market for managing pigmentary diseases like melasma. You consult dermatologist and have prescription. He might prescribe proper facewash and gel. I usually recommend in melasma, facewash like ahaglow or cutiwash face wash and niltan cream,kojiglo or kovite active gel...you may discuss with your doctor and have prescription as these are not OTC products.

Thanks...

Dr. Ilyas Patel MD

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. Raju A.T