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What Causes Dark Patches On The Face?

Posted on Tue, 8 Nov 2016

Question: Hello Dr,

My Mother has the pigmentation problems. In her faces dark patches has been observed.

I need to know why should this happen. Suggest me some medicine for this.

Thanks,
XXXX

Answered by Dr. Asmeet Kaur Sawhney (38 minutes later)

Brief Answer:
Seems to be having melasma, upload pictures

Detailed Answer:
Hi
Thanks for being at healthcaremagic
According to your complaints she seems to be having melasma but I would recommend you to upload the photographs of the affected areas so that I can have a clearer picture of the condition and can guide you accordingly.
Regards
Dr Asmeet

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Asmeet Kaur Sawhney (2 hours later)

Hello Dr,

I have attached the photos of affected area. Please suggest me what needs to be done.
Kindly answer my below queries:

What kind of problem is this?
Provide me the medications for this problem?
Will this clear from face or not?

Kindly suggest me the medicines for this.

Thanks,
XXXX

Answered by Dr. Asmeet Kaur Sawhney (29 minutes later)

Brief Answer:
Management of melasma

Detailed Answer:
I have reviewed the attached photographs and it is melasma.
It has multiple causes. It can be due to hormonal changes in body, intake of oral contraceptive pills, thyroid disorders, hereditary and most of the times the cause couldn't be found out.
If I was her treating doctor I would recommend her to use a cream containing combination of tretinoin, hydroquinone and flucinolone acetonide on the pigmented areas at bed time along with application of a broad spectrum sunscreen on the entire face at intervals of 3-4 hours during the day time.
I would also recommend her to take tablet tranxaemic acid 250 mg twice daily.
These are prescription drugs and should be used under the supervision of the doctor.
It has been seen that the pigmentation usually disappears after treatment of 4-6 months but the chances of recurrence are very high.

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar

Follow up: Dr. Asmeet Kaur Sawhney (28 minutes later)

Hello Dr,

Please provide me the name of the cream which is combination of tretinoin, hydroquinone and flucinolone acetonide and broad spectrum sunscreen.

Is it melasma risky to body?

What is the permanent solutions to this problem?

Thanks,
XXXX

One more question dr.

How many days tranxaemic has to be taken?

Answered by Dr. Asmeet Kaur Sawhney (11 minutes later)

Brief Answer:
Triglow cream or lumacip plus cream, suncros soft gel

Detailed Answer:
Many brands containing this combination are available in the market like triglow cream or lumacip plus cream.
You can use either of the above at bedtime.
Suncros soft sunscreen gel can be used as a regular sunscreen.
Melasma is not risky to the body.
It is more of a cosmetic concern.
In persons not getting desired results with oral and topical medicines, chemical peels and lasers can be tried for permanent resolution.
Tranxaemic acid can be taken for 4-6 months but under doctor's supervision.

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. Veerisetty Shyamkumar