What Should I Do About Dark Spots On My Face And Nose That Developed During Pregnancy A Few Years Ago But Haven’t Faded?

Posted on Thu, 7 May 2020

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 7 May 2020 Answered on

2 days ago Last reviewed on

Question : dear sir/mam I was pregnant in year 2000 and during pregnancy some dark spots devloped on my nose and face and they have not gone

what should I do

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

Brief Answer:
Melasma, upload pictures

Detailed Answer:

Hello,

Welcome to 'Ask A Doctor' service. I have gone through your query. It seems to be melasma which is a hyper-pigmentary condition of the nose and cheeks.

I would recommend you to upload the pictures of the affected areas of the face so that I can grade your pigmentation and can guide you accordingly.

Regards,
Dr. Asmeet

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Asmeet Kaur Sawhney (11 hours later)

Dear ma'am,

I have sent the picture on the email.

Answered by Dr. Asmeet Kaur Sawhney (18 minutes later)

Brief Answer:
Melasma and it’s management

Detailed Answer:

Hello,

I have reviewed the attached photographs and it is looking like melasma.

It is a hyper-pigmentary condition of a skin associated with hormonal changes, genetic causes, excessive sun exposure, certain medicines like oral contraceptive pills, thyroid disorder and sometimes occurs without a cause. I would recommend you to get your thyroid function tests and hemoglobin level checked.

I would recommend you to apply Hydroquinone 2 percent cream (Kojiglo forte cream) on the dark spots at night along with frequent and regular application of a broad spectrum sunscreen (Faceguard gel) on the entire face 3 times in a day for 4 weeks. Also, take antioxidants like capsule Antoxid HC once daily for 3 months. These are prescription drugs and should be taken under the supervision of the doctor.

Avoid sun exposure and take a diet rich in fruits and vegetables.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards

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

Follow up: Dr. Asmeet Kaur Sawhney (9 hours later)

Dear ma'am,

I have purchased these medicines but I wanted to asked how my hemoglobin level will effect pigmentation. Also, will these medicines surely work.

Thank you.

Answered by Dr. Asmeet Kaur Sawhney (1 hour later)

Brief Answer:
With low hemoglobin levels pigmentation is more pronounced

Detailed Answer:

Hello,

It has been seen that in patients with low hemoglobin levels the pigmentation is more pronounced. If your hemoglobin level is low, intake of iron will improve your dark spots.

These medicines will definitely help in reducing your pigmentation but it is a slow process requiring few months.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards

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