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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Facial Pigmentation With A Nasal Patch Be Treated?

Hi Doctor, I had a beautiful nose all my life however had acne on my remaining face, in the past ( on and off). After marriage my acne went away. Now I am in late 40s and facing pigmentation on both checks bones which started about a year ago. And most recently I a little brown patch appeared on my nose which is very upsetting. Please help me with pigmentation on my face especially with this nose patch. Kind Regards Mrs Awan YYYY@YYYY
Tue, 13 Jan 2015
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Dermatologist 's  Response
Hello. Thank you for writing to us at healthcaremagic

The pigmentation on nose and cheeks is part of a condition known as melasma.
Melasma commonly presents as brownish hyperpigmentation over sun exposed skin of face like malar prominence, dorsum of nose and sometimes forehead and upper lip region.
Sun protection is an essential part in the management of melasma.
I suggest you to use a broad spectrum sunscreen, throughout the day. Reapply every 2-3 hours.
You may use a pigment lightening cream containing one or more of the following ingredients like kojic acid, hydroquinone, glycolic acid, azaleic acid, tretinoin etc.
These pigment reducing agents work by exfoliating existing pigment and by preventing synthesis of new melanin.
Treatment of melasma requires patience. It may recur after clearance if sun protection is not adequate.
I suggest you to visit a dermatologist in your region for the needul.
You may also opt for a few sessions of chemical peeling from your treating dermatologist.
Glycolic acid chemical peeling is specially useful for melasma.

Regards
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How Can Facial Pigmentation With A Nasal Patch Be Treated?

Hello. Thank you for writing to us at healthcaremagic The pigmentation on nose and cheeks is part of a condition known as melasma. Melasma commonly presents as brownish hyperpigmentation over sun exposed skin of face like malar prominence, dorsum of nose and sometimes forehead and upper lip region. Sun protection is an essential part in the management of melasma. I suggest you to use a broad spectrum sunscreen, throughout the day. Reapply every 2-3 hours. You may use a pigment lightening cream containing one or more of the following ingredients like kojic acid, hydroquinone, glycolic acid, azaleic acid, tretinoin etc. These pigment reducing agents work by exfoliating existing pigment and by preventing synthesis of new melanin. Treatment of melasma requires patience. It may recur after clearance if sun protection is not adequate. I suggest you to visit a dermatologist in your region for the needul. You may also opt for a few sessions of chemical peeling from your treating dermatologist. Glycolic acid chemical peeling is specially useful for melasma. Regards