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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Hyperpigmentation On The Cheeks Be Treated?

I have skin pigmentation mark on my cheeks and consulted a renowned dermatologist and he suggested me to apply a mixture of tenovate cream and brite cream to use it for 2 weeks and later discontinue ..I have religiously used it and I went on to see that marks became more prominent and I once again visited the dermatologist and this time he gave me momate cream and asked me to use for 2 weeks along with vitamin c tablets and azithromycin once in 3 days and then take a gap of 10 days and once again have azithromycin for another 3 days. but now I am scared whether it will make my spots more prominent or not ? from what I read on the internet it has been observed that momate cream is usually applied for soriasis and other skin infections and not for brown patches or in other case pigmentation spots or melisma ? please suggest can i go ahead and use it ? really appreciate your quick reply as it s giving me great mental trauma.
posted on Sat, 24 Mar 2018
Twitter Tue, 22 May 2018 Answered on
Twitter Thu, 24 May 2018 Last reviewed on
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Dentist,  's  Response
Hello and Welcome to 'Ask A Doctor' service. I have reviewed your query and here is my advice.

Mometasone is a steroid based cream and at times ot can cayse dark spots or increasing pigmentation as a side effect.

Now as per your complain Melasma leads to formation of brownish to black patches over the face and occurs commonly due to hormonal imbalances..
It can occur due to causes like:
-Intake of Birth Control Pills.
-Pregnancy and child birth.
-Hormone Replacement Therapy.
-Hypothyroidism.
-Exposure to UV rays ia overexposure to sun.
I would suggest you to consult a Dermatologist and get evaluated and he can do a thorough clinical
evaluation and investigations like Wood Lamp's Test, hormonal assy and at times Biopsy to confirm the
diagnosis..
Melasma is slow to respond to treatment and generally the depigmentation creams can lighten the
pigmentation and does not resolve it completely..
In case if it is due to hormonal imbalances correction of the same can help..
Cessation of hormone replacement therapy if you take any can be helpfum in improvement..
Limit sun exposure and always apply sunscreen lotion when exposed to sun..
As a part of treatment you can be advised Hydroquinone containing creams..
Azelic acid and Kojic acid containing Creams are helpful..
Vitamin C oral as well as topical can helpful..
Metamizol containing ointments can also help..

Hope I have answered your query. Let me know if I can assist you further.
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How Can Hyperpigmentation On The Cheeks Be Treated?

Hello and Welcome to Ask A Doctor service. I have reviewed your query and here is my advice. Mometasone is a steroid based cream and at times ot can cayse dark spots or increasing pigmentation as a side effect. Now as per your complain Melasma leads to formation of brownish to black patches over the face and occurs commonly due to hormonal imbalances.. It can occur due to causes like: -Intake of Birth Control Pills. -Pregnancy and child birth. -Hormone Replacement Therapy. -Hypothyroidism. -Exposure to UV rays ia overexposure to sun. I would suggest you to consult a Dermatologist and get evaluated and he can do a thorough clinical evaluation and investigations like Wood Lamp s Test, hormonal assy and at times Biopsy to confirm the diagnosis.. Melasma is slow to respond to treatment and generally the depigmentation creams can lighten the pigmentation and does not resolve it completely.. In case if it is due to hormonal imbalances correction of the same can help.. Cessation of hormone replacement therapy if you take any can be helpfum in improvement.. Limit sun exposure and always apply sunscreen lotion when exposed to sun.. As a part of treatment you can be advised Hydroquinone containing creams.. Azelic acid and Kojic acid containing Creams are helpful.. Vitamin C oral as well as topical can helpful.. Metamizol containing ointments can also help.. Hope I have answered your query. Let me know if I can assist you further.