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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Hyperpigmentation On Both Cheeks?

I am 20 years old and I have had hyperpigmentation on both cheeks for several years. I am now searching for a product that could completely fade these marks for an even complexion.I would also like to know if you have a product with this purpose, would I have to put it on my whole face or just the spots. And what should happen if I accidently if I rub it on the wrong area repeatedly?
Mon, 5 Jan 2015
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Dermatologist 's  Response
Hello. Thank you for writing to us at healthcaremagic

I will keep a possibility of Melasma.
Melasma presents as brownish hyperpigmentation of sun exposed skin on face, particularly malar areas and nose.

Adequate sun protection is an essential part of treatment of melasma or any facial hyperpigmentary skin condition including Melasma.
The problem of recurrence is a common in patients of melasma.
The factors responsible being either inadequate sun protection or lack of maintenance treatment with a pigment lightening agent/cream.

The combination of hydroquinone, tretinoin and mometasone may be initially prescribed for 1-2 months and is the gold standard treatment for melasma and is usually the most effective out of all.

However, this combination is not meant for long term/regular use because of the risk of side effects related to steroid component of this cream (mometasone furoate) like skin thinning, photosensitivity, acne & hirsutism in females.

Therefore, once an effective response has been initiated with this combination, it should be sustained or maintained with other safer pigment lightening ingredients like kojic acid, hydroquinone, glycolic acid, Azaleic acid etc along with regular use of a broad spectrum sunscreen, throughout the day.

The treatment can be changed or modified according to response Or it can be combined with chemical peeling sessions e.g Glycolic acid peeling to produce additive results.

Regards
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How To Treat Hyperpigmentation On Both Cheeks?

Hello. Thank you for writing to us at healthcaremagic I will keep a possibility of Melasma. Melasma presents as brownish hyperpigmentation of sun exposed skin on face, particularly malar areas and nose. Adequate sun protection is an essential part of treatment of melasma or any facial hyperpigmentary skin condition including Melasma. The problem of recurrence is a common in patients of melasma. The factors responsible being either inadequate sun protection or lack of maintenance treatment with a pigment lightening agent/cream. The combination of hydroquinone, tretinoin and mometasone may be initially prescribed for 1-2 months and is the gold standard treatment for melasma and is usually the most effective out of all. However, this combination is not meant for long term/regular use because of the risk of side effects related to steroid component of this cream (mometasone furoate) like skin thinning, photosensitivity, acne & hirsutism in females. Therefore, once an effective response has been initiated with this combination, it should be sustained or maintained with other safer pigment lightening ingredients like kojic acid, hydroquinone, glycolic acid, Azaleic acid etc along with regular use of a broad spectrum sunscreen, throughout the day. The treatment can be changed or modified according to response Or it can be combined with chemical peeling sessions e.g Glycolic acid peeling to produce additive results. Regards