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Brown spot on the face

Hi, my wife has brown spot on her both face, around the cheek. It has been for few years. Is it safe to do a plastic surgery? How much will be the cost? If did a surgery, do she need to do check up regularly? How many years the surgery last? Will it affect the look in old age? Please advise. Thanks.
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Dr. Manoj Agarwala
Dermatologist 11 yrs exp Delhi

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Based on your description, it appears that you have facial melanosis which could be melasma. I don't think surgery can be done for such a condition. ​​These conditions have a strong relation to one's internal health and it needs to be evaluated as often quoted - Skin is the mirror of internal health. Your dermatologist will decide a treatment plan for you after a consultation which probably will include a retinol based night cream and a vitamin C based lotion. Sun protection is mandatory and will require usage of Sunscreens. You may benefit from usage of a Laser device i.e. Q- switched N d YAG. Internal health needs to be fixed based on blood chemistry reports.  Apart from active pharmaceutical medicines, a healthy diet and lifestyle is mandatory to achieve results.  Best wishes Dr MK Agarwala
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