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Pigmentation,black head

Full face had become very blacky having hyperpigmentation and black head which was not before. And I had used mellacare,metacortile creams,etc for clearing this but it cures for till I use this creams.
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Dr. Manoj Agarwala
Dermatologist 11 yrs exp Delhi

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Thanks for the query. Based on your description, it appears that you have facial melanosis which could be melasma compounded by acanthosis nigricans. 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. Attempting treatment without understanding the pathology will be futile and make the course longer. 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 Nd YAG laser but that is in addition to the main treatment. 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.
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Your specialist will decide a treatment plan for you after a consultation.
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