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.
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.
Dr MK Agarwala
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