Skin pigmentation

The skin below the eyes is fair..but the cheeks and nose are black...i consulted a doctor in coimbatore,he said you skin is pigmented and prescibed kromaglo cream and benzoyl peroxide for acne to use for 15 days..but there is no any result...i said to the doctor..he said me about peeling..and finished 2 sittings but there is no any change and he prescribed me depiwhite cream and isotretin tablets for acne for 15 days..monday iam going for third sitting..but still i can't see any changes... i want to know whether iam going right..plzz answer me...
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Doctor Answers (1) on Skin pigmentation

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Dr. Rajdeep Bangalore | Dermatologist
Any dark colour is referred to as pigmentation. A diagnosis has to be first made about what kind of pigmentation it is. If it is only cheeks and nose then it is most likely to be a condition called as melasma. Medicines that you have used are too mild for melasma. Melasma occurs due to hormones and sunlight. It is more common in women but can occur in men. Melasma is very difficult to treat but there are treatment options for it. Generally a cream containing a combination of medicines called kigmans formula is given to clear it up. But this contains a steroid so it should not be used for more than a month. After that you will be put on maintainence therapy. Another type of pigmentation in people with oily skin is called as seborrheic melanosis. This responds very well to treatment and will clear up with medicines like isotretinoin. Also seborrheic melanosis may be associated with dandruff and treating the dandruff also reduces the pigmentation. I would suggest you get a definite diagnosis before undergoing procedures like peels as some kinds of pigmentation will not respond to them. The most important thing in any pigmentation is avoiding sunlight and using a sunscreen regularly. Warm regards. Dr. Rajdeep Mysore. Chirag Hospital Bangalore
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