Brown patches on nose, both sides of upper lip, spreading to forehead. Using carofit, sunban lotion. Suggestions?
Patient: I am 50 yrs old lady.Last 3yrs some brown patches seen on my nose and on both sides of upperlip. Now its spreading to my forehead .I consulted a dematologist he did Microdermabrasion on my nose and upperlip. all came in vain.Now I am using carofit during night and a sunban lotion during night.Dr please advise me. I am so worried. Thank you Doctor: Beena, recurrence of spots after Micro dermabrasion indicates that the triggering cause is still there. Generally these spots are triggered by hormone estrogen, melanin or sun.  Chloasma spots occer due to age.  Sunscreen formulations may help. Hydroquinone topical ointment at night can be used over the spots. It decreases melanin production. This helps only if the pigmentation is superficial & not deep. Pigmentation may reccur if it is discontinued.  Monobenzone, a derivative of hydroquinone should be avoided as its action is irregular & it may cause permanent blanching. Apply  almond oil  on the spots for 10 minutes before you wash your face.