Dark pigmentation on skin, apota on forehead. Any ideas?
Patient: I have dark pigment areas on my cheeks and side of face and bridge of nose and I have been to severl derms and no results.. some hydroquionone treatments and it made it inflamed and worse..I now have some light apota on my forehead... I am told I do not have vitiglio... I don't think you can help... frustrated.. I sit home in the dark avoiding the sun.. I have given up... everyone sells me a product a script or clueless advice I have to beg for someone to care enough to actually help me. After my insurance payment or out of pocket I walk away the same way I came in. My forehead itches and the left side over my brow is thickened. One doctor asked me what is going on in that area actually he is the head of dermatology in Houston... I have no faith in the profession..why should someone care at the end of the day it is my problem. Doctor: Hi,Thanks for writing to us.The site of your dark pigmented areas suggest that it is probably due to melasma.To treat the sameUse a broad spectrum sunscreen with SPF 50Take oral vitamin c supplements 500mg twice in a dayYou need to apply pigmentation reducing creams to reduce the dark patches. Hydroquinone might have inflammed the area due to excess application of the same. Reintroduce hydroquinone 2 percent cream over your marks in night. If you do not want to apply the same, you may use Glycolic acid/ Kojic acid/ Azelaic acid based creams. Also few sessions of chemical peels( Glycolic acid/ trichloroacetic acid) should help.As far as light spots over forehead are concerned, it is difficult to comment on the same without having a look at those lesions. If possible send us an image of concerned area, so that proper advise can be given.RegardsDr kalpana